If your heel pain is stopping you lead a full and active life, then minimally invasive regenerative treatments could help you enjoy your life the way you want to.
The plantar fascia is a thick tissue at the sole of the foot which connects the heel to the toes. It has a supportive role in the movement of the foot during walking.
Plantar Fasciitis is a common condition which causes pain at the heel. One in 10 people will experience heel pain at some time in their lives but plantar fasciitis commonly occurs in runners and people who are overweight.
What treatments does the Regenerative Clinic offer?
Our renowned medical team provides a range of treatments, from the traditional to the innovative:
This is an effective and well-researched procedure that’s a potential alternative to surgery. It takes advantage of the blood’s natural healing properties to reduce pain and improve joint function. It uses a specially concentrated dosage of platelets prepared from your own blood to repair damaged cartilage, tendons, ligaments, muscle and bone. Treatment is administered via an injection and depending on the injury two to six injections may be required, performed at weekly intervals. Patients usually see their symptoms improve within four to six weeks of having the injections. PRP is a safe treatment option which, because your own blood is used, carries no risk of allergic reaction. Read more clinical evidence supporting PRP here.
This treatment involves a selective filtration of your blood which harnesses Monocytes and their reparative properties for sporting injury and soft tissue damage.
In the degenerated tendons, Monocytes contribute to the repair of the damage by promoting the release of enzymes that help remove the damaged parts and consequently help the formation of a new matrix to promote the healing of the tendon. They perform a similar function in muscle injuries and promote the repair of damaged muscle fibres as a result of injury. There is some evidence to show these cells reduce inflammation in joints and have a beneficial effect in inflammatory forms of arthritis. Read more.
This day case treatment is exclusively offered to our patients. It combines the benefits of Platelet-Rich Plasma (PRP) therapy with Lipogems®, a pioneering procedure that uses your body’s own adipose (fat) cells to treat pain and inflammation. AMPP injections are minimally invasive and are carried out under ultrasound guidance. Altogether the procedure takes about an hour to perform with a minimal recovery time of around three hours. As well as being a potential alternative to surgery, AMPP can also aid post-surgery recovery.
Bone Marrow Aspirate Concentrate (BMAC) is a non-surgical, minimally invasive, regenerative treatment that harnesses the natural ability to heal the body through the assistance of biological growth factors. BMAC utilises the regenerative stem cells collected from bone marrow to aid in the acceleration of healing moderate to severe osteoarthritis and tendon injuries. Read more here.
What causes plantar fasciitis?
It’s not wholly clear what causes plantar fasciitis but it may arise through:
What are the symptoms of plantar fasciitis?
Plantar fasciitis causes a stabbing pain that the bottom of the foot, near or around the heel. The onset of pain is typically experienced at the start of the day or after a period of rest.
Repetitive injury to the plantar fascia can result in tears and inflammation resulting in symptoms of pain.
How is plantar fasciitis diagnosed?
If you’re experiencing pain in your heel a doctor will examine the area and check for areas of tenderness. In some cases, you may require and MRI. Using a magnetic field and radio waves a detailed image of the heel is created which can reveal if the pain is being caused by something else such as a stress fracture or a pinched nerve.
What are the non-surgical options for plantar faciitis?
Treatment for plantar fasciitis aims to relieve symptoms and improve the function of the foot.
Initial treatment may include medications such as analgesics which help reduce the pain, non-steroidal anti-inflammatory drugs – NSAIDS – which reduce the pain and inflammation and steroid injections which reduce inflammation and provide short-term relief.
Lifestyle modifications such as losing weight can reduce the stress on the plantar fascia. Wearing supportive and cushioned training shoes, avoiding walking around barefoot and making sure you sit down at regular intervals can also help relieve the symptoms. While you may still be able to exercise, your doctor may suggest some alternative exercises such as swimming or cycling which puts less strain on the plantar fascia.
Applying ice to the foot for 15-20 minutes every 2-3 hours can help relieve the pain, particularly after exercise. If you do this, it’s important to place a cloth between the ice and your skin to prevent you from getting an ice-burn.
A range of physiotherapy techniques can help with plantar fasciitis. These include:
Our expert team specialises in treating plantar fasciitis using advanced non-surgical techniques including Platelet Rich Plasma (PRP) therapyAMPP® ), Monocytes Therapy and Activated Mesenchymal Pericyte Plasma (using Lipogems® technology.
What are the surgical options for plantar fasciitis?
Surgery is normally not required to treat plantar fasciitis but if the pain intensifies and becomes severe or if other non-surgical treatments aren’t improving the condition it may be recommended that you have surgery to remove the plantar fascia from the heel bone.
Why have a consultation at the Regenerative Clinic?
Our innovative range of treatments goes beyond what’s available on the NHS. As well as providing a full opinion on your condition that includes all the traditional non-surgical and surgical options, our experienced consultants will also assess your suitability for our alternative biological therapies, Platelet Rich Plasma (PRP), Monocytes Therapy and Activated Mesenchymal Pericyte Plasma (AMPP).
Who will my consultation be with?
Your consultation will be with one of our foot and ankle specialists, Mr. Nima Heidari, Mr. Nick Savva and Mr. Ansar Mahmood and will last approximately 30 minutes. You may be asked to attend for an MRI scan, prior to your appointment.
As well as undertaking an examination, our specialists will take details of your medical history and discuss your symptoms. They will also detail all your treatment options and cover their potential benefits and risks.
Our expert team comprises of highly experienced surgeons, sports medicine doctors and physiotherapists who are committed to delivering a high level of care and the correct treatment option so you can quickly get back to moving around.
What is the autologus biological approach and when should it be considered?
Autologous means ‘from the same person’ rather than from a donor. Essentially, your own cells are used to encourage healing. With this type of treatment, there’s a dramatic reduction in the risks of the rejection, infection or contamination that come with using material from someone else. The innovative therapies we offer are based on this idea. If you’ve found traditional treatments aren’t helping your pain, of if you’re looking for a possible alternative to surgery, then this approach is one to consider.
Biological treatments are pioneering procedures and we’re continuously monitoring and recording its effectiveness. Patients undertaking these treatments are asked to complete pre-operative and post-operative questionnaires.
The information obtained from these questionnaires allows us to monitor your progress and it also contributes to our evidence-based database and other global studies on biological treatments. All information gathered is anonymised.