My Blog

Posts for: May, 2015

This is a nice article recommended by the American Podiatric Medical Association on choosing the right shoes for women.

Among the many different causes of foot or heel pain, plantar fasciitis is the most common.  When the band of tissue that runs from the heel to the toes becomes inflamed or irritated, it can cause great pain and discomfort. It is important to know that even if you have a heel spur that is not the cause of the pain it is the inflammation of the plantar fascia.

It is also important to know that not all heel pain is plantar fasciitis. Heel pain can be caused by a stress fracture, bone cyst, nerve compression, or ligament tear.   If you’re experiencing any type of pain in your heel, it’s important to have it looked at right away so that the cause can be diagnosed and addressed.  Typically if heel pain is caught early your recovery will be faster once the proper diagnosis and treatment plan is set.

What are the symptoms?

Most people suffering from plantar fasciitis complain that the pain is most severe in the morning.  This pain is usually on the bottom of the heel or in the arch of the foot.  Within minutes of walking, the pain begins to decrease as their foot stretches.  For some, the pain goes away for the rest of the day, while others may experience additional pain if they spend too much time on their feet. 

How is it diagnosed?


At Carolina Foot Specialists, we’ll start by assessing your medical history and examining your feet.  X-rays may be needed to help diagnose the problem.  We’ll want to be sure we’re narrowing down the cause of your heel pain by careful clinical and diagnostic evaluation. Our offices have state of the art digital x-ray and diagnostic ultrasound to evaluate the heel.

How is the problem fixed?

Depending on the severity of the problem, we might simply start with some stretches that you’ll be able to do at home on your own.  We may make recommendations about what shoes to wear or what activities to avoid.  If the pain continues after several weeks, injections, strapping or splints may be prescribed.  Very rarely do we perform surgery for plantar fasciitis.

State of the art surgical treatment

Dr. Saffer and Dr. Brown stay current on the latest minimally invasive procedures for heel pain/plantar fasciitis. Currently Dr. Saffer and Dr. Brown utilize Topaz and the Instep plantar fasciotomy for chronic cases of plantar fasciitis. Our doctors are looking at the Tenex procedure and other minimally invasive procedures to allow our patients a quicker recovery time.

For more information please refer to our website at

The Tenex procedure is a new state of the art minimally invasive surgical procedure for chronic tendon and ligament pain. Dr. Brown and Saffer are now looking into this procedure as a potential treatment option for chronic plantar fasciitis. A good majority of our patients population that have heel pain will have complete resolution with conservative treatment. A small percentage of patient's may need surgical treatment to jump start the healing process. The procedure involves identificaiton via Ultrasound the source of the ligament pain and the the area is numbed with a local anesthetic, allowing you to stay awake the entire time. An ultrasonic energy designed to safely breakdown and remove the damaged tissue is used. The ultrasonic energy is applied with the TX MicroTip, which requires only a microincision to reach the damaged tissue. Because the incision is so small and the ultrasonic energy precisely treats only the damaged tendon tissue, the surrounding healthy tissue is left unharmed.


The procedure does not require stitches only a small adhesive bandage (like a Band-Aid); Because you are awake during the procedure (no general anesthesia), many people are able to drive home immediately following your procedure.


Recovery is rapid with many people being back to normal life within 6 weeks or less. Because the surrounding healthy tissue is not disturbed, and no stitches or general anesthesia is required, there is minimal downtime and less discomfort compared to open surgery.

Below is a video about "The Incredible HulK' and body building champion Lou Ferrigno who suffered from chronic plantar fascitiis.