Problemas de Pie en Español

• Artritis Reumatoide en el Pie y Tobillo
• Biopsia de Tejida Blando
• Buniones (Juanete)
• Coalición Tarsal
• Complicaciones Diabéticas y Prevención de Amputaciones
• Curación de Los Huesos
• Dedo Cruzado
• Dedo en Martillo
• Deformidad de Haglund
• Diabeticas: Estatisticas Alarmantes
• Disfunción de Tendón Tibial Posterior
• Dolor de Talón
• Dolor de Talón Infantil
• Ejercicios de Elongación
• El Dolor Crónico de Tobillo Lateral
• Enfermedad Vascular Periferica (PAD)
• Equinismo
• Esguince de Tobillo
• Fibroma Plantar
• Fractura de Estrés
• Fracturas de Los Dedos Del Pie
• Fracturas de Tobillo
• Fracturas del Calcáneo (Fracturas del Hueso del Talón)
• Fracturas del Quinto Metatarsiano
• Gota
• Hallux Rigidus
• Heridas Por Punción
• Inestabilidad Crónica de Tobillo
• Inicio de Drenaje Siguiendo Los Pasos de Absceso Infectado
• Inflamación Aguda
• Instrucciones par el Cuidado de Heridas
• Instrucciones Para Muletas
• Juanetes de Sastre
• Lesión del Domo Talar
• Lesiones de Lisfranc
• Lesiones del Tendón Peroneo
• Lesiones en un Hueso Sesamoideo del Pie
• Melanoma Maligno del Pie
• Necesito un Examen Para PAD?
• Neuroma de Morton
• Neuropatía Diabética Periférica
• Osteoartritis del Pie y el Tobillo
• Pie Cavo (Pie de Arco Alto)
• Pie de Atleta
• Pie de Charcot
• Pie Diabético
• Pie Plano Flexible
• Pie Plano Pediátrico
• Que Usted Espera con el Tratamiento de Acido par Alas Verrugas
• Que Usted Espera Por Las Inyecciones de Esteriodes
• Quiste de Ganglio
• Ruptura del Tendón de Aquiles
• Síndrome del Hueso Trigono
• Síndrome del Navicular Accesorio
• Síndrome del Túnel Tarsiano
• Tendinitis de Aquiles
• Terapia con Onda de Choque Extracorporea (ESWT)
• Trastornos Comunes del Tendón de Aquiles
• Trombosis Venosa Profunda
• Uña Encarnada del Dedo del Pie
• Uña Infectada Por Hongos
• Verruga Plantar (Verruca Plantaris)

Dry Needling for Heel Pain

Dry Needling is a relatively new treatment for chronic plantar fasciitis.

"Studies show 95% success rate for Plantar Fasciitis that has not responded to standard treatments"

This is a minimally invasive treatment that we are able to do in the office for patients suffering from chronic plantar fasciitis. The procedure can typically be done in about 15-20 minutes in the office. Dry Needling or "Percutaneous Ultrasound Guided Approach to Plantar Fasciitis" was developed by researchers at the University of Genoa, Italy. The preliminary study included 44 patients, and researchers achieved a 95% success rate for completely resolving the patient's Plantar Fasciitis symptoms. Early results of this study showed significant relief for longer than 10 months for the patients who were involved when the procedure first took place.

What Do Patients Think?

After several visits and attempts to rid the pain in my right heel from a Plantar Fasciitis, Dr Neuhaus decided to perform the dry needling procedure. The in-office treatment worked very well, with a local injection and ultrasound he was able to perform the dry needling in about 10 minutes. After a few days, wearing a special boot, and not walking barefoot the soreness subsided, this procedure has given back my mobility in walking without pain and with less discomfort each new day. I will recommend Dr. Neuhaus to all my friends and family. Thanks to a great caring staff at Neuhaus Foot & Ankle.
- W. H.

The Procedure

Though the procedure sounds terrible, it is actually not very painful. The only part that hurts at all is the numbing injections. Here is how it works:

1. We numb your foot with a local anesthetic that is almost painless. The procedure is started only after we ensure you are completely numb. We don't want you to experience any pain at all.
    
2. Using an ultrasound machine we visualize the plantar fascia then use a needle to puncture the plantar fascia. This cutting of the plantar fascia is done under the guidance of ultrasound which allows the precise placement of the needle along the painful area of the plantar fascia. Then, using the ultrasound for guidance a steroid is placed at the exact site where you have been having pain.
    

Ultrasound-guided puncturing (cutting) of the heel and a steriod injection placed within the plantar fascia can eliminate plantar fasciitis!

How Does it Work to Treat Plantar Fasciitis?

According to some researchers, the theory of dry needling is that it causes minor bleeding within the tissues and can break up scar tissue at the attachment of the heel. The minor trauma allows the body to recognize the injured tissue as an acute problem area and this area that normally has poor circulation will have increased blood flow. Injecting the steroid reduces inflammation and helps reduce the risk of rupturing the fascia.

How Long Does the Procedure Take?

The entire procedure takes between 15 and 20 minutes.

What Happens After the Procedure?

You will most likely experience some tenderness in the foot for the first few days following the procedure. This is usually controlled with Tylenol or Ibuprofen. Following the procedure, we ask that you wear a removable walking boot for 7-10 days. This simply gives the foot a chance to rest and start the healing process. After you finish with the walking boot, you should wear stable shoes with orthotics or arch supports for the next few weeks. In some cases it may take longer for complete healing to occur.

What are the Benefits of the Procedure?

• Early studies show 95% success with lasting relief for most patients.
• Current studies show relief lasting at 10 months
• Relief within 2 - 3 weeks according to studies
• One-time treatment
• Performed in our office so there is no need for a hospital
• Much less risk than outpatient surgery
• Much less expensive alternative to shockwave therapy or surgery

What are the Risks of the Procedure?

• You may have pain for several days or weeks following procedure
• Long-term results are unknown. This is a relatively new procedure, so results past 12 months are yet unknown
• Could lead to weakening of the plantar fascia and possible rupture. However, long term inflammation from plantar fasciitis can cause the same problem.
• Small risk of post-injection infection, as is true of any procedure
• Allergic reaction from the anesthesia

Don't Live with heel pain or arch pain. Call our office at (615)220-8788 or request an appointment online.