Common causes include plantar fasciitis, Achilles or other tendon problems, ankle sprains, arthritis, stress injury, and nerve irritation. Treatment often combines footwear or load changes, rehabilitation, bracing, medication, and selected procedures.
PRP and prolotherapy are used for some chronic tendon, ligament, and plantar-fascia problems, while evidence varies by condition and protocol. Cell-containing preparations are less established and should be described by their exact source and preparation.
Ask the clinician to identify the painful structure and explain how the proposed procedure fits with rehabilitation and load management. Ultrasound guidance may be helpful for selected targets, and progress should be measured through walking, activity, and function.
An independent New Orleans-area orthopedic practice providing surgical and nonsurgical care for musculoskeletal conditions, with subspecialty services for the spine, upper and lower extremities, sports medicine, pain management, and physical therapy.
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