Conservative Treatments

2. Second Line Treatments (Choose one)

- Topaz Mini-Plantar Fasciotomy:  Minimally invasive surgical procedure consisting of a pinhole grid (25-30 holes). A Topaz wand then utilizes radiofrequency waves to 1) Stimulate new blood vessel formation, 2) Create mild tears that allow lengthening, 3) Stimulate growth factors for healing.

(See video at or )

- Cold Laser  Treatment of painful areas with 2-3 times per week for 8-12 treatments. Also found to decrease swelling and stimulate new blood vessel formation.

- Steroid injection: Usually done with anesthetic to reduce inflammation and allow regression of thickened fibrous tissue. May have up to 3 injections if indicated 4 – 6 weeks apart. Note that you may have a “steroid spike” or increased pain 24 – 48 hours after injection.