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Plantar Fascia Embolization: Your Heel’s New Hope at APEX Vascular

young adult male experiencing heel pain while running

Plantar fasciitis causes heel pain due to inflammation of the thick band of tissue on the bottom of the foot. Symptoms include sharp heel pain, especially with first steps in the morning or after inactivity. This pain can significantly impact daily activities, making walking, standing, and exercising uncomfortable.

While traditional treatments are effective for many, plantar fascia embolization offers a minimally invasive alternative for chronic cases. It blocks excessive blood flow to inflamed areas, providing quick recovery and high success rates. For plantar fasciitis treatment in Knoxville and the surrounding region, choose APEX Vascular.

Understanding Plantar Fasciitis 

Plantar fasciitis is a common condition characterized by inflammation of the plantar fascia, a thick band of tissue connecting the heel bone to the toes. The primary symptom is heel pain, often described as a dull to sharp sensation or bruised feeling near the bottom of the heel. This pain is typically worse in the morning or after periods of inactivity.

Common risk factors include: 

  • Obesity 
  • Prolonged standing on hard surfaces 
  • Repetitive high-impact activities 
  • Flat feet or high arches 
  • Tight calf muscles 
  • Being 40-60 years old 
  • Being female

Traditional treatment options include rest, stretching exercises, orthotics, night splints, and anti-inflammatory medications

While these conservative approaches are effective for many patients, they may have limitations. For instance, steroid injections only provide short-term relief and carry a risk of plantar fascia rupture. 

That’s why APEX Vascular is proud to announce that we now offer plantar fascia embolization. This breakthrough treatment can help reduce heel pain with a higher rate of success than other treatments. 

What is Plantar Fascia Embolization? 

doctor discussing plantar fascia embolization with his patient

Plantar fascia embolization (PFE) is a minimally invasive procedure designed to treat chronic heel pain caused by plantar fasciitis. The procedure targets the root cause of the condition—excessive blood flow to inflamed areas of the plantar fascia. 

This is accomplished by using advanced imaging to guide a microcatheter into blood vessels supplying the affected tissue. Tiny particles known as embolic agents are injected to block these abnormal blood vessels, reducing inflammation and promoting natural healing.

PFE offers an effective, low-risk alternative for individuals who have not found relief through conservative methods and wish to avoid invasive surgery. Unlike traditional surgical treatments, such as plantar fasciotomy, PFE doesn’t involve large incisions or cutting of the fascia. Cuts and incisions can significantly increase the risk of nerve damage or weakened foot structures. 

Recovery is also faster. Most patients resume normal activities within a few days compared to weeks or months for surgery.

Benefits of PFE 

Plantar fascia embolization offers several advantages over traditional treatments for plantar fasciitis. They include:

  • A minimally invasive procedure with no major incisions
  • Shorter recovery time, with most patients returning to normal activities within days
  • Lower risk of complications compared to surgery
  • Treating the root cause of inflammation for long-term relief
  • Outpatient procedure with minimal downtime
  • Preserves foot function
  • Avoids risks associated with steroid injections

Success rates for PFE are promising with studies reporting that 80-90% of patients experience significant pain reduction. These results are comparable to or better than traditional surgical interventions.

Are You a Candidate for PFE? 

doctor examining his patient for plantar fasciitis

You may be a candidate for plantar fascia embolization if you experience: 

  • Chronic heel pain 
  • Persistent foot discomfort 
  • Difficulty standing or walking 
  • Pain that worsens in the morning or after inactivity

PFE is typically recommended for patients who have not found relief through conservative treatments like physical therapy, orthotics, or medications. It’s also recommended if you’ve had symptoms lasting over a year.

A comprehensive evaluation is crucial to determine if PFE is suitable for you. This assessment considers your medical history, the severity of your condition, and previous treatment outcomes. It ensures that PFE is the most appropriate option for your specific case, maximizing the potential for successful treatment.

Recovery and Results 

Recovery from plantar fascia embolization is typically quick and minimally disruptive. Most patients can resume normal activities within a few days to a week after the procedure. 

Post-procedure, you may experience mild pain or swelling for a few days, but these symptoms generally improve within a few days. While crutches or assistive devices may be recommended for a brief period to reduce pressure on the heel, a walking boot isn’t usually required.

Long-term outcomes are promising, with many patients experiencing significant and lasting pain relief. This high success rate makes PFE an attractive option for those seeking effective, long-term relief from chronic plantar fasciitis pain.

The PFE Procedure at APEX Vascular

We offer state-of-the-art plantar fascia embolization for chronic heel pain at our vascular outpatient center, Tennessee’s first private-practice vascular surgery center. The procedure begins with light sedation for patient comfort. A microcatheter is then inserted through a small puncture in the ankle or groin. 

Using advanced X-ray and ultrasound guidance, your APEX provider navigates the catheter to the blood vessels supplying the inflamed plantar fascia. Tiny embolic particles are then injected to block these vessels, reducing inflammation. The entire process typically takes 30-60 minutes.

At APEX Vascular, our experienced team ensures precise targeting and minimal invasiveness, leading to quicker recovery times. You’ll return home the same day and resume normal activities within a few days to a week, experiencing significant pain relief and improved mobility.

Plantar fasciitis is a prevalent heel pain condition that often worsens in the morning and is linked to factors like obesity and prolonged standing. While rest and stretching help many, chronic cases may benefit from plantar fascia embolization. This procedure reduces inflammation by blocking blood flow to affected areas, offering quick recovery for those with persistent pain.

APEX Vascular is a vascular surgery and vein center with locations in Knoxville, Lenoir City, Crossville, Decatur, Harrogate, and Sevierville, TN. We are dedicated to delivering personalized, high-quality care that goes beyond medical treatment. Our exceptional vascular staff, boasting extensive experience in vascular surgery, works tirelessly to elevate the standards of patient care and contribute to your overall well-being. Visit us online or call us at 865-562-3232 to request an appointment today!

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Locations Across TN

Our physicians are focused on providing you with the best outcome through the use of state-of-the-art equipment.

Lenoir City

460 Medical Park Dr, #104
Lenoir City, TN, 37772

North Knoxville

7557 A Dannaher Dr, #210
Powell TN 37849

APEX Vascular



Outpatient Center

460 Medical Park Dr, #105
Lenoir City, TN, 37772

West Knoxville

10800 Parkside Dr, #331
Knoxville, TN, 37934

Crossville

131 S Webb Ave, Crossville
TN 38555

Harrogate

200 Nettleton Rd, # 1, Harrogate
Harrogate

Preferred Location:

In observance of Memorial Day, our offices will be closed on Monday, May 25th.