Plantar Fasciitis Physical Therapy

About Plantar Fasciitis

The plantar fascia is a thick band of connective tissue that spans from your heel to your toes. It serves to stabilize the many bones in your foot and ankle complex, and its elastic properties contribute to force production during walking, running and jumping.

Although the suffix “itis” is used to describe inflammation, it is now thought that plantar fascia pain is not caused by inflammation, but by micro tears and trigger points in the fascia itself. New regenerative technologies provide fast and effective treatment options for plantar fasciitis.

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Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

About Foot Pain Specialist Dr. Lev Kalika

Dr. Kalika has been treating foot and heel pain for over 15 years. His expertise in diagnostic ultrasonography using the highest resolution ultrasound technology available in NYC ensures that patients get an accurate diagnosis on their first visit.

The NYDNRehab clinic features the most technologically advanced gait analysis system available in a private physical therapy clinic. Dr. Kalika has developed his own unique approach to treating heel pain using extracorporeal shock wave therapy (ESWT), along with ultrasound guided dry needling and injection therapies. Using his methodology, true plantar fasciitis can be easily treated and function can be fully restored, provided there are no other underlying issues.

With his expertise in diagnostic ultrasonography, Dr. Kalika has successfully treated some of the most complicated cases of plantar fasciitis, and is able to weed out nerve involvement that can mimic plantar fasciitis. He has published multiple research papers on the subject.

Dr. Kalika is an internationally recognized expert in musculoskeletal medicine, with many scientific publications to his credit. He is certified in multiple evidence-based therapy approaches. His clinic features advanced technologies rarely found in run-of-the-mill physical therapy clinics.

Doctor Kalika has successfully treated over 2000 cases of plantar fasciitis, often succeeding where other practitioners have failed.

Get the Best Plantar Fasciitis Rehab that Really Works

The first step to recovering from plantar fasciitis is finding a health care practitioner who knows how to successfully treat it. There are hundreds of physical therapy clinics in NYC, but few have the expertise, experience and tools needed to accurately diagnose and treat plantar fasciitis. In fact plantar fasciitis is one of the most frequently misdiagnosed musculoskeletal conditions.

At NYDNRehab, we use cutting edge technologies to diagnose and treat your foot and heel pain. Using research-grade high resolution diagnostic ultrasonography, we are able to accurately pinpoint the underlying cause of your foot pain, eliminating the risk of misdiagnosis and avoiding ineffective treatments that waste your time and prolong your pain and discomfort.

Get the Best Plantar Fasciitis Rehab that Really Works
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We never take a one-size-fits-all approach to plantar fasciitis physical therapy. Our one-on-one personalized treatment plans ensure that you get the exact treatment you need without wasting time. Many of our patients come to us after months of pain and futile attempts at treatment. At NYDNRehab, they finally get the personalized care they need to eliminate plantar fasciitis symptoms for good.

Plantar Fasciitis Symptoms, Causes
and Risk Factors

Symptoms

  • Sharp pain in the heel

  • Intensified pain after exercise

  • Foot arch pain

  • Pain that intensifies in the morning or after resting

  • Swelling in the heel

  • Stiffness in the Achilles tendon

  • Pain that persists for months on end

Causes and Risk Factors

  • Long hours standing on your feet, especially on concrete

  • Overuse from sports and physical activity

  • Footwear with too little support

  • Wearing high heels

  • Obesity

  • Pregnancy

  • Flat feet or feet with high arches

Get to the bottom of heel pain

Accurate Diagnosis is Key to Successful Plantar Fasciitis Treatment

Plantar fasciitis affects people from all walks of life, from retail and construction workers to fitness enthusiasts and athletes. Because the condition shares symptoms with other foot and ankle conditions, including sciatica, tarsal tunnel syndrome, lateral plantar nerve entrapment, plantar fascia rupture and calcaneal stress fractures, it is frequently misdiagnosed and incorrectly treated.

At NYDNRehab, we use the highest resolution diagnostic ultrasonography to differentiate plantar fasciitis from other conditions. Accurate diagnosis ensures that you get the most effective treatment available for your specific condition. We know that physical rehabilitation takes time, and we believe that time should not be wasted on treatments for the wrong condition.

Accurate Diagnosis is Key to Successful Plantar Fasciitis Treatment

Treatment Options for Plantar Fasciitis Rehab at NYDNRehab

The plantar fascia is made up of thick connective tissue with limited vascularity, making it slow to heal due to limited delivery of oxygen and nutrients. Traditional treatment methods include taping, orthotics and stretching exercises, none of which help the plantar fascia to heal.

At NYDNRehab, we use regenerative therapies and technologies that stimulate the growth of new cells in the plantar fascia, Our regenerative treatment options for chronic plantar fasciitis treatment include:

Focused Shockwave Therapy

Focused Shockwave Therapy

Focused Shockwave Therapy

Extracorporeal shockwave therapy (ESWT) is a highly effective treatment approach that delivers low-energy acoustic waves to the patient’s skin via a hand-held transducer. ESWT is completely non-invasive and does not require anesthesia or pain medication. Focused shockwaves trigger the progenesis of new cells in the plantar fascia, tapping into your body’s innate healing mechanisms to stimulate tissue repair and reduce pain. Many patients report significant pain reduction after a single ESWT session.


Electromagnetic Transduction Therapy (EMTT)

Extracorporeal magneto transduction therapy (EMTT) is a non-invasive technology that uses electromagnetic fields to reduce pain and stimulate cellular progenesis in targeted tissues. This groundbreaking new technology is an effective treatment of choice for a variety of conditions, including plantar fasciitis. When combined with ESWT, the two technologies form a dynamic duo for reducing pain and inflammation and accelerating the healing process.

Electromagnetic Transduction Therapy (EMTT)

Electromagnetic Transduction Therapy (EMTT)

Focused Shockwave Therapy

Ultrasound Guided Dry Needling

Trigger points are common in overuse injuries like plantar fasciitis, and they can contribute significantly to pain and dysfunction. When guided by ultrasound, dry needling precisely targets stubborn trigger points and invokes a twitch response that releases and eliminates them.


Ultrasound Guided Injection Therapies

We sometimes use injection therapies like corticosteroids, platelet rich plasma (PRP) and Prolotherapy to reduce pain and stimulate cellular repair. Guidance by ultrasound ensures that the injection hits its mark, for maximum effectiveness.

Electromagnetic Transduction Therapy (EMTT)
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Plantar Fasciitis Treatment in NYC

Plantar fasciitis is slow to heal without professional intervention. To get the very best treatment for plantar fasciitis, you need a clinic that is equipped with the best regenerative tools for plantar fasciitis physical therapy. When coupled with our experience and expertise, NYDNRehab cannot be beat as the clinic of choice for plantar fasciitis rehab in NYC.

Range of Available Unique Physical Therapy
Treatments at Nydnrehab

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    In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

    Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

    The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

    Dynamic ultrasonography examination demonstrating
    the full thickness tear and already occurring muscle atrophy
    due to misdiagnosis and not referring the patient
    to proper diagnostic workup

    Demonstration of how very small muscle defect is made and revealed
    to be a complete tear with muscle contraction
    under diagnostic sonography (not possible with MRI)

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    Complete tear of rectus femoris
    with large hematoma (blood)

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    Separation of muscle ends due to tear elicited
    on dynamic sonography examination

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