Heel Pain - Our Specialty
We can alleviate your heel pain with just ONE treatment.
While many patients can heal their plantar fasciitis or spur with molded foot orthotics, stretching, and an occasional steroid injection, approximately 10 percent of patients fail to improve after months of these valued treatments. Fortunately, many studies show that one ablation procedure can significantly reduce or eliminate heel pain for as long as 10 years or more.
Most patients with plantar fasciitis or heel spurs improve within 3 to 4 months simply with our custom molded orthotics, stretching, and an occasional corticosteroid injection. However, some patients do not respond quickly and may suffer for months or more than a year. In these instances, the Radiofrequency Ablation is a good option for many patients.
For the last 10 years, Dr. Rockmore has been able to alleviate heel pain without surgery with just one radiofrequency ablation. This powerful treatment, related to radiofrequency ablation for spine pain, does not require any cutting; no surgery.
The procedure is performed using live imaging from an ultrasound (sonogram). The spur and or fascia is visualized. In addition, nerve stimulation is performed to determine the location of the nerve that is sending the pain signals. The thin electrode is introduced to this area and the nerve is heated to a high temperature that disables the pain signals.
Here is the post-procedure protocol:
- Day 1 Use ice 20 minutes per hour for the first day. Do not get the heel wet for 24 hours
- Day 2 Remove the band-aid. The area may be bathed.
- Day 3 Return to normal activities as tolerated.
Frequently asked questions:
- Is this procedure covered by my insurance?
Answer. Some insurances cover this treatment, it depends on your plan. If it is not covered it can be paid with a health savings account or flex spending account.
- Do I need to rest more than 24 hours after the treatment?
Answer. No. You can resume moderate activity the following day
- Is this treatment painful?
Answer. Pain is mild for most patients. Most patients receive the treatment with just local anesthsia. The heel may be sore for approximately 1 week.
- Is only one treatment required?
Answer. Yes, in most cases. Pain decreases the following 14 days or more. Rarely, the procedure is repeated if symptoms persist more than 6 weeks.
- What is the success rate?
Answer. The success rate is approximately 90%. There are several published studies that demonstrate this.
- Do you guarantee it will work?
Answer. At your consultation, after a thorough examination, Dr. Rockmore will determine if you are a good candidate. We are so very confident that this will work for you that if you still have a significant amount of heel pain 6 weeks after the treatment, Dr. Rockmore will waive his fee for a 2nd ablation to be performed within the following month.
Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.
Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, corticosteroid injections, and physical therapy.
We also have had great success with ESWT / EPAT Extracorporeal Shock Wave Treatment as well as Platelet Rich Plasma (PRP).
When heel pain does not get better... Get better here:
Because plantar fasciitis usually gets better 90% of the time with conservative care, it may not really be plantar fasciitis that you suffer from.
At Foot and Ankle Specialists, we have the diagnostic innovations that allow us to diagnose the cause of your heel pain. Heel pain can also be caused by:
- a compressed nerve (tarsal tunnel syndrome or calcaneal nerve entrapment)
- plantar fasciitis (plantar fascia that has degenerated/chronic fasciitis)
- stress fracture
- arthritic conditions.
We perfected a one time, no cutting Procedure for Heel Pain. Click this link if you had pain for more than 4 months.