about Plantar Fasciitis
Plantar fasciitis is one of the most common problem’s we see, successful conservative treatment occur’s in over 98% of the cases. Plantar fasciitis pain is mainly from the mid-arch of the foot to the to the heel bone. Fasciitis is strain on the ligament on the bottom of your foot. The pain from plantar fasciitis is normally from the heel into the arch. It’s worse, first thing in the morning or after driving or setting for a period of time at work or a long lunch. It takes a number of step’s to loosen up the fascia when we start walking.
Successful conservative treatment occur’s in over 98% of the cases
When you first notice symptoms it’s important to start passively stretching your fascia, there are some great video’s on you tube to show you how, also use OTC arch supports, compression foot-arch sleeves and heel cushion’s to reduce pressure on the heel area.
Many times by changing shoes or using a OTC arch support fasciitis and go away over a few weeks. Also stretching and sometimes wearing a night splint can also help. You can also wrap the arch to support it much like people do for a tendinitis of the elbow (tennis elbow). The use of arch compression sleeves can support the fascia also.
What are the best treatments for HEEL PAIN and PLANTAR FASCIITIS?
If you do not improve, then conservative treatment can work in over 98% of the time with a combination of treatment’s including mild steroid injection’s which are safe, these are given from the side of the heel with a cold spray to numb the skin the significantly reduce any discomfort from the shot.
Custom made orthotics will support the arch long term and reduce the possibility of the pain coming back. Custom orthotics are hand made from a non-weight bearing cast of the foot to capture the the arch height they are flexible and you can run and workout with them. Orthotics also can be made for dress type shoes.
Surgery is rarely indicated, we also use PRP injections which are platelets and stem cells to heal the fascia. There are many advanced surgical treatments including endoscopic plantar fascia release and the newer Tenex procedure. These are performed on a outpatient basis under twilight sleep.
Learn about Plantar Fasciitis
As seen on FOX4 News!
In this edition of ‘Ask the Experts’ FOX4 News is talking with Dr. Thomas Bembynista about caring for foot pain especially heel pain and plantar fasciitis
Heel pain and plantar fasciitis is a common problem. It’s normal to have heel pain in the morning. When the first occurs stretching and wearing shoes and using over-the-counter arch supports can be beneficial to help get rid of the problem. If after 60 days the pain has not resolved we can consider a treatment that is highly successful 98% of the time with the use of low-grade steroid injections from the side of the heel to reduce inflammation with a cold spray and use custom-made Orthotics.
Symptoms of heel pain and plantar fasciitis are generally pain when waking up and getting out of bed along with after sitting for a. Of time or driving. These symptoms can improve as the day progresses what can reoccur as the foot gets tired. These problems can improve with simple stretching and wearing shoes that support the arch.
I was dealing with planters fasciitis for about 3-5 years now. Went in to see dr b and within 6 months after him getting me custom foot beds (orthotics) for my shoes the pain was gone.After seeing how he helped me with my foot pain my wife went in and he was able to help her also. Thanks dr b.!!!!!! Highly recommend
January 17, 2022
I'm was a Special Forces Medic in the Army. I have been running, carrying heavy rucksacks, and lifting most of my life. I developed plantar fasciitis while on active duty and have struggled with it for years. The army made inserts for me; they didn't help. I tried the most expensive over the counter insoles I could find and they felt nice in my shoes, but that's about it. Insoles, physical therapy, nothing helped. A few years ago I was resigned to the fact I would fight the condition the rest of my life, but I went to see Dr. Bembynista anyway. It was immediately apparent his knowledge of the disease process was superior to anyone I had seen previously. The method by which he designs and makes orthotics was completely different than I had experience before. The results of Dr. Bembynista's course of treatment far exceed any previous treatment I received. In my opinion, going straight to see him, if you have a foot pain, will give you the best chance to reduce or eliminate that pain.
January 24, 2022
I have been seeing Dr. Bembynista off and on for a few years for a few different foot issues. I suffer from chronic severe plantar fasciitis. He was able to treat me and he has a fun positive attitude.
November 4, 2020
Been to Dr. B’s for a couple, different foot issues (plantar fasciitis with bad heel-Spurs, then plantar warts), and he was able to solve both quickly, effectively (no recurring issues), and worked efficiently (better than expected) with my insurance. But even more than that (because I’m sure almost all podiatrists are qualified and effective), Dr. Bembynista is exceptionally funny and interesting. The guy cracks me up; he’s got a great sense of humor and has a funny story about just about everything. Every visit is worth it even outside of getting my feet hooked-up. Couldn’t recommend more highly.
May 4, 2021
Nail fungus has been difficult to successfully treat. Until recently the only options were topical or oral medication, each with limited benefit and potential side effects, such as liver damage.
When pain is located in the center of the heel into the arch when you first get up in the morning or after sitting for a period of time you likely have heel pain with associated plantar fasciitis.
Plantar fasciitis is one of the most common problem’s we see, successful conservative treatment occur’s in over 98% of the cases.
Custom-made orthotic devices are used to treat heel pain, plantar fasciitis, ball of foot pain, ankle type pain and lower leg and knee pain by controlling abnormal foot function.
A bunion is an enlargement of bone at the base of the big toe. It can occur on one or both feet. The big toe becomes deviated towards the second toe—this is called “Hallux Valgus.”
Lapiplasty 3D bunion surgery is a recently developed type of surgery for the most severe of all bunion deformities.
Ingrown toenails are very common. They are generally heredity and can also be caused by incorrect cutting of the nail itself.
Plantar warts which are also called Verruca occur on the sole of the foot.
Hammer toe deformities are commonly caused by bunions, flatfeet, heredity factors along with improper fitting shoes.
Morton’s Neuroma is an enlarged nerve that usually occurs between the third and fourth toes, but a neuroma can also occur between the second and third toes.
Corns & Calluses
Corns and calluses are thick, hardened layers of skin that develop when your skin tries to protect itself against friction and pressure. The pain you have is normally causes by a bone enlargement under the skin which is really causing the pain.
A Tailor’s Bunion is a painful enlargement of the bone on the outside edge of the foot, behind the small toe.
Fat Pad Restoration
Leneva is an FDA cleared injection to restore the natural cushion of fat to pressure points on the foot.
Platelet-rich plasma (PRP), is blood taken from a patient and spun in a centrifuge, concentrating the number of platelets. This plasma is re-injected into the site of injury or damage, inducing the body to repair damage.