Plantar fasciitis affects the plantar regions of the foot, namely the heel, arch, and midfoot. When too much stress is put on the plantar fascia, or the connective tissue that stretches from the heel to the ball of your foot, inflammation, overtightening, and tearing may arise. This can cause foot pain. Because of plantar fasciitis, you may experience tearing with the first steps you take in the morning each day.
A certain trigger that may cause stress to the plantar fascia includes poor arch support, which is brought upon by frequently walking barefoot or wearing shoes with improper arch support. Other causes include obesity or a sudden increase in weight, increased physical activity, weak foot and ankle muscles, tight calf muscles, and arthritis.
If you’re feeling pain after sitting, walking, or standing for a long period of time, as well as when you first step out of bed or climb stairs, you may be showing signs of plantar fasciitis. To know for sure what’s causing you pain, it’s best that you get an x-ray taken of your foot.
Because plantar fasciitis is known to worsen over time, it’s recommended that you meet with a podiatrist as soon as possible for a proper diagnosis and advised treatment plan.
Plantar Fasciitis Embolization
What is PFE?
Plantar Fasciitis Embolization (PFE) is a minimally invasive outpatient procedure designed to relieve chronic heel pain caused by plantar fasciitis. Performed by an interventional radiologist (IR)-a specialist who uses medical imaging to guide treatments-PFE targets the root cause of inflammation and pain without the need for surgery.
Using a small catheter inserted through a blood vessel, the interventional radiologist navigates to the arteries supplying the inflamed plantar fascia. Tiny particles, known as microspheres, are then released to reduce blood flow to the area. This decreases inflammation and promotes healing, offering long-term relief while preserving the natural structure and function of the foot.
How is PFE Performed?
Plantar Fasciitis Embolization (PFE) is a minimally invasive outpatient procedure, meaning you can return home the same day. It's typically done under moderate (twilight) sedation and takes about an hour to complete.
During the procedure, an interventional radiologist inserts a small catheter into an artery-usually in the ankle or groin-and uses X-ray guidance to navigate to the blood vessels supplying the inflamed area of the heel. Once in position, the physician injects tiny particles (microspheres) through the catheter to reduce blood flow to the plantar fascia. This decrease in blood supply helps relieve inflammation and promotes healing, often leading to significant and lasting pain relief.
Who Is An Ideal Candidate?
Plantar Fasciitis Embolization (PFE) is ideal for patients with chronic heel pain from plantar fasciitis that has not improved with conservative treatments like rest, physical therapy, orthotics, or steroid injections. If symptoms persist for six months or longer despite these efforts, you may be a strong candidate for PFE.
What Are The Results Of PFE?
Recent research by Dr. Yuji Okuno has shown that Plantar Fasciitis Embolization (PFE) is a safe and effective option for patients who don't respond to conservative treatments like physical therapy, NSAIDs, or steroid injections.
In a long-term study of 66 patients followed for nearly four years, ultrasound-guided embolization significantly reduced pain and Improved mobility by targeting abnormal blood vessel growth (neovascularization) associated with inflammation. The procedure led to lasting relief and better function-with no severe complications reported-making PFE a low-risk, minimally invasive alternative to surgery.
