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Although it has been around for over 15 years and has been used with some success in treating difficult-to-heal wounds, platelet-rich plasma (PRP) has come into the literature recently for the treatment of many musculoskeletal conditions including tennis elbow, patellar and Achilles tendonitis. In addition, the successful use of PRP in the treatment of the injuries of many sports figures has been widely publicized. Some physicians that treat these problems are beginning to offer these treatments to their patients, sometimes as a last resort before surgery, sometimes, unfortunately, as an initial treatment.
The plantar fascia is a crucial structure in the foot. It is also often painful. Scarring in the plantar fascia near its attachment in the heel is the most common cause of heel pain and is also sometimes referred to as “heel spur syndrome”. When non-operative care for this condition fails to heal it, surgery is sometimes recommended. Although alternatives do exist, surgery on the plantar fascia is usually a cutting or release of the plantar fascia either open (meaning through an incision 1-2 inches in length) or endoscopically (meaning through smaller ¼ inch incisions using a fiber optic camera for visualization). This is called plantar fasciotomy.
As children gear up for another summer, moms and dads will be looking towards new shoe purchases for school in the fall. The shopping cart will undoubtedly contain new shoes, shoes for gym and athletics and shoes for class. The “right” shoes should be purchased, but what is the “right” shoe? Price is certainly a consideration, but what else? Is an expensive shoe always the “right” shoe?
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