Ultrasound-Guided Intra-Arterial Embolization of Plantar Fasciitis Shows Promising Results

This research explored a new way to treat plantar fasciitis (PF), a common condition that causes heel pain. The treatment, called ultrasound-guided intra-arterial embolization, involves injecting a temporary blocking agent into an artery in the foot to block abnormal blood vessels associated with plantar fasciitis, decreasing inflammation.

Here's a more detailed look:

• The Problem: Plantar fasciitis happens when the thick band of tissue on the bottom of your foot (the plantar fascia) gets irritated and inflamed. It's often treated with conservative methods like physical therapy, pain relievers, steroid injections, and shock wave therapy. But for some people, these treatments don't provide enough relief.
• Why This New Treatment? Researchers believe that abnormal blood vessel growth (neovascularization) plays a role in plantar fasciitis. These abnormal vessels can contribute to inflammation and pain. This new treatment aims to block those vessels and reduce inflammation.
• How it Works: Doctors use ultrasound to see the artery in the foot. Then, they inject a small amount of particles, oftan an antibiotic, into the artery. This antibiotic acts as a temporary "embolic material," meaning it blocks the abnormal blood vessels. The blockage is temporary, allowing normal blood flow to return quickly.
• The Study: This study involved 66 patients with plantar fasciitis who hadn't gotten better with other treatments. They received the injection and were followed for an average of 30 months.
• The Results:
• Pain Relief: Patients experienced significant pain reduction.
• Improved Function: Their ability to use their feet improved.
• Safety: The treatment was safe, with only minor side effects like temporary bruising or skin discoloration.
• Long-lasting Effects: The improvements lasted for several years.

Why this is important:

• Alternative for Difficult Cases: This treatment could offer hope for people who haven't had success with other plantar fasciitis treatments.
• Minimally Invasive: It's a relatively simple procedure that can be done in an outpatient clinic.
• Potential to Avoid Surgery: It may help some people avoid more invasive treatments like surgery.

Important Notes:

• More research is needed to confirm these findings and compare this treatment to other options.

••It's important to have this procedure done by an experienced doctor to minimize risks.