Pain Causes
Platelet rich plasma (PRP) therapy in Hyderabad is an emerging, minimally invasive, low risk, nonsurgical treatment for patients with refractory chronic heel pain from plantar fasciitis.
Plantar fasciitis is one of the commonest causes of heel pain. Plantar fascia is a dense band of connective tissue that extends from the heel of the foot to the ball of the toes. It maintains supports the arch of the foot and absorbs the impact of standing, walking, and running on the foot. Plantar fasciitis is a degenerative condition resulting from repetitive and excessive strain on foot causing micro tears in the plantar fascia.
It is likely that you have plantar fasciitis if you have:
In most cases it is self-limiting and up to 90% of patients can be managed with conservative methods such as rest, ice, physiotherapy, exercise, and pain medication. Patients who do not respond to conservative treatment have severe, disabling heel pain which can affect work and may contribute to anxiety and depression. Interventional pain management offers hope to these patients.
Although steroid injections are useful in relieving heel pain from plantar fasciitis, they provide only short term benefit. Moreover, repeated injections are usually ineffective and may lead to further degeneration of plantar fascia, bone and ligaments in the sole of the foot.
PRP when injected directly near the area of soft tissue injury seems to release powerful growth factors that stimulates healing of micro tears in the plantar fascia. There is growing evidence to say that PRP injections especially when done under ultrasound guidance relieves pain, restores functional mobility and improves the quality of life.
It involves drawing a small volume of patient’s own blood in test tubes and spinning it in a special machine called centrifuge in order to separate the various components of blood (red cells, white cells and platelets). This process allows the chronic pain doctor in Himayatnagar to concentrate platelets and growth factors which can be injected at the site of injury.
The plantar fascia is tough, has few blood vessels and therefore receives minimal blood supply. Therefore the concentration of growth factors needed for the healing process is low.
No. It is typically done as a day care procedure under strict aseptic precautions and always under ultrasound guidance. An ultrasound will allow the pain specialist to accurately visualise the plantar fascia and inject PRP at the site of injury in real time.
There are no major side effects or complications with PRP therapy. You will feel sore in the heel for a couple of days but you can get back to work from the next day of the procedure.
Typically, positive results are seen in 1 to 2 weeks. Thereafter, there will be a sustained pain relief and improvement in functional mobility.
A controlled ankle movement brace is advised for 4 weeks to limit ankle movements. NSAID medication should be avoided after the treatment because it will interfere with the healing process.
Risk factors for plantar fasciitis includes:
In order to reduce pain in the heel more load is taken on the opposite foot which alters the biomechanics of the foot, knee, hip and lower spine. This may lead to heel pain on the opposite foot, knee pain, hip pain and lower back pain.
Visit a Pain Management Specialist at pain relief center in Hyderabad if:
Make an appointment with chronic knee pain doctors in Himayatnagar from best chronic heel pain specialist in Himayatnagar.
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