What causes plantar fasciitis?

Gretchen Reynolds writing in The New York Times reported that plantar fasciitis plantar-fasciitis-2is “characterized by stabbing pain in the heel or arch,” and “sidelines up to 10 percent of all runners, as well as countless soccer, baseball, football and basketball players,” among other athletes. However, its “underlying cause remains surprisingly enigmatic” which “underscores how little is understood, medically, about overuse sports injuries in general and why, as a result, they remain so insidiously difficult to treat.”

She articulates the theory that many of us in practice share.  Plantar fasciitis is less due to inflammation and more due to degeneration or weakening of the tissue.”

That’s why ultrasound-guided needle tenotomy with platelet-rich plasma (PRP) is the procedure of choice for this problem.


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