Heel Pain

ESWT (Extra-corporeal Shock Wave Therapy)

This procedure is performed at Newman-Thiele Foot and Ankle Associates under a local anesthetic only. No sedation is required. The procedure takes approximately 30 minutes per foot. There are no incisions at all. The ESWT procedure uses high powered sound waves to penetrate through the skin to treat the chronically inflamed tissue. The sound pulses strike the ligament band hundreds of times which trigger the body's natural healing mechanism to repair the damaged ligament internally. The procedure is 87-90%% effective in treating heel pain from plantar fasciitis and heel spur syndrome.  Most patients may return to work the next day depending on the type of job.  They are to limit any sport activities until cleared by the doctor to return to their sport.   They may wear regular shoes gear after the procedure. Complete relief may take up to several months as the ligament band heals.  The procedure  is generally performed only once, but may need to be repeated generally at no charge if the procedure has failed to provide adequate relief after a given period of time which we will discuss with you. 

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Minimally Invasive Plantar Fasciotomy/ Fasciectomy/ Heel Spur Removal

Formal surgical release of the ligament band and removal of the spur (if present) is performed if conservative care has failed to alleviate the heel pain symptoms.   If formal surgical release is required, the procedure is performed a as a same day procedures our hospital or surgery center under IV sedation and local anesthesia. The procedure is done through a small 1cm incision under fluoroscopic or x-rays guidance.  The ligament band is released and if there is a spur it is removed through the same small incision.  The procedure takes generally 30 minutes to perform.  Patients are instructed to remain non weight bearing for 2 weeks then may resumes full weight with a surgical boot.   Most patients are back in sneakers by the 4th post op week. 

Radiofrequency Ablation for Heel / Foot and Neuroma Pains:

Radiofrequency ablation uses an electric current to heat up a small area of nerve / inflamed tissue to stop it from transmitting pain signals. It can provide lasting relief for people with pain, especially in the heel (heel spur syndrome / plantar fasciitis) or under the ball of the foot (forefoot bursitis / neuritis / Morton's neuroma) near the toes. The procedure involves very light sedation with local anesthesia. It is performed by Dr. Thiele at the hospital or surgical center. The procedure is minimally invasive by which there are no incisions nor suture / stitches required at all. The procedure typically takes 10-15 minutes. A Band Aid type dressing is placed over the surgical site. Patients may shower that night and may resume sneakers and drive the day after the procedure.

Links for hospital and Surgery center