Plantar Fasciitis Pain?

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What is Plantar Fasciitis?

This is a common cause of heel pain and usually comes on gradually. It is more common in runners, people who have a high BMI and in those who wear footwear that is not supportive to the foot.

The plantar fascia is a thick band of tissue that runs from the heel to the toes on the inner side of the sole of the foot and it can become painful if it becomes inflamed. The pain often varies in severity, typically being worse first thing in the morning when the foot and ankle feel stiffer and improving as the foot becomes stretched out. This early morning pain can be helped by using a splint that holds the foot and ankle in a neutral position overnight. Standing and even walking can be made difficult and painful by this condition.

How is it diagnosed?

Diagnosis of the condition by a specialist is usually straightforward, and further tests are usually not necessary.

Foot x-rays are often performed to exclude other causes for heel pain and scans may be performed as needed.

How is Plantar Fasciitis treated?

Plantar fasciitis treatment starts with simple anti-inflammatory tablets and painkillers, together with plantar fascia stretches and, where necessary, insoles (orthotics). The latter can help support the foot better and to take the pressure off the plantar fascia by spreading the load across the whole foot.  As already mentioned, night splints may also be helpful in preventing severe early morning symptoms and helping the plantar fascia to heal.

What if these treatments don’t work?

Sometimes the condition does not respond to these measures and becomes longstanding (chronic). In these cases other treatments are considered. We avoid steroid injections into the heel because these do not usually result in a permanent cure through a healing response and can cause damage to the plantar fascia and loss of the normal fat pad that cushions the heel bone. We prefer to use shock wave therapy as the next line treatment for plantar fasciitis and achieve excellent results with this needle-free, outpatient procedure in 70% of patients. This treatment induces a healing response and so is more likely to result in the condition being cured.

Other treatments are rarely needed but include PRP injections and mini-incision day-case surgery.

Advanced Treatment for Tendinopathy Pain

Tendon problems are common and painful. They often severely limit daily and sports activities. They are sometimes not treated as well as they could be and this can lead to longer-term problems.

We are different. We specialise in treating Tendon and Soft-Tissue problems, including Plantar fasciitis, Achilles Tendinopathy, Patella tendinopathy, Tennis Elbow and IT band problems.

What We Offer

Detailed assessment including rapid access to modern scans

Accurate diagnosis

Liaison with your own physiotherapist

Personalised treatments driven by clinical evidence and our own results

All treatments performed in our clinic

The latest and best technology

At the Forefront of Tendon Pain Treatment

Our team are active in research into tendon pain and in the education of other practitioners.

Don’t worry.  We have wide experience so if your pain is not due to a tendon problem, we will ensure that you get the right treatment for your problem quickly and efficiently.

Let our Specialist approach to Tendon Pain help speed your recovery

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Patient Stories

my pain disappeared and has not returned in over 18 months

I was suffering from plantar fasciitis and this made walking even short distances painful and made me limp. I was assessed in the clinic in detail and any other things that might have been causing… Read more “my pain disappeared and has not returned in over 18 months”

Nicola
Plantar Fasciitis

Strongly recommend this form of treatment

I was diagnosed with plantar fasciitis under my right heel 2 years ago which during the course of time became very painful and unbearable to walk on. I was unable to walk at a reasonable… Read more “Strongly recommend this form of treatment”

Chaaya
Plantar Fasciitis

I now have only slight discomfort

My condition made walking painful and was also made worse if I had been sitting in the same position for a while, for example, driving. I also had problems if I slept on my left… Read more “I now have only slight discomfort”

Jayne
Trochanteric bursitis/ITB syndrome

Delighted with the treatment

I became a patient after developing an Achilles tendon problem that had failed to heal after 12 months of physiotherapy treatment. I had been unable to run or participate in many sports, even routine walking… Read more “Delighted with the treatment”

Yvette
Achilles Tendinopathy

Changed my life completely, cannot thank you enough

I was in pain daily. I dreaded walking up or down stairs for a few years. I had to give up my hobbies due to the pain. Before I was seen in the clinic I… Read more “Changed my life completely, cannot thank you enough”

Scott
Patella Tendinopathy

Highly recommend to others, without hesitation

All walking resulted in excruciating, debilitating pain affecting every aspect of everyday and social life. I also sufffered from constant broken sleep caused by pressure when lying on the affected hip. Sleeping on my back… Read more “Highly recommend to others, without hesitation”

Veronica
Greater Trochanteric Pain Syndrome

I would recommend the treatment my pain and swelling decreased

I was suffering from patella tendinopathy. I am a contemporary dance and ballet student and this affected my education. I tried eccentric work for about 8 months and had no result at all. I had… Read more “I would recommend the treatment my pain and swelling decreased”

Eimi
Patellar Tendinopathy

back to doing my activities and lots of walking

I had patella tendonitis and this affected my sports activities.  I had to stop tap dancing and tennis – too painful! Even walking became painful.  The knee was very unreliable on stairs etc. as kept… Read more “back to doing my activities and lots of walking”

Claire
Patellar Tendinopathy

bursitis greatly improved

I developed trochanteric bursitis and had a couple of steroid injections that helped but not for long.  I also had hip arthritis and had a successful hip replacement which allowed me to be much more… Read more “bursitis greatly improved”

Susan
Trochanteric bursitis

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