Heel pain is one of the most common forms of foot pain in adults. The heel bone (calcaneus) is the largest bone in the foot and the heel is the first part of the foot to contact the ground during walking. The Plantar Fascia is a thick, broad, inelastic band of fibrous tissue that courses along the bottom (Plantar surface) of the foot. It is attached to the heel bone (calcaneus) and fans out to attach to the bottom of the metatarsal bones in the region of the ball of the foot. Because the normal foot has an arch, this tight band of tissue
(Plantar Fascia) is at the base of the arch. It supports the arch of your foot and also acts as a shock-absorber in your foot. Plantar Fasciitis is an, usually chronic, inflammation of your Plantar Fascia and is most commonly a result of repeated trauma to the fascia at the point where it attaches to the calcaneus.
A 52 ml sample of blood is withdrawn from your arm. The blood is then transferred in a cell separator tube that is placed into a centrifuge that spins the blood for 15 minutes. The centrifuge step separates the L-PRP from the rest of the blood components. After centrifugation the L-PRP is collected. L-PRP (containing platelets, growth factors and white blood cells) is ready to be injected back into the tendon at the site of the chronic injury. Before injecting the L-PRP a local anaesthetic can be used. After just one single skin poke, the L-PRP will be injected into the tendon with multiple penetrations.
After the injection you should not move your leg for 15 minutes. Afterwards you can go home and you may get a prescription for a narcotic pain medication for pain control overnight. Anti-inflammatory drugs are not allowed. Icing can be a good solution. Increased pain at the site of injury may result for 2 weeks after the L-PRP injection. Forty-eight hours post treatment you should start a
standardised stretching protocol that will be provided by your consultant. you should follow this for 2 weeks. After the 2 weeks stretching a formal strengthening programme will be added. Gradual return to activities is allowed after 3 weeks. Patients are advised that up to 6 weeks may pass before a benefit is realized, but patients often note decreased pain after as little as 3 weeks.
Find out more about this treatment by contacting our team.
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