Your Trusted Plantar Fasciitis Treatment and Prevention Experts In South Dakota
What is Plantar Fasciitis
Plantar fasciitis is a common cause of chronic heel pain, caused by inflammation or microtears in the thick tissue band along the bottom of the foot, the plantar fascia. This condition can lead to stiffness, pain, and difficulty walking, especially with the first steps in the morning.
Symptoms of Plantar Fasciitis
Typical signs include:
- Pain after prolonged standing or walking
- Stiffness that improves slightly with movement but worsens later
- Swelling near the heel
Risk Factors & Causes of Plantar Fasciitis
Age 40-60
Repetitive impact activity or prolonged standing
Excess body weight or sudden weight gain
Foot mechanics, such as high arches or flat feet
Tight calf muscles or Achilles tendon
Inadequate footwear
Diagnosis of Plantar Fasciitis
At Black Hills Cardiovascular, our approach includes:
- Review of your medical history and symptoms
- Physical evaluation of foot, ankle, and gait
- Imaging tests such as ultrasound, X-ray, or MRI
- Assessment of vascular contributions if chronic inflammation is suspected
Treatment of Plantar Fasciitis
- Stretching & physical therapy
- Orthotics and supportive footwear
- Night splints and bracing
- Ice therapy, massage, and soft tissue therapy
- NSAIDs for short-term relief
- Corticosteroid or PRP injections
Read more about our non-invasive musculoskeletal treatments.
When standard treatments fail, plantar fasciitis embolization offers a minimally invasive option targeting abnormal blood vessels that fuel inflammation.
What to Know About Plantar Fasciitis Embolization
How PFE Works
- Performed in-office or outpatient
- Microcatheter guided via imaging to the affected vessels
- Small particles block excessive blood flow, reducing inflammation
- No large incisions required
Benefits of PFE
- Minimally invasive with shorter recovery.
- Rapid and durable pain relief.
- Avoids risks of traditional surgery.
- Complements ongoing physical therapy.
Who Is a Candidate?
- Patients with chronic heel pain >3 months.
- Persistent pain despite conservative care.
- No complete plantar fascia rupture.
- Medically cleared by an interventional specialist.
Recovery & Aftercare
- Light walking is allowed immediately.
- Avoid high-impact activity for 1 week.
- Mild soreness may occur, but generally resolves quickly.
- Most patients notice significant improvement within 2–4 weeks.
Frequently Asked Questions
How soon will I feel relief after plantar fasciitis embolization?
Some patients notice improvement within a few days, while most experience meaningful pain relief in 2–4 weeks as inflammation gradually decreases.
Is plantar fasciitis embolization painful?
The procedure is performed under local anesthesia and light sedation. Most patients feel minimal discomfort, with only mild stinging during the catheter placement or dye injection.
When can I resume daily activities after the procedure?
Light walking is allowed immediately, but avoid high-impact activity or heavy exercise for about one week. Stretching and strengthening exercises can resume as recommended by your physician.
Can the procedure be repeated?
Yes. If symptoms persist or recur, repeat embolization or adjunct therapies may be considered for additional relief.
Can plantar fasciitis embolization prevent the need for surgery?
Yes. For many patients with chronic plantar fasciitis, embolization is a minimally invasive alternative to surgery, reducing pain and improving mobility with less downtime.
Is plantar fasciitis embolization covered by insurance?
Coverage varies by insurance provider. Many patients can use insurance or FSA/HSA funds, and our team can help verify coverage and discuss self-pay options.
Who is a good candidate for plantar fasciitis embolization?
Patients with chronic heel pain lasting more than 3 months, who have tried conservative therapies without success, and do not have a complete plantar fascia rupture, may be good candidates for the procedure.
Why Choose Black Hills Cardiovascular?
Our team combines advanced vascular expertise with a holistic, patient-centered approach. We collaborate with podiatrists, orthopedic specialists, and physical therapists to create a personalized plan for heel pain and plantar fasciitis.
Schedule Your Consultation
If you’re ready to explore plantar fasciitis embolization or other advanced treatments, contact Black Hills Cardiovascular today.
Call (605) 503‑8192 or send us a contact form to schedule a consultation.
