Plantar Fasciitis2020-02-12T12:41:34-08:00

Heel Pain / Plantar Fasciitis

Painful heel condition that needs special attention by a foot specialist.

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Heel Pain / Plantar Fasciitis

Plantar fasciitis, pronounced “PLAN-ter fash-ee-EYE-tiss,” is a stress injury that affects the tissue running from your toes to your heel.  Tiny tears along this band of tissue may cause stabbing pain usually in the heel area, but it may move to other areas of the feet periodically.

Plantar fasciitis is often due to wear and tear and is common among athletes who run and jump a lot, and also those who are overweight, stand for prolonged periods, or work on hard surface floors. For example, teachers or factory workers may be more susceptible to this injury.  A recent change in activity or some physical stress on the feet may have brought on the heel pain.

There is a lot of misinformation online about treatments for this painful condition, and “Dr. Google” may not be the best way to seek a cure.  This is a medical condition that needs real treatment by an experienced foot doctor who is professionally trained to cure this ailment.

Dr. Farajian is a board-certified specialist and has successfully treated thousands of patients who suffer from this condition, and our office has an extensive set of painless, modern procedures to get you back on your feet.  Treatments are designed to relieve inflammation and pain, heal the damaged tissue, and prevent future complications.  Conservative treatments are designed to prevent surgical procedures which are treated as last resort.

If icing the heel, massaging the area, and morning exercises and stretches have not provided relief for you, don’t “work through the pain” as this can only exacerbate the problem.  Arrange for an appointment with Dr. Farajian.
The treatments at our office include:

Painless Cold Laser Therapy – One of the most popular treatments at our office, this painless procedures uses laser light, infrared light, and electric stimulation simultaneously to reduce inflammation, increase blood-flow, and speed up the  reproduction of healthy cells in the damaged tissue.  All without any pain whatsoever.  Several treatments are usually recommended. Enjoy a complimentary treatment of MR4 cold laser for your first visit so you can see why so many of our patient come again and again for this service.

Custom medical grade orthotics –  All the weight of the body is on your feet, and if there are bio-mechanical issues such as low or high arches etc., the alignment of the bones in your foot and ankle, knees, hips and back may suffer.  Custom orthotics are highly effective in correcting many foot problems, especially with plantar fasciitis.  If Dr. Farajian recommends them for you, we will get an impression of your feet and a professional orthotics lab will create a custom pair for you in about a week.  Many insurance companies will cover part or all of the costs for this procedure.

Cortisone Injection and medication – When the swelling and pain become severe, cortisone injections are offered to our patients.  Plantar Fasciitis takes months to heal and sometimes you may need to have temporary relief for special events.  Each patient reacts differently to cortisone injections but the relief is often immediate, though temporary.  Anti-inflammatory medications can also be prescribed by Dr. Farajian in order to reduce the inflammation in the heel and arches of your feet, and ease the pain.

Platelet Rich Plasma – Dr. Farajian’s office offers a new and popular way to heal the foot with blood therapy, when conservative treatments are ineffective.  After 3-6 months, the body gives up on the injured area.  PRP takes advantage of the healing elements in the patient’s own blood to create what is often referred to as “liquid gold,” by injecting cells directly into the damaged area which causes the body to start the healing process again. The principle is to take advantage of the body’s ability to heal its own wounds and to combine this natural healing ability with modern medical technology.

Stem Cell Therapy – Like PRP, Stem cell injections are virtually pain-free procedures and have been successful in treating patients with tendon and ligament damage, as well as for degenerative arthritis.  Amniotic cells are regulated by the FDA and are considered safe and non-controversial.  After harvest, the cells are sterilized and frozen and transported for injection.  Such non-surgical procedures are designed to treat plantar fasciitis and other conditions as minimally invasive as possible, and usually deliver excellent result in 80% of our patients.  Ask Dr. Farajian for more information.

Tenex procedure Dr. Farajian

Tenex Procedure – If conservative treatments don’t heal plantar fasciitis, Dr. Farajian may recommend the Tenex procedure.  Tenex removes the diseased tissue through very precise microscopic cutting.  It takes only about fifteen minutes and is a minimally invasive procedure for soft tissue damage.  Usually performed in a surgery center, it’s covered by most insurance plans and recovery may be as little as one or two weeks.  Usually our patients are able to do light weight-bearing exercises in about two weeks.

Night Splints – Dr. Farajian may dispense hybrid night splints, or the Equinus Brace, for plantar fasciitis.  The goal of this splint, worn at night while you sleep or while you rest, is to keep the calf and Achilles stretched so that morning pain is minimal.  We dispense the hybrid splint which allows you to increase or decrease the pressure if needed.