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How Do You Treat Bunion Pain?
Published: 06/24/2014

A Bunion is a bump that develops on the side of the big toe joint and can occur at any age. Bunions most commonly occur as a result of muscular and tendon imbalances in the foot and can be associated...Read more >>

Congratulations to Dr. Louis for his years of service!
Published: 06/18/2014

Dr. Louis Jimenez has been in private practice for over 36 years, serving patient in the metro-Atlanta area. In addition to lecturing nationally, Dr. Jimenez participates in the training of local...Read more >>

Doctoring… in the family - Drs Jimenez
Published: 06/18/2014
Dr Louis Jimenez

In 1978, the Jimenez family put down roots in Snellville. It was a very small town then and the medical profession was just beginning to blossom. Prior to new doctors arriving, most folks had to...

Heel Pain: Plantar Fasciitis

HEEL PAIN

Pain on the bottom of your heel experienced when you first step out of bed is the classic sign of Plantar Fasciitis (inflammation of the Plantar Fascia). The pain also occurs commonly once you get up from sitting for an extended period of time during the day. The pain can be initiated from a variety of factors including trauma, excessive walking (overuse), poor shoe gear, increased weight gain and age.

On x-rays a bone spur can be seen a majority of the time, however, this is not causing the pain that patients experience. This spur develops from the constant pull of the plantar fascia. The plantar fascia can be thought of as a rubber band on the bottom of your foot that is important in maintaining the integrity of your arch. As patients sleep at night and are off of their feet during the day, the fascia contracts like a rubber band. When you step down first thing in the morning and after sitting for a period of time, the plantar fascia is quickly stretched out. Over time, as this band of tissue pulls on the heel bone where it is attached, small fibers of the tissue are pulled off of the bone. These small micro tears occur causing the fascia to become inflamed and very painful.

HEEL PAIN TREATMENT

Treatment for Plantar Fasciitis heel pain is 90% conservative and 10% surgical. Once x-rays have ruled out any type of fracture or bone abnormality, stretching exercises, anti-inflammatories, cortisone injections, and shoe inserts (orthotics) are initiated. From here, physical therapy, night splints, walking cast boots, and total non-weight bearing are additional options if needed. For those individuals not responding to conservative treatment, surgery is an option, which involves releasing a portion of the plantar fascia. Two new alternative options to the surgery is a new laser technique using MLS Laser Therapy. Additionally, stem cell injections can also provide a safe and less invasive alternative to heel surgery.

  • Thank you so much! The pain in my right big toe joint has relief after my 2nd laser treatment. Thank you!!!

    MLS Laser Treatment for Pain

    Sheliah C., 6.6.14

  • Everything and everyone was fantastic! Your staff is top notch, surgery was great, recovery is going very well. Will recommend you for sure! Dr. Dorian is awesome!!! Thank you so much!

    Bunion Surgery

    Donna K., 12.20.13

  • He was an incredible doctor. He got to the root of my issues and made sure that I had some relief before leaving. He has a wonderful demeanor and you can tell he loves what he does.

    Heel Pain

    Lynisha M., 10.22.13