Plantar Fasciitis Pain Treatment Newcastle

Ultrasound Guided Diagnosis Scan and Cortisone Injection Treatment Newcastle

PLANTAR FASCIITIS TREATMENT IN NEWCASTLE

Are you looking for effective Plantar Fasciitis treatment in Newcastle? Ramakrishna Rachaputi is highly qualified and experienced with a history of excellent results. This has included treating many professional sportspeople including the current captain of the British athletics team Richard Kilty.

What is plantar fasciitis?

Plantar Fascia is a thick band of connective tissue fibres that run across between the heel bone called calcaneum and toes.  Plantar fasciitis is the most common cause of heel pain.

In plantar fasciitis, the connective tissue at the heel level of the calcaneus bone becomes inflamed, which causes stabbing, throbbing, and aching types of pain.

plantar fasciitis treatment Newcastle

How do I know I am suffering from plantar fasciitis?

The majority of the time the main complaint of plantar fasciitis is pain on the bottom of the foot, at and around the heel and arch area.

The common symptoms and pain pattern to note is:

  • Morning pain: First few steps in the morning are very painful, pain eases after a few steps
  • Pain is worse when standing or walking after prolonged rest or sitting
  • Pain eases with walking and worsens again towards the end of the day
  • Pain is worse with standing for a long period
  • Pain is often worse after exercises, rather than during exercises

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Who is prone to develop Plantar fasciitis?

Though the reasons for plantar fasciitis are not always clear, the following are more likely to suffer from plantar fasciitis:

  • Overweight
  • Age: between 40 –60yrs.
  • Aerobic dancing and ballet dancing.
  • Recently increased activity/intensity.
  • Tightness: tight quadriceps/hamstrings /calf/heel.
  • A recent activity without treating leg muscle tightness.
  • Recently started walking, running, jumping, or standing activities.
  • Recently started exercising/walking on hard surfaces. Ex: Factory workers.
  • Plantar fascia injury due to Overstretching the sole of the foot during exercise.

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PLANTAR FASCIITIS treatment Newcastle

MUSCULOSKELETAL ISSUES?

IF YOU ARE EXPERIENCING PAINFUL JOINTS, MUSCLES, TENDONS OR LIGAMENTS PLEASE GET IN TOUCH FOR AN ULTRASOUND DIAGNOSTIC SCAN AND OR TREATMENT

Richard Kilty

"My name is Richard Kilty, I am the current captain of the British athletics team. World 60m champion, double European 60m champion & European 4x100m relay record holder. I have been using Ram Rachaputi for many years now. I have used many of his different treatments for my performance, injuries & general training recovery. I have always had huge success after seeing ram. He is truly world class at what he does. I will continue to work with ram all the way throughout my career and will be forever grateful for his precise and incredible work"

 

Richard Kilty

PLANTAR FASCIITIS FAQS

HOW DO I KNOW THAT MY HEEL PAIN IS A PLANTAR FASCIITIS AND HOW SEVERE IS IT?

Plantar fasciitis can be diagnosed clinically.  If in doubt Musculoskeletal diagnostic ultrasound scan can confirm the plantar fasciitis and its severity. Ultrasound is also able to confirm the other associated problems around the heel. Such as fat pad atrophy, calcaneal spur (a piece of bone sticking out from the heel bone), calcification within the plantar fascia, plantar fascia tear, active inflammation, plantar fibroma (a palpable lump in the sole of the foot), perifacial effusion.

A diagnostic ultrasound scan can measure the thickness of the plantar fascia at the heel bone level. The severity of the plantar fascia can be determined based on the thickness of the plantar fascia and the appearance of the plantar fascia.

A diagnostic musculoskeletal ultrasound scan is a non-invasive, quick, and inexpensive diagnostic tool. An ultrasound scan offers an immediate diagnosis.  At our clinic, we can show you the live images and discuss the ultrasound findings if you wanted.

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ARE THERE ANY OTHER PROBLEMS MIMICKING PLANTAR FASCIITIS?

Plantar fibroma is the other condition which can mimic plantar fasciitis, especially when the plantar fibroma is located closer to the plantar fasciitis location. An ultrasound scan can differentiate between the ‘plantar fibroma, and ‘plantar fasciitis’.

WHAT HAPPENS IF PLANTAR FASCIITIS IS IGNORED?

If plantar fasciitis is ignored the condition can become chronic and affects the way you walk to relieve the plantar fasciitis pain. As a result of this altered gait pattern knee, hip and/or back can be affected.

WHAT IS THE TREATMENT OF THE PLANTAR FASCIITIS?

Plantar fasciitis treatment is based on the causative factor which triggered this problem. Clinical consultation can help to identify the possible reason/s to develop plantar fasciitis, also helps to provide you with a tailor-made treatment option.

IN GENERAL, THE PLANTAR FASCIITIS PAIN TREATMENT OPTIONS ARE:
Lower limb stretching exercises, foot muscle strengthening exercises, Ice packs, work related modifications, insoles, night splints, NSAIDS and anti-inflammatory medications, physiotherapy.

WHEN DO I BENEFIT FROM THE CORTISONE INJECTION TREATMENT FOR HEEL PAIN?
  • If you are unable to cope with the exercises and or pain medication.
  • When the above treatment options are failed to provide you with a pain relief.
  • If you are struggling to cope with your hobbies, duties at work and affecting the quality of life.
  • Recurrent plantar fasciitis pain following a successful steroid injection for the plantar fasciitis heel pain in the past.
WHAT IS THE DIFFERENCE BETWEEN THE BLIND CORTISONE INJECTION AND ULTRASOUND GUIDED CORTISONE INJECTION?

Blind steroid injection also known as anatomically guided steroid injection is given by palpating the location of pain and injection without guidance. on the location of the pain.

Ultrasound-guided corticosteroid injection: With this procedure, the needle is monitored throughout under the guidance of ultrasound imaging and the cortisone is infiltrated exactly in the desired location.

WHAT ARE THE ADVANTAGES OF ULTRASOUND IMAGE GUIDED INJECTION OVER ANATOMICAL GUIDED CORTISONE INJECTIONS?
  • Ultrasound scan helps to identify the source of the problem.
  • After identifying the source of pain, the needle is directed under direct ultrasound guidance to the problematic area, hence avoiding accidental injection into the plantar fibres or in the plantar fat pad.
  • Plantar fat pad atrophy can occur if cortisone is repeatedly injected accidentally into the plantar fat pad, instead of the perifascial region of the plantar fascia. This results in long-term heel pain.
  • Ultrasound-guided injection treatment outcome is much superior in comparison to the blind injection’s outcome, due to the high injection accuracy under the ultrasound guidance.
  • Ultrasound-guided injections are better tolerated due to the avoidance of accidental contact with bone.

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WHAT IS THE SUCCESS RATE OF CORTISONE INJECTIONS FOR PLANTAR FASCIITIS PAIN?

Due to the possibility of accurate infiltration of cortisone medication to the plantar fasciitis location under ultrasound guidance, the treatment success rate is over 95%. We have seen a high success rate in patients who have not responded to blind injections or other Conservative management.

HOW MANY CORTICOSTEROID INJECTIONS CAN I HAVE?

Not more than three injections per year for each plantar fasciitis problem.

However, we suggest keeping the number of corticosteroid injections to fewer injections possible.

ARE THERE ANY OTHER ALTERNATIVE INJECTIONS OTHER THAN CORTISONE SHOTS FOR PLANTAR FASCIITIS?

Platelet-rich plasma (PRP) injections are becoming extremely popular as an alternative to cortisone injections for plantar fasciitis.

Platelet-rich plasma injections are derived from the Patient’s own blood and growth factors are separated using a centrifuge machine. These growth factors are injected back into the inflamed part of plantar fasciitis under ultrasound guidance.

These growth factors help to regenerate that connective tissue; hence the PRP treatment effect lasts much longer compared to the Cortisone injections.

HOW MANY PRP INJECTIONS CAN I HAVE?

There is no limit on how many PRP injections one can have since PRP injections are natural growth factors derived from the patient’s own blood.

However, we recommend a course of three injections with a short interval between the two injections to complete the healing cycle.

More information about ‘corticosteroid injections, or platelet-rich plasma injection (PRP)’s can be found at jointcarenortheast.co.uk website, under the Patient Information section

 

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HOW CAN JOINT CARE CLINICS HELP ME?

‘Joint Care Clinics’ are private clinics located around the UK offering a ‘one-stop clinic’ service to people suffering from musculoskeletal problems including ‘plantar fasciitis’. That means we can offer you a consultation, diagnostic musculoskeletal ultrasound scan (to determine the problem and its severity) ultrasound-guided cortisone injection or platelet-rich plasma (PRP) injection or Hyaluronic (Gel) injections in the same appointment. Or we can offer you a consultation and diagnostic ultrasound scan alone.

Most patients report over 90% of pain relief in a week following a cortisone injection to the plantar fasciitis.

Please get in touch with joint care clinics on 0333 444 2013  if you have any further questions or book an appointment.

Book Plantar Fasciitis Diagnosis and Treatment in Newcastle

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NEWCASTLE clinic

Joint Care Clinics @Dr Matla Clinic

Old Brewery Court, Starbeck Ave

Jesmond

Newcastle upon Tyne NE2 1XG

 

Phone: 0333 444 2013 

AREAS COVERED FOR PLANTAR FASCIITIS

We cover a wide area throughout the North East of England, we have many people travel to our clinic in Jesmond Newcastle from areas: Gateshead, Hartlepool, Sunderland, Durham, Cumbria, Northumberland, Stockton on Tees, Darlington and Carlisle.