Advanced Treatments For Plantar Fasciitis: A Combination Approach With PRP and Shockwave Treatments.
Plantar fasciitis often responds very well to both mechanical and anti-inflammatory treatment approaches. This includes appropriate shoes, prescription orthotics and stretching. These are all helpful for the mechanical component. As far as the inflammatory component often an ultrasound-guided cortisone injection is an effective complement for these mechanical treatments.
However, when these are not enough and plantar fasciitis continues that it's time to consider advanced treatments.
A very effective combination approach is to use platelet rich plasma injected under ultrasound guidance into the damaged plantar fascia. Then to initiate shockwave therapy. The shockwave therapy is done once a week for 3 weeks for moderate cases and once a week for 5 weeks for severe cases. It is recommended to use a cast boot with the platelet rich plasma although there are instances where this can be done without the cast boot. Shockwave therapy alone does not require a cast boot.