TREATMENT PROCESS

This is my current treatment process for patients with plantar fibromas, please watch the video for full details. 

• 1st Visit - Evaluate your condition, review ultrasound, and perform a walking evaluation to determine the cause of your condition. Start working to reduce inflammation, reduce tightness and reduce stress through your plantar fascia if it is painful. 
• Cortisone Injection - I use cortisone injections to reduce the pain for inflammation in the plantar fibroma if you are limping due to the amount of pain. 
• Orthotics - Orthotics are useful to stabilize the heel position, help with posture and reduce excess movement of the foot that can increase stress in the area of the plantar fascia. 
• Physical Therapy - After these sessions of shockwave then patients go through a course of 6 weeks of physical therapy twice a week and then follow up in the office. 
• Shockwave and Amnio Injection - Some of my patients benefit from a series of 3-6 sessions of shockwave therapy to improve blood flow and flexibility of the plantar fascia. After these sessions then patients go through a course of 6 weeks of physical therapy. At times to help speed up the healing an Amniotic injection is beneficial. 

• Daily Rituals - These are the daily rituals that can be used with other office-based treatments. Towel stretch before getting out of bed (30-second stretch 3 times), foam rolling (10 minutes 2x a day), icing or contrast baths (10 minutes 2x a day), anti-inflammatory for 2 weeks at a therapeutic dose (if not doing shockwave), stable shoes and orthotics, Oofos sandals in the house, and avoid going barefoot. 

RESOURCES 

• Shockwave (EPAT) - Information about shockwave therapy to promote the natural healing of your own body. 

• Amnio Injection - More information about Amnio injections to speed up healing. 

• Orthotics -  Explanation of how and why orthotics help foot pain.

• Icing and Contrast Bath Instructions - Here is information on how to ice your foot. 

• Foam Rolling Exercises - Instructional video for foam rolling. 

• Oofos - Recovery sandals to wear at home for more support.

• Shoe Recommendations - Here are my shoe recommendations and shoe-related resources.

• Walk Hero Insert - Effective temporary over the counter insert to reduce pressure to heel.

PRODUCTS 

Here are some of the best recommendations I have found on Amazon to start treatment before you come in to the office.