The Heel Pain Experts
 |   FFLC has 8 locations throughout Southwest Florida, so you will have access to a foot doctor with expertise in plantar fasciitis and heel pain near you. When you search, best foot doctor near me, from Naples Florida to Port Charlotte, you will be sure to find a Family Foot and Leg Center, PA near you for best care of your foot and ankle pain. Get Heel Pain Relief at an Office near you. Shockwave therapy for chronic Heel and Achilles pain is available at the Foot & Leg Center in SW Florida.
What is plantar fasciitis? The plantar fascia is a band of connective tissue on the plantar surface of the heel that plays a large role in maintaining the normal architecture of one’s foot. Plantar fasciitis is a common clinical condition caused by overuse or injury of the plantar fascia and is defined as traction degeneration of the plantar fascial band at its origin on the medial tubercle of the calcaneus. Inflammation, fibrosis, and decreased vascularization of the fascia occur, causing symptoms of heel pain. Other symptoms that may occur include burning in the sole of the foot, recurring foot pain that is especially aching in the morning or after sitting, or heel pain after beginning a new exercise routine.
What causes plantar fasciitis? There are a number of predisposing factors, including foot pronation, obesity, poor fitting shoes, minor trauma, occupational risks and change in exercise program. Although everyone is at risk, plantar fasciitis is most commonly found in athletes, runners, overweight individuals, or those who are required to stand on hard surfaces for prolonged periods of time. Although approximately 2,000,000 Americans suffer from plantar fasciitis Extra Corporal ShockWave Therapy is an appropriate treatment option in approximately 5 to 10% of those cases, as the remainder of the cases can be adequately addressed with more conservative therapies. What are other causes of heel pain that my doctor may not know to tell me? While plantar fasciitis / plantar fasciitis remains one of the most common causes of heel pain, other causes could be a bone tumor, nerve tumor, nerve entrapments, peripheral arterial disease with lack of blood flow to the region, growth plate irritation in pediatric patients, and tears of the plantar fascia. Who should receive Extra Corporal ShockWave Therapy for plantar fasciitis? Prior to undergoing Extra Corporal ShockWave Therapy, the patient must have been diagnosed with chronic plantar fasciitis for at least six months. Only after the patient’s symptoms fail to respond to three conservative treatments should Extra Corporal ShockWave Therapy be administered. Conservative treatments include rest, physical therapy, heel cushions, non-steroidal anti-inflammatory drugs (ibuprofen, acetaminophen, etc), cortisone injections, taping, orthotics, shoe modifications, night splinting and casting. In years past, surgical intervention for chronic plantar fasciitis was required when these other treatments had failed. Today, Extra Corporal ShockWave Therapy is available as an alternative, non-invasive treatment option.
Who should not receive Extra Corporal ShockWave Therapy for plantar fasciitis? Your health history should be reviewed with your doctor to see if this treatment is appropriate for you. Extra Corporal ShockWave Therapy is not recommended for patients with certain conditions. Patients with pacemakers and patients taking medications that may prolong or interfere with blood clotting (coumadin) are not candidates for Extra Corporal ShockWave Therapy. Also, children or pregnant women are not considered appropriate candidates for Extra Corporal ShockWave Therapy. Extra Corporal ShockWave Therapy is not appropriate for individuals suffering from acute plantar fasciitis.
What are the side effects of Extra Corporal ShockWave Therapy? Compared to surgery, Extra Corporal ShockWave Therapy has fewer side effects and a much shorter recovery time. The most common patient complaint is some minor pain or discomfort during and after treatment. Other side effects might include minor skin bruising, reddening, or swelling of the treated area. However, these possible occurrences usually resolve within a few days. The risks associated with surgery and general anesthesia are eliminated.
Is Extra Corporal ShockWave Therapy covered by insurance? Unfortunately, Extra Corporal ShockWave Therapy is not covered by any insurance company. Despite numerous favorable articles about the positives of Extra Corporal ShockWave Therapy for chronic musculoskeletal pain problems this remains an uncovered service. We at the Family Foot and Leg Center not only has the high energy Extra Corporal ShockWave Therapy machine that is shared with the regional professional team, but also a low energy machine that is more affordable but requires up to 5 treatments at weekly intervals, package pricing available. Ask your treating physician if this will be of benefit to you.
What should I expect before, during, after Extra Corporal ShockWave Therapy treatment? An initial consultation to rule out other causes of your Heel or Achilles pain will be done. During the visit a digital x-ray series is taken to ensure that are no other problems are causing your pain such as a stress fracture, fracture, bone tumors, etc. During the procedure:
After the procedure, you are allowed to continue your activity with light aerobic activities such as walking, even jogging, this will be the limitation for 6 weeks. During this recovery time no NSAIDS such as aleve, naproxen, celebrex, motrin, etc are allowed unless you are taking 81 mg Aspirin or 325 mg Aspirin for your cardiac health. Instead Tylenol should be used as needed. Rarely narcotics are prescribed. You should feel 90% – 100% resolution by 5 months. For Achilles tendonosis / tendonitis we have been able to avoid surgery on a majority of our patients even those with large heel spurs! The spurs remains but the pain is gone, thus, no further intervention is required. We have had patients that were scheduled for surgery at another facility but after Extra Corporal ShockWave Therapy the pain fully resolved. For Plantar Fasciitis / Fasciosis: in case of a tight plantar fascia that just won’t give up, a simple medial plantar fascia lengthening can be done in the office via our minimally invasive technique. Remember, it is not the spur that is causing your pain it is the inflammation of the tissue that is causing your pain. We at the Family Foot and Leg Center offers simple to complex reconstructive surgery of the foot and ankle but we will maximize all conservative options prior to surgical options. We are pleased to have offered Extra Corporal ShockWave Therapy to Olympic athletes, college athletes and weekend warriors alike to great results. Please
What is Extra Corporal ShockWave Therapy?
(sp) Endoscopic Plantar fascial release.
HydroSurgery & Minimally invasive Hydro Surgery *** FFLC served as a trial center w excellent results
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Extracorporeal shockwave treatment, also known as Extra Corporal ShockWave Therapy, is a non-invasive, non-surgical treatment option for the intense, persistent heel pain associated with chronic plantar fasciitis and achilles tendonitis. “Extracorporeal” means “outside the body”. Shockwaves, also known as pressure or sound waves, are generated from a special Extra Corporal ShockWave Therapy device and focused onto the targeted tissue. The shockwaves are delivered outside the body to trigger an individual’s own repair mechanisms. The concept behind shockwave therapy in orthopedic disorders is that the shockwave stimulates and reactivates healing to encourage revascularization and other elements necessary to advance normal tissue healing. Additionally, shockwaves help to over-stimulate pain transmission nerves, which can lead to a reduction in sensitivity and pain.
