Custom Care for Plantar Fasciitis

Plantar fasciitis is one of the most common sources of heel pain. At any given time, about 5 million people in the United States are being treated for heel pain or plantar fasciitis in one or both feet. Plantar fasciitis affects up to 22% of long distance runners, and it’s also more common in women and people over age 40. 

Peter J. Bregman, DPM, is our expert in complex foot conditions and sports injuries. Here at Bregman Foot-Ankle & Nerve Center in Las Vegas, Nevada, he treats athletes, weekend warriors, and other men and women with chronic plantar fasciitis

During your evaluation, he examines your feet, takes a medical history, and asks about what type of pain you have and when it occurs. He may also take in-office X-rays and ultrasound images to diagnose the source of your pain and come up with an individualized treatment plan. 

While you may be able to control pain with nonsteroidal anti-inflammatory drugs (NSAIDs) and by wearing supportive splints at night, these therapies don’t heal the underlying damage to your plantar fascia. Following are some treatment options that we may incorporate into your customized strategy to control pain and minimize your risk for recurrence.

Extracorporeal shock wave therapy (ESWT)

When you have plantar fasciitis, the thick bands of tissue that cover the plantar region of your foot (aka the sole) are torn, stretched, and damaged. Over time, inflammation from injury causes the fascia to thicken, making it even less flexible. That’s why you might feel the most pain from your plantar fasciitis after moments of inactivity, such as first thing in the morning or after sitting for a long time.

Shockwave therapy directs ultrasound energy at your thickened, swollen, painful fascia. The sound waves pulse against your tissues, stimulating the circulation of blood and promoting the growth of new blood vessels. The shockwaves from ESWT stun your nerves, too, so they don’t transmit pain signals anymore.

About 81% of patients respond to ESWT. In addition to stimulating circulation and dulling pain, researchers believe that the shock waves stimulate your body to release growth factors that help rebuild the fascia and repair damage.

Regenerative therapies

Dr. Bregman offers a number of regenerative therapies that help your body heal the damaged fascia so that it functions better and is less painful. Regenerative therapies don’t just relieve pain; they can actually repair the underlying cause of pain and in some cases eliminate it.

Platelet-rich plasma (PRP) therapy 

With PRP, Dr. Bregman draws a small amount of blood from your arm, isolates the healing platelets, and then mixes them back in with some of the liquid portion of your blood (the plasma). He injects this serum directly into the areas of pain. The concentrated growth factors and other healing proteins help your body repair the injured tissue, rebuilding it to be stronger and more flexible.

Stem cell therapy

Stem cells are cells that can become many other types of cells. They’re used in regenerative medicine to help your body make new cells that it needs to repair an injury. Dr. Bregman can take stem cells from the bone marrow in your hip or inject cryopreserved donor umbilical stem cells.


Exosomes are vesicles that surround stem cells and help the cells in your body communicate with one another. When Dr. Bregman injects donated exosomes into your plantar fascia, they deliver proteins needed for repair and to subdue inflammation, and they also signal your body to begin the rebuilding process. 

Corticosteroid injections

Steroids are anti-inflammatory medications that Dr. Bregman injects directly into your plantar fascia. While the injections themselves may cause pain for a couple of days, you should then feel relief and be able to walk normally and pain-free again.

Minimally invasive endoscopic surgery 

If you don’t respond to more conservative treatments, Dr. Bregman may recommend surgery to detach your plantar fascia from your heel bone so it doesn’t put pressure on your heel and cause pain. This surgery has a 90% success rate.

To keep your feet comfortable and reduce the risk of re-injury, Dr. Bregman may also suggest custom-designed orthotics that give your arch support and keep your feet in healthy alignment. He can design orthotics for both street shoes and your athletic shoes. After your pain is under control, he also recommends exercises and physical therapy to stretch and strengthen your fascia.

Don’t put up with plantar fasciitis pain anymore. Find out how you can heal your inflamed plantar fascia and get back to the activities you love by phoning us today or using the online appointment form. 

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