You need a podiatrist that knows your foot like the back of her hand.
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Radio Frequency for Heels & Neuromas
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ADVANCED ALTERNATIVES FOR HEEL AND NEUROMA PAIN
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HEEL PAIN
Although most cases of heel pain and plantar fasciitis respond to conservative treatment about 20% will ultimately require some form of more invasive treatment. For refractory cases, either radiofrequency or endoscopic plantar fasciotomy may be considered.
RADIOFREQUENCY
Radiofrequency nerve treatment is a technique which has been used for over 10 years for the treatment of longstanding pain. Using local anesthesia, an electrode is placed into the tissue at the painful site and an electric current is delivered, generating heat that destroys the sensory nerve fiber. http://footrfna.com/
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ENDOSCOPIC PLANTAR FASCIOTOMY
EPF is
an outpatient procedure. It takes about an hour to perform, and is be
done at a hospital or a same-day surgical facility. Using special
instrumentation Dr. Walter will release the inside band of the plantar
fascia responsible for causing your pain. After the procedure, you'll be
taken to a recovery area. You will be watched until you can sit up and
as your foot heals, new tissue fills in the gap where the fascia was
cut. This lengthens the fascia and reduces strain during foot movement.
For best results, see your doctor as directed during the next few weeks
or months. Physical therapy or stretching exercises are often prescribed
to improve recovery. Wearing shoes with good support is essential for
your long term recovery. http://www.brighthub.com/health/conditions-treatments/articles/81921.aspxith
NEUROMA PAIN
A
neuroma is a painful growth of nerve tissue in the foot-most often
between the third and fourth toe bones. As a neuronal gets worse, it can
cause a lot of pain and keep you from activities you enjoy. Many
treatments are available to provide relief including shoe gear change
and orthotics, padding in the shoe, physical therapy, medications and
steroid injections. Unfortunately a small percentage of patients fail
to respond to these treatments and alternatives are available.
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RADIOFREQUENCY FOR NEUROMAS
Recently,
we have also approached the treatment of neuromas with radiofrequency
ablation. We have has an incredible amount of success with virtually no
post-treatment pain and usually full activity for the patient. The
complications from this type of procedure are minimal, including either
failure to respond or a slight skin burn. This procedure is performed in
the office with a small injection of local anesthesia.
If you think about it, this is an excellent modality as an intermediatiary step prior to a surgical procedure.
SURGICAL EXCISION
When
all else fails surgical excision of the painful neuronal is needed. I
usually recommend an MR I prior to the procedure to confirm the
existence and location of the neurona. The procedure is performed as an
outpatient using local anesthesia and sedation.
Post operative
follow up includes a 3-4 week period of limited activity. Complications
include interdigital numbness, infection and hammering of the adjacent
digits. You can resume normal activities in 3-6 weeks. http://www.surgeryrecoveryvideo.com/health-67-Surgical-Excision-Morton's-Neuroma-Pain-In-The-Foot.html
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I firmly believe that all conservative treatment should be exhausted prior to surgical intervention. However I am ready to take measures to resolve pain that requires more advanced intervention.
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