Coblation Therapy for Plantar Fasciosis

Plantar fasciitis Pain
Plantar fasciosis is essentially a term used to describe chronic plantar fasciitis. Plantar fasciitis is the tearing and resultant inflammation of the plantar fascia, the most common cause of heel pain. “Itis” means inflammation and many studies have shown that after the first few weeks following injury and development of plantar fasciitis, the inflammation decreases. After a few months, the blood flow which was increasing the inflammation initially, has disappeared and the fascial band starts to thicken. The blood supply and initial inflammation are important in the healing of any injury. The blood supply brings needed nutrients and cells which clean up an injury site and stimulate healing. Normally this phase should last only a few weeks.
Eventually, the blood supply gradually starts to disappear. The plantar fascia changes from a normal ligament type tissue into disorganized strands of connective tissue. Without an adequate blood supply, the injured site is without needed nutrients for healing, including oxygen and growth factors. The tissues can then start to degenerate (deteriorate). The exact point of this transition is unique to each individual and still up for some debate.

The change of the name from fasciitis to fasciosis is important in that much of our treatment efforts in the past have focused on decreasing inflammation. Although decreasing inflammation is important in the first few weeks to few months of the development of heel pain, treatment of chronic plantar fasciitis (plantar fasciosis) should not focus on anti-inflammatory measures.

Coblation Therapy is a bipolar radiofrequency-based technology that uses low temperatures to stimulate the release of hydrogen, oxygen and growth factors from tissues and stimulate the formation of new blood vessels within the tissue. The idea is to jump start the body’s own healing response. Coblation therapy has recently emerged onto the scene for treating plantar fasciosis. Coblation is a surgical procedure and involves anesthesia and a small incision at the heel.

The results from Coblation Therapy are promising with patients back into regular shoe gear within 2 weeks and a low risk of complications. There have been reports of infections and small wound dehiscences, but this is expected with any surgical procedure.

More on plantar fasciitis/fasciosis .


11 Responses to “Coblation Therapy for Plantar Fasciosis”

  1. on 10 Nov 2007 at 6:42 am christophe

    where can we find coblation therapy?
    I have been suffering from plantar fasciatis for 2 years i need some help thank you

  2. on 10 Nov 2007 at 11:14 am admin

    I would recommend discussing this with your podiatrist or orthopedist. If they feel this is an appropriate therapy for you, they should be able to locate a physician who performs this procedure in your area.

  3. on 12 Dec 2007 at 1:38 am Carol

    I have suffered from plantar fasciitis for almost a year and would really like to hear of alternative therapies for this condition. I have certainly not heard about alternatives from my orthopedic surgeon. I feel like I am on my own.l

  4. on 12 Dec 2007 at 5:21 pm admin

    This is one of many treatments for plantar fasciitis/fasciosis. It is usually only used after all conservative therapies have failed. Visit the plantar fasciosis/fasciitis link above for more treatment information.

  5. on 18 Feb 2010 at 8:34 pm WANDA THOMPSON

    I was diagonised with plantar fascitis about 1 1/2 yrs ago. I have 3 heel spurs and have also been told I have fallen arches. I have used 2 different types of orthotics both hard and soft. Wear either a hard foot splint or sock to keep my foot flexed back. Have had 3 steroid injections in the bottom of my foot (whiched helped for about a week at a time). I purchased VERY expensive shoes to wear my orthotics in. And still I am in constant pain. At times, the pain runs to the top of my foot and radiates up the calf to my knee. I have been told this is transfer pain. Whatever it’s called or the reason, I am SO VERY TIRED OF IT!!!!!!!!!!!! I heard about the procedure TOPAZ. Is this something that may be of help to my condition? Any suggestions or comments would be appreciated.
    Thank you.
    Wanda Thompson

  6. on 24 Jul 2012 at 7:52 pm aixa serpas

    Had coblation therapy done two years ago, I’m a tennis player two or three times a week and I will be 70yrs old next month. Sometimes I play four times a week
    The clobation therapy lasted two and haf years. I’m getting it done again, since my heel pain is back. It works. At my age that’s a lot of tennis . I also play on hard courts. I do play sometimes on rubbico, but not a favorite surface. To me is worth it, since I just have so few years left to play. The girls I play with are 20 to 30 years younger than me…. So to play It’s worth it !!!! Coblation Therapy works
    One of the reasons I got back , is because I started all the bad habits.
    Barefoot, flip flaps, All these things are a big no no…..

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