ANKLE AND FEET PAIN TREATMENT
Ultrasound is a sensitive diagnostic tool for the diagnosis of ligament sprains, tendon problems, muscle tears, knee joint swelling, synovitis, inflammation, arthritic conditions, bakers cyst, bursitis, and ganglion cysts.
A diagnostic ultrasound at our clinic can diagnose the following common problems and treat with ultrasound-guided injections either with steroid/corticosteroid, hyaluronic acid (viscosupplementation/gel or lubrication) injections or Platelet-rich plasma injections can be when conservative treatment fails.
If you are experiencing ankle or feet pain why not get in touch today!
If you are experiencing painful joints, muscles, tendons or ligaments please get in touch for a diagnostic scan and or treatment
Ankle and Feet Pain Conditions
Achilles tendon is prone to develop tendinitis at the level it connects the calf musculature to the heel bone. This is a challenging condition to manage for the patients and clinicians. This rise to considering long-standing morbidity, hence, early intervention is suggested.
• Morning stiffness and pain and after prolonged rest.
• Palpable /visible lump over the middle of the tendon
• Pain, stiffness, along the swollen part of the Achilles tendon.
• Feeling weak Achilles tendon/calf muscles.
Who prone to develop this:
• Obese people
• A sudden increase in the distance of running /walking.
• Tight calf/gastrocnemius/hamstring muscles and Achilles tendon.
• Starting new activities/hobbies: Running, walking, hiking, mountain climbing, sprinting and jumping.
How can we help you with this?
If you have tried, rest, ice, pain medication, and physiotherapy or if you are struggling to cope with the physiotherapy: the following special procedures can be offered at our clinics.
High volume Injection (HVI):
Prior to the HVI special procedure for the Achilles tendon, we carry out a diagnostic ultrasound scan to confirm Achilles tendinitis and rule out other problems.
HVI is a special procedure for Achilles tendinitis. There is no steroid in this injection, due to the high risk of Achilles tendon rupture.
A large volume of local anesthesia and saline water is injected in between the tendon and its sheath called paratenon. Since the Achilles tendon is just under the skin there is not much needle pain to experience. We use a large amount of local anesthesia to make the whole procedure comfortable. This suppresses the new blood vessel formation to control inflammation and promotes the natural healing process.
The pain relief HVI procedure can last from weeks to several months. During this period we strongly suggest a course of physiotherapy to strengthen the Achilles tendon. Some patients may need repetition of this procedure after a few months to years.
This popular relatively new treatment is effective in promoting the natural collagen synthesis, thus enhancing the natural healing mechanism of the tendon. This is achieved by injecting the PRP, which contains highly concentrated growth factors.
You may need to complete a course of PRP treatment, which consists of 3 injections with 3-6 weeks interval in between each injection. We recommend you to consider 3-4 weeks of relative rest with no exercises or strenuous activities after each injection.
PRP preparation: Upon collecting a small amount of blood from the patient vein, PRP is separated using a gravitational centrifuge in the clinic.
Plantar fasciitis is the most common condition of heel pain. Gradual or sudden onset of the heel pain is due to irritation /inflammation of the plantar fascia. Typical complain of morning heel pain with the first few steps.
Who is prone to develop this condition?
- Running /walking
- Poorly fitted shoes
- Prolonged standing jobs/hobbies
- Tight hamstrings/calf/gastrocnemius muscles
The following should consider as the first line of treatment:
- Weight loss
- Night splints
- Proper footwear
- Cross frictional massage
- Regular lower limb stretches
- Rest, ice packs, stretching exercises
If the above treatments fail to control the symptoms you may consider the following ultrasound-guided injections at our clinic:
Other ankle and feet pain conditions we diagnose and treat are:
- Ankle sprain
- Plantar fibroma
- Morton’s Neuroma
- Foot and ankle arthritis
- Ganglion cysts aspiration.
- Tendon problems (tendinitis /tendinopathy/tenosynovitis/tendon tear)
FREQUENTLY ASKED QUESTIONS ABOUT ULTRASOUND GUIDED INJECTIONS
How long does an ultrasound guided injection take?
This will vary dependant on the area and other factors, but an assessment, scan & ultrasound-guided injection will generally take around 60 minutes. Ultrasound guided injection alone is done in a few seconds. Injection alone is carried out in few seconds.
Are ultrasound guided injections painful?
Discomfort from the needle insertion can be minimised by using the local anaesthesia using a very fine small needle. Ram is an experienced and carried out more than 30,000 Ultrasound guided injections sofar. He routinely treats complex patients and patients with needle phobia, through the technique he developed through his experience.
What is an ultrasound guided cortisone / Steroid / Corticosteroid injection?
Cortisone injection is also known as Corticosteroid injection or steroid injection. This is a strong anti-inflammatory medication is used for many of the inflammatory and arthritis conditions to control pain, swelling, stiffness and improve function. Corticosteroid injections are NOT the same used by body builders use. Corticosteroid injections do not cause weight gain. To find out more please visit our ultrasound-guided steroid injections page from the 'Types of Guided injection' menu on the top.
Always, consider having the Steroid injections under ultrasound guidance for accuracy.
What is an ultrasound guided hyaluronic acid (HA) injection?
HA injection is also known as Gel injection or Lubricant injection. This viscosupplementation injection is a natural component of synovial fluid. This tends to increase joint fluid viscosity and restores the joint lubrication. Hence, acts as a shock absorber to control the joint /tendon symptoms. Limits the further damage to the joint and delays or avoids the need for the surgery. Aslo, helps to enjoy your daily activities or your preferred hobbies. To find out more please visit our GUIDED ULTRASOUND HYALURONIC ACID INJECTIONS page from the 'Types of Guided injection' menu on the top.
These injections are very popular, especially for knee joint pain. Any number of injections can be taken in a given period, due to minimal or no side effects from these injections. Usually a course of 3 Injections are preferred, though some may do well just with an injection per year 9 we have patients managing just with 1/year.
What is an ultrasound guided PRP injection?
Platelet Rich Plasma (PRP) injections are rich in growth factors ( helps in repairing the cell and its growth) and prepared from the patient's own blood. Separated growth factors from the patients blood is injected back into the affected area of the same patient. Due to PRP's ability to heal and even regenerate injured or aging tendons, ligaments and joints, providing some patients with an alternative to surgery. PRP therapy may reduce the required healing time for the injuries ( especially for sports injuries and early Arthritis ); otherwise athletes/ sports professionals may require longer periods of rest from their sports related activities. To read more please visit our Ultrasound Guided PRP page.
Always, consider having the PRP injections under ultrasound guidance for accuracy.
can i drive after an injection
You will not be able to drive immediately after the procedure. Bring someone with you Or use other form of transport to return home. This is mainly due to your driving licence policy, rather injection efficacy. Majority of the motor insurance policies will not allow you to drive for 3-5 hours after the injection with Local Anesthesia.
What should i expect after an injection?
After the injection you may feel pain free for couple of hours due to Local anaesthesia. However, pain returns after 2 hours, you may even feel more painful for couple of days due to bruising pain. Usually, you should starts feeling better from third day onwards. Pain relief from the steroid injection may take 1 to 2 weeks.
How to manage bruising pain?
Discomfort from the needle insertion can be minimised by using an ice pack ( wrapped in a towel, to minimise the risk of frostbite from a direct skin contact) to the area of treatment. 3-4 times a day and 10-15 minutes at each time
Will i always feel 100% pain free?
We can accurately inject the treatment area. However, pain relief depends on several factors, such as severity of the problem, body response to the steroid injection, rest period following an injection, rehabilitation and exposing to the risk factors.
how many injections can i receive?
corticosteroid Injections: 3 or 4 per treatment area / year.
Hyaluronic Acid : no limit as long as you are benefiting.
Platelet Rich Plasma (PRP) a course of 3, you can repeat as you like.
What conditions can be treated?
Arthritis, Tendinopathies, Ligament, Muscle and Nerve related problems. We also offer trigger point injections for persistent pain ( usually a course of 2-5 are effective).
How long the injection effect lasts?
It is hard to determine without an assessment. It may be possible to estimate after assessing the patient. Usually, lasts up to 3 months. There are many patients who benefited for more than a year to 2 years.
AREAS COVERED BY JOINT CARE CLINICS
We cover a wide area throughout Warwickshire and surrounds, either by home visit or clinics in the following areas: Rugby, Coventry, Warwick, Aylesbury, Milton Keynes, Leamington Spa, Stratford, Kenilworth, Whitnash, Atherstone, Bedworth, Leicester and Nuneaton. We also have clinics throughout the West Midlands including Birmingham and Solihull. We have a clinic in Newcastle covering the North East.
If you do not see your area listed please still get in touch as we may be able to refer you to another practitioner in your area.