BioDRestore is a new approach to treat chronic heel pain. This treatment involves the use of placental tissue allograft. Placental tissues have been show clinically and scientifically to reduce inflammation, support soft tissue repair, and minimize scar tissue formation. Placental tissues are an abundant source of collagen, as well as growth factors, and cells that are essential to support the body's natural regenerative healing process.
Common injuries treated with placental tissues are tendinitis, plantar fasciitis, achilles tendonitis, and soft tissue injuries.
Our practice is looking at utilizing this technology as an injection under ultrasound guidance for plantar fasciitis/plantar fasciosis. This injection can be performed in the office setting or in a outpatient surgery center.
Over the next few weeks and months we will have more information on this new technology on our website as well as office brochures.
Showing posts with label Plantar fasciosis. Show all posts
Showing posts with label Plantar fasciosis. Show all posts
Friday, August 28, 2015
Tuesday, October 21, 2014
Say Goodbye to Soreness with Carolina Foot Specialists
So you walked around at the Fall Festival all day, you ran a long training run or you work on your feet all day, and your feet hurt, it seems normal right? Maybe.
After prolonged time on your feet, especially in ill-equipped footwear or new shoes, your feet may ache, but the discomfort should be temporary and minor. Often we see patients who have had pain in their feet for weeks or even months but disregard the sensation as 'normal'. We recommend seeing a professional if your foot pain lasts more than a few days.
Often chronic pain synonymous with 'sore feet' can be symptoms of Planter Faciitis or a Morton's Neuroma. Planter Faciitis localizes on the heel of the foot where a Morton's Neuroma is felt more on the ball of the foot. Planter Faciitis is more common in patients with arch extremes (ie: flat feet or high arches) but can develop in normal arched feet from over-use or wearing particularly flat, unsupportive shoes such as flip flops. A Morton's Neuroma is caused by nerve irritation commonly on the ball of the foot, often found in women who regularly wear tight, high heeled shoes.
Pain from both of these conditions can flare up during certain activities, times of day or in conjunction with certain shoes making patients think circumstance is to blame rather than a medical condition. However both can worsen with use if not treated, making conservative and quick treatment more difficult in the long run.
If you have suffered from heel pain, pain on the ball of your foot or overall foot 'soreness' for more than a few consecutive days it is always better to stop in and see us than risk further injury or severity. We will do our best to ensure you are on the right path to being pain free!
www.CarolinaFootSpecialists.net
843-225-5575
After prolonged time on your feet, especially in ill-equipped footwear or new shoes, your feet may ache, but the discomfort should be temporary and minor. Often we see patients who have had pain in their feet for weeks or even months but disregard the sensation as 'normal'. We recommend seeing a professional if your foot pain lasts more than a few days.
Often chronic pain synonymous with 'sore feet' can be symptoms of Planter Faciitis or a Morton's Neuroma. Planter Faciitis localizes on the heel of the foot where a Morton's Neuroma is felt more on the ball of the foot. Planter Faciitis is more common in patients with arch extremes (ie: flat feet or high arches) but can develop in normal arched feet from over-use or wearing particularly flat, unsupportive shoes such as flip flops. A Morton's Neuroma is caused by nerve irritation commonly on the ball of the foot, often found in women who regularly wear tight, high heeled shoes.
If you have suffered from heel pain, pain on the ball of your foot or overall foot 'soreness' for more than a few consecutive days it is always better to stop in and see us than risk further injury or severity. We will do our best to ensure you are on the right path to being pain free!
www.CarolinaFootSpecialists.net
843-225-5575
Wednesday, February 12, 2014
State of the art technique for treating plantar fasciosis "Topaz."
The most common diagnosis that we see in our practice is heel pain most commonly plantar fasciitis. In the chronic form we refer this as "Plantar Fasciosis." Plantar fasciosis can be unresponsive to conservative treatment such as NSAIDS, cortisone injections, custom orthotics, PT, tapings, shoe gear changes, and night splints.
WHEN HEEL PAIN REACHES THIS RECALCITRANT STATE TREATMENT MUST BE REFOCUSED FROM DECREASING INFLAMMATION TO STIMULATING IT.
In years past chronic heel pain was treated with releasing the plantar fascia. Dr. Brown and Dr. Saffer are trained on utilizing lesser invasive techniques to keep the anatomy intact and get you back on your feet faster.
The minimally invasive technique that Dr. Brown and Dr. Saffer use is called Topaz for chronic plantar fasciosis. This procedure uses a small Coblation wand into the plantar fascia through multiple pin size areas of the heel. The procedure focus is on increasing vascularity (blood supply) and cell proliferation to promote healing of the plantar fascia. The procedure takes 20 minutes under IV sedation/local anesthesia. This procedure involves no sutures and weight bearing can be tolerated the day of the procedure. We typically place patient in a walking boot for one week then progress into a sneaker.
Dr. Brown and Dr. Saffer use this surgical technique only after all conservative treatment has been exhausted. Minimal to no complications are involved with this procedure because it is so minimally invasive. We typically see about 70-80% resolution/decreasing symptoms in our patients. The procedure is covered by insurance and affords patients minimal down time with work.
To view this procedure please refer to the link below from one of our Podiatric colleagues in Chicago.
http://www.youtube.com/watch?v=Ca4lYQUr6jI
WHEN HEEL PAIN REACHES THIS RECALCITRANT STATE TREATMENT MUST BE REFOCUSED FROM DECREASING INFLAMMATION TO STIMULATING IT.
In years past chronic heel pain was treated with releasing the plantar fascia. Dr. Brown and Dr. Saffer are trained on utilizing lesser invasive techniques to keep the anatomy intact and get you back on your feet faster.
The minimally invasive technique that Dr. Brown and Dr. Saffer use is called Topaz for chronic plantar fasciosis. This procedure uses a small Coblation wand into the plantar fascia through multiple pin size areas of the heel. The procedure focus is on increasing vascularity (blood supply) and cell proliferation to promote healing of the plantar fascia. The procedure takes 20 minutes under IV sedation/local anesthesia. This procedure involves no sutures and weight bearing can be tolerated the day of the procedure. We typically place patient in a walking boot for one week then progress into a sneaker.
Dr. Brown and Dr. Saffer use this surgical technique only after all conservative treatment has been exhausted. Minimal to no complications are involved with this procedure because it is so minimally invasive. We typically see about 70-80% resolution/decreasing symptoms in our patients. The procedure is covered by insurance and affords patients minimal down time with work.
To view this procedure please refer to the link below from one of our Podiatric colleagues in Chicago.
http://www.youtube.com/watch?v=Ca4lYQUr6jI
Tuesday, February 11, 2014
State of the Art healing options for Chronic Plantar Fasciosis
We at Carolina Foot Specialists are keeping up with the latest techniques for conservative and surgical treatment for chronic heel pain (Plantar Fasciosis).
Our Doctors over the next few months will be attending foot and ankle conferences in Utah, Orlando, and Atlanta to become educated and trained in some of the latest techniques for treatment of chronic recalcitrant heel pain as well as other foot and ankle disorders.
Heel pain is the most common foot complaint that we see in our offices. Dr. Brown and Dr. Saffer both have the same philosophy with regards to an aggressive conservative treatment plan for acute and chronic heel pain. They both come up with a treatment plan that still allows each patient to be active while undergoing treatment.
We are going to explore over the next few weeks minimally invasive surgical options for chronic heel pain more specifically "Topaz." Dr. Brown and Dr. Saffer both utilize the Topaz technique which is a quick outpatient procedure that allows the patient to go back into running shoes within two to three days after the procedure. No sutures are needed with this procedure and the recovery time is fast.
Our next blog we will discuss Topaz in more detail as well as in future blogs discuss a newer technique called "PRP."
Our Doctors over the next few months will be attending foot and ankle conferences in Utah, Orlando, and Atlanta to become educated and trained in some of the latest techniques for treatment of chronic recalcitrant heel pain as well as other foot and ankle disorders.
Heel pain is the most common foot complaint that we see in our offices. Dr. Brown and Dr. Saffer both have the same philosophy with regards to an aggressive conservative treatment plan for acute and chronic heel pain. They both come up with a treatment plan that still allows each patient to be active while undergoing treatment.
We are going to explore over the next few weeks minimally invasive surgical options for chronic heel pain more specifically "Topaz." Dr. Brown and Dr. Saffer both utilize the Topaz technique which is a quick outpatient procedure that allows the patient to go back into running shoes within two to three days after the procedure. No sutures are needed with this procedure and the recovery time is fast.
Our next blog we will discuss Topaz in more detail as well as in future blogs discuss a newer technique called "PRP."
Friday, February 7, 2014
Is heel pain always plantar fasciitis?
It is very important to understand that if you are experiencing heel pain it may not be plantar fasciitis. You may go to your local shoe store and while trying on shoes you may complain of heel pain. If you are told that it is plantar fasciitis this may be an incorrect assumption. We strongly recommend if you are experiencing any type of foot pain for a period of longer than a week than you should be evaluated by our professionals. It is not normal to have foot pain for this period of time and having a correct diagnosis is key to a quick recovery.
It is true that if you have heel pain it is more than likely plantar fasciitis in the acute setting. The problem is if not evaluated properly you could be getting the wrong advice and this may prolong your recovery.
Heel pain can present as different foot conditions such as a heel fracture, bone tumor, nerve injury, arthritic condition, or in a chronic form "Plantar Fasciosis." Imagine you were told by a friend that you have plantar fasciitis and actually had a stress fracture of the heel. You could of been evaluated initially with a digital x-ray at one of our offices and immobilized with a cam walker boot to allow the fracture to heal. Instead you treated yourself for plantar fasciitis and wondered why you were not getting better.
Our practice both at the West Ashley and Mt. Pleasant offices have state of the art diagnostic equipment. We have digital x-ray (20/20 imaging) which allows us to have a crisp, clear, image of the foot in minutes. We also have state of the art diagnostic ultrasound which allows us in the office to look inside your foot and see soft tissue inflammation and more specific anatomy of the foot. Diagnostic Ultrasound allows us to inject if needed cortisone into the fascia to accelerate healing. We have techniques which are virtually painless for our patients.
We know what is like to experience heel pain and other foot ailments. We both are avid runners and understand that our patients want to get back to being active. We believe that it is imperative that each of our patients with heel pain or other foot conditions is first properly diagnosed. We then at Carolina Foot Specialists come up with an aggressive conservative treatment plan to resolve heel and foot pain as quickly as possible.
We will in future blogs explore Plantar Fasciosis/Plantar fasciitis in more detail and discuss our state of the art conservative and surgical options.
It is true that if you have heel pain it is more than likely plantar fasciitis in the acute setting. The problem is if not evaluated properly you could be getting the wrong advice and this may prolong your recovery.
Heel pain can present as different foot conditions such as a heel fracture, bone tumor, nerve injury, arthritic condition, or in a chronic form "Plantar Fasciosis." Imagine you were told by a friend that you have plantar fasciitis and actually had a stress fracture of the heel. You could of been evaluated initially with a digital x-ray at one of our offices and immobilized with a cam walker boot to allow the fracture to heal. Instead you treated yourself for plantar fasciitis and wondered why you were not getting better.
Our practice both at the West Ashley and Mt. Pleasant offices have state of the art diagnostic equipment. We have digital x-ray (20/20 imaging) which allows us to have a crisp, clear, image of the foot in minutes. We also have state of the art diagnostic ultrasound which allows us in the office to look inside your foot and see soft tissue inflammation and more specific anatomy of the foot. Diagnostic Ultrasound allows us to inject if needed cortisone into the fascia to accelerate healing. We have techniques which are virtually painless for our patients.
We know what is like to experience heel pain and other foot ailments. We both are avid runners and understand that our patients want to get back to being active. We believe that it is imperative that each of our patients with heel pain or other foot conditions is first properly diagnosed. We then at Carolina Foot Specialists come up with an aggressive conservative treatment plan to resolve heel and foot pain as quickly as possible.
We will in future blogs explore Plantar Fasciosis/Plantar fasciitis in more detail and discuss our state of the art conservative and surgical options.
Thursday, February 6, 2014
Redefining Plantar Fasciitis
In our practice heel pain is one of the most common diagnosis that we see in our practice. Over the next few months we would like to discuss a condition called "Plantar Fasciosis." This is typically a chronic form of heel pain that has been present for more than two to three months and unresponsive to conservative treatment. Perhaps one of the most pivotal points to address is the fact that what we commonly call plantar fasciitis is not inflammatory but is actually a well documented degenerative condition (Plantar Fasciosis).
In his landmark 2003 study, Lemont demonstrated that there were no histological mediators of inflammation within 50 specimens sent by surgeons for pathological examination from their surgical cases treating plantar fasciitis. He correctly points out that we should really call this condition “plantar fasciosis” because of its degenerative nature without the presence of inflammation.
In our future blogs we will discuss plantar fasciosis in more detail and discuss treatment options to help accelerate healing of this chronically degenerative condition of the plantar fascia.
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