The foot and ankle are exposed to stress from a variety of conditions and activities. Plantar fasciitis and Achilles tendonitis are some of the more common conditions that arise from stress and overuse. Osteoarthritis is the most common age-related condition that affects the foot and ankle. These conditions plague runners and older people alike. The problems in the foot and ankle are frequently ignored at the early stages and can become chronic and difficult to treat by the time the patient seeks medical attention. Muscle imbalance in the pelvis and legs frequently either causes or exacerbates foot and ankle problems.
A thorough examination is conducted on every patient. Our osteopathic training allows us to diagnose small subluxation of the foot and ankle joints that can be a source of previously undiagnosed of pain. Gentle manipulation of these joints is frequently performed during examination for diagnostic and therapeutic purposes. Structural deficits, restrictions, as well as muscle weakness and imbalances are identified. X-rays and state-of-the-art ultrasound technology are used for the diagnosis of structural foot and ankle problems. High-resolution ultrasound imaging is advanced enough to see tarsal tunnel-related nerve injury, tendonitis, and joint swelling that can be a cause of acute and chronic pain. Advanced imaging techniques such as MRI can be used for further assessment.
Manual Exam
X-ray
Ultrasound
MRI
Foot and ankle joint problems are a common source of hip and low back pain.
A combination of ligamentous instability, cartilage degeneration, and joint inflammation is typically the underlying cause
OWM Integrative Wellness offers to cut effective treatments including dextrose prolotherapy, PRP, stem cell, and peptide therapy to help the foot and ankle region heal naturally.
Ultrasound-guided Prolozone injections of the foot and ankle joints can relieve pain and inflammation of the arthritic joints. Frequently the foot and ankle are victims of underlying ligamentous instability. We treat the entire region’s ligament, cartilage, and tendon complex to promote joint stabilization. Treatment of underlying ankle and foot joint degeneration and instability frequently helps avoid plantar fascia and bunion surgeries. Unlike a more commonly used target-specific approach where just one joint is injected, our technique restores stability to the areas around the joint. This not only allows for better healing but prevents the recurrence of the breakdown of the area in the future.
Concentrated dextrose solution is the first line of our regenerative treatments. When injected around the ligaments foot, ankle, and plantar fascia attachments, it promotes ligament regeneration, mild cartilage repair, and arch stabilization.
PRP (platelet-rich plasma) is a stronger cellular treatment. It promotes joint cartilage regeneration, repair of worn cartilage and ligament, and repair of plantar fascia tears. PRP Prolotherapy technique is used in more advanced arthritic and degenerative cartilage and plantar fascia tear cases. It directly delivers grown factors to the damaged tissue and activates a signaling mechanism that stimulates the body’s stem cell production and recruitment to the site of injury. Repair and new tissue growth occur quickly and naturally.
Stem Cell therapy is the most advanced regenerative technique available. Stem cells are extracted from either the bone marrow or fat and are immediately reinjected in and around the hip joint. Direct delivery of mesenchymal stem cells into the affected area allows for repair by the growth of new healthy tissue.
Dr. Kaplan’s in-depth knowledge of peptide therapy allows him to stimulate repair and regeneration with specifically selected peptides. Tissue-repairing peptides BPC and Thymosin beta 4 are used in the injection solutions and CJC/ Ipamorellin is often used to stimulate stem cell activity before the procedure.
These peptides stimulate and enhance, Dextrose prolotherapy, PRP, and Stem cells’ regenerative potential.
The ultrasound-guided approach ensures accurate and safe placement of regenerative solutions directly into the foot and ankle joint and surrounding injured tissues.
Dr. Kaplan uses solutions that are natural and extremely well-tolerated.