Symptoms caused by Foot Instability
- Arch cramping
- Burning sensation
- Feels like stepping on a pebble
- Gait abnormality
- Loss of motion
- Mild aching to sharp pain
- Numbness and tingling sensations
These symptoms can be signs of the following foot pain conditions caused by foot and toe instability that we commonly treat with Prolotherapy.
Chronic Conditions caused by Foot & Toe Instability
Prolotherapy Treatment for Foot Pain
Chronic foot pain is relatively common and almost expected, as the feet bear tons of force every day just from the process of walking. Often, chronic foot pain begins from a collapse of the medial arch. This occurs because the spring ligaments and plantar fascia can no longer support the arch. Treatments, such as arch supports, may provide temporary benefit but unless the ligament strength is restored, most patients find that they circle through various orthotics, cortisone injections, pain pills and dozens of new shoes trying to cushion the foot. However, Prolotherapy injections to strengthen the arch can provide more permanent results. Another common long-term issue that arises from ligament laxity is heel spurs. Remember, bone spurs are the long-term reaction to joint instability. Heel spurs are due to the weakened ligamentous support of the plantar fascia. Prolotherapy injections, which may include cellular solutions such as Platelet Rich Plasma, to strengthen the plantar fascia will eliminate chronic heel pain. There is generally not a need for heel spurs to be surgically removed after the supportive ligaments and plantar fascia have been repaired.
Heel Spur Formation
Weakness in the plantar fascia (called plantar fasciitis) causes inflammation to occur at the calcaneal attachment, cuasing a heel spur.
Big toe pain, including bunion pain, is due to weakness of the metatarsal ligaments. Prolotherapy is superior at eliminating the pain of bunions, but does not correct the deformity. Whether looking for an alternative to bunion surgery or patients experience chronic pain after bunion surgery, Prolotherapy is an excellent option to consider.
Big Toe Pain Levels Before & After Prolotherapy
Survey responses before and after Prolotherapy on levels of big toe pain with various activities.
In our clinic, we often utilize Nerve Release Injection Therapy to provide instant relief for entrapped nerves, in addition to Prolotherapy to repair the underlying joint instability to restore joint stability and prevent recurrences of nerve entrapment. This is especially helpful for nerve pain from conditions like Morton’s neuroma. However, even without NRIT, Prolotherapy results are fantastic.
Morton’s Neuroma Pain Levels Before & After Prolotherapy
Survey responses before and after Prolotherapy on levels of pain from Morton’s Neuroma with various activities.
Cortisone injections, NSAIDs, and surgery work against a patient’s best long-term interest because they are degenerative by nature. Patients with chronic foot pain need regenerative options to stop the degenerative process. This is also true for athletes with acute foot problems, as well as anyone who wishes to stay active without taking extended time off for surgical recovery. Most patients need approximately 3-6 total Prolotherapy treatments for the desired long-lasting effects, as the treatments build upon each other to restore the stability of the foot and toe joints.
Cortisone Versus Prolotherapy
There really is no comparison.
|Migration of immune cells to area||Increased||Decreased|
|Phagocytic activity (clean up)||Increased||Decreased|
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|Capillary proliferation (new blodd vessels)||Increased||Decreased|
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Our Research on the use of Prolotherapy for Foot Pain
In our retrospective observational study, Hackett-Hemwall dextrose Prolotherapy helped cause large decreases in pain and stiffness and improved clinically relevant quality of life parameters in people with unresolved foot and toe pain. The complete study and results can be read here: Hauser R, et al. A Retrospective Observational Study on Hackett-Hemwall Dextrose Prolotherapy for Unresolved Foot and Toe Pain at an Outpatient Charity Clinic in Rural Illinois. Journal of Prolotherapy. 2011;3(1):543-551.
Pain scale is 1-10 where 1 = no pain & 10 = unrelenting pain.
We get patient satisfaction results. In 9/10 cases we meet or beat the patients expectations. Our results are long lasting and provide permanent pain relief. This is why patients travel from all over the world to see our providers.
Our other studies on regenerative treatment outcomes for foot pain
- Dextrose Prolotherapy Treatment for Unresolved “Morton’s Neuroma” Pain
- Dextrose Prolotherapy with Human Growth Hormone to Treat Chronic First Metatarsophalangeal Joint Pain
- A Systematic Review of Dextrose Prolotherapy for Chronic Musculoskeletal Pain
- Evidence-Based Use of Dextrose Prolotherapy for Musculoskeletal Pain: A Scientific Literature Review
- Joint Instability Treatment with Prolotherapy
Patient Success Stories using Prolotherapy for Foot Pain
Toe Pain After Bunionectomy
Nicole was a 21 year old with chronic big toe pain after a bunionectomy she had at the age of 13. The surgery left her with pain and sensitivity along the scar as well which made almost all footwear uncomfortable. Being on her feet for longer than an hour or walking more than a mile became increasingly painful and discouraging. She was treated twice with traditional dextrose Prolotherapy into and around the metatarsophalangeal joint along with Neural therapy to the surgical scar which helps to stop the pain and tingling from sensitive scars. After treatment, she was able to wear whatever shoes she wanted and being on her feet for hours was no longer an agonizing ordeal. Eventually, Nicole ended up back in our office for Prolotherapy to a knee injury she incurred years later while training for a triathlon. She said the bunion pain was such a distant memory that she often forgets she ever had any problem. The surgical scar is the only reminder.
When pain is addressed with Prolotherapy earlier in younger people, usually only a couple treatments are needed to change the course of their lives for the better. Patients are able to participate in athletics and obtain a higher level of overall health and fitness without being hindered by pain, being prescribed pain pills, or undergoing additional surgeries.
Marathon Foot Pain Resolved
AS was a 58-year-old athlete who developed pain, numbness, and swelling in her feet. She would experience sharp pain while running which greatly affected her ability to train for marathons. Before coming to Caring Medical, she received cortisone injections and laser therapy to her feet prior to each race which only offered temporary relief. She tried Prolotherapy, but was inconsistent with the recommended treatment course. Upon her decision to complete the recommended treatment, we performed 3 rounds of comprehensive Prolotherapy with Platelet Rich Plasma to both feet. After her last Prolotherapy session, AS reported she was able to run an entire half marathon without foot pain and her constant numbness had resolved!
Many athletes are looking for the quick fix to get them through an event. While Prolotherapy can be done while the athlete continues to train, it is not often that only 1 treatment can stimulate enough repair of tissue that has been damaged by corticosteroids and continuous marathon training. It is ideal to complete the recommended treatment series because the treatments build upon each other. Most patients only need between 3-6 treatments for a complete series, and feel it was “worth it” in the end to get the improved long-term results.
Big Toe Pain Resolved without Surgery
Virginia was 65 years old and had already dealt with big toe pain for a year before reaching out to Caring Medical. She had been diagnosed with osteoarthritis and told there “was not much that could be done” by a local orthopedic surgeon. She experienced sharp pains in her toe which became severe when she walked. As someone who spent all day on her feet for work, she needed a second opinion. She was seen at Caring Medical for a dextrose Prolotherapy series consisting of 4 treatments. Afterward, she reported 100% pain relief!
Many people believe that any pain complaint warrants a visit to an orthopedic surgeon. However, there are many other options before consulting with a surgeon. A referral to a surgeon can always be made in appropriate cases. But generally surgeons are going to conduct a surgical candidate evaluation. If you do not want surgery, exploring other options earlier, especially regenerative options, is a good idea.
Rachel developed constant heel pain from plantar fasciitis at age 53. The burning and sharp pains were severe enough to cause her to limp and would wake her up at night. She had tried stretching and rolling it out, which did not resolve the pain. After 5 treatments of comprehensive Prolotherapy, her foot pain was 100% alleviated! She can now take long walks as often as she pleases.
Stretching is one of the most common recommendations people with plantar fasciitis try first. It can become an endless cycle of stretching, massage, rest, repeat. However, plantar fasciitis is more commonly a “fasciosis,” because there is no inflammation. It is actually a chronic, degenerative condition. Stretching does nothing to repair degenerated tissue. Instead, regenerative treatments are a more effective approach.
More Information about Prolotherapy for Foot Pain
Articles about Prolotherapy for Foot Pain
- Prolotherapy for Bunions | Metatarsophalangeal Joint Pain
- Alternative treatments for foot pain
- Tarsal Tunnel Syndrome | posterior tibial neuralgia
- You have a Gait Abnormality
- PRP and Prolotherapy for Plantar fasciitis | Plantar Fasciopathy
- Morton’s Neuroma Injections
- Sesamoiditis treatments with Prolotherapy
- Prolotherapy treatment for Fallen arches and Flat Feet
Videos about Prolotherapy for Foot Pain
We Get the Best Results
In 9/10 cases we meet or beat the patients expectations. Our results are long lasting and provide permanent pain relief. This is why for 25 years, patients have been traveling from all over the world to see our providers. Give us a call, or fill out the form below to get started.