Heel pain that has outlasted stretching, orthotics and rest — plantar fasciitis is one of PRP's better-supported uses.
Pain that is sharpest with your first few steps out of bed and eases as you move is highly characteristic of plantar fasciitis. It occurs because the fascia shortens overnight and is abruptly loaded on standing. If your heel pain does not follow that pattern, other diagnoses — a stress fracture, nerve entrapment, or referred pain — deserve consideration.
Reasonable evidence supports PRP here, particularly in cases that have persisted beyond conservative treatment. Several trials comparing PRP with corticosteroid have found comparable early relief but better sustained outcomes with PRP at six and twelve months.
There is also a specific concern with steroid at this site: corticosteroid injection into the plantar fascia carries a recognised risk of fascial rupture and of atrophy of the protective heel fat pad. Heel fat pad atrophy is effectively irreversible and can leave you worse off permanently. That risk profile is a genuine argument for considering PRP instead.
The evidence here is more mixed. Several well-conducted trials have found PRP no better than placebo when both groups performed eccentric loading — which is a meaningful finding rather than one to gloss over. We will tell you that.
What is not in doubt is that eccentric loading works for Achilles tendinopathy. If you have not completed a proper twelve-week heel-drop programme, that is where to start — not with an injection.
For plantar fasciitis, calf and plantar fascia stretching, appropriate footwear, load management, and often a night splint resolve a large proportion of cases within a few months. PRP is for what remains after genuine conservative treatment, not instead of it.
Dr. Daniel Moghadam performs these injections himself. Accurate placement matters enormously with joint and tendon injections — product delivered into the wrong plane does nothing useful — and the assessment of whether PRP suits your problem at all is a clinical judgement rather than a checklist.
PRP's evidence base varies considerably by indication. Some uses are well supported by controlled trials; others are promising but thin. We will tell you which category yours falls into rather than presenting all applications as equally proven.
For most musculoskeletal problems, progressive loading and rehabilitation remain the foundation of treatment. PRP can support that process; it rarely replaces it. If you have not done structured rehabilitation, that is usually the first conversation.
PRP does not repair a complete tendon rupture, reverse advanced bone-on-bone arthritis, or fix mechanical instability. Where a surgical opinion is the honest recommendation, that is what you will hear.
Dr. Moghadam examines the joint, reviews any imaging you have, and determines whether PRP is genuinely likely to help your specific problem — or whether something else is the better answer.
A small volume of your blood is drawn, comparable to a routine laboratory test.
The sample is spun to concentrate the platelets and separate them from red blood cells. This takes ten to fifteen minutes.
The concentrate is injected into the target tissue. Local anesthetic is used, though not always inside the joint itself, since it can affect platelet function.
Relative rest for the first few days, then a graded return to activity. Improvement typically builds over four to twelve weeks.
The evidence is reasonably supportive, particularly for cases that have persisted despite conservative treatment. Several trials comparing PRP with corticosteroid found similar early relief but better sustained outcomes with PRP at six and twelve months.
It is an option, but there is a specific risk worth knowing. Corticosteroid injection into the plantar fascia carries a recognised risk of fascial rupture and of atrophy of the heel fat pad — the natural cushion under your heel. Fat pad atrophy is effectively permanent and can leave you worse off long-term. That risk profile is a real argument for considering PRP.
Here we would be less confident. Several well-conducted trials found PRP performed no better than placebo when both groups did eccentric loading exercises. We would rather tell you that than oversell it. If you have not completed a proper twelve-week heel-drop programme, that is the higher-value starting point.
Because the plantar fascia shortens overnight and is then abruptly loaded when you stand. Pain that is sharpest for the first few steps and eases as you walk is highly characteristic of plantar fasciitis. Heel pain that does not follow that pattern warrants considering other causes such as stress fracture or nerve entrapment.
Calf and plantar fascia stretching, supportive footwear, load management, and often a night splint. A large proportion of plantar fasciitis resolves with these within a few months. Injection is for what remains after a genuine attempt at conservative care.
Relative rest for several days with reduced walking, then a graded return. Expect some increase in pain for the first few days — that is the expected inflammatory response. Improvement typically builds over six to twelve weeks.
Usually not, though we may recommend reduced weight-bearing for a few days depending on the site. For Achilles injections in particular we sometimes advise more protection initially. This is discussed at your appointment.
Often one for plantar fasciitis, sometimes a second after reassessment if there has been partial improvement with a plateau. We do not book courses upfront.
Patients travel to our Beverly Hills office for ankle & foot pain treatment from across Los Angeles:
Our Beverly Hills office sits on Wilshire Blvd near the Beverly Hills–Los Angeles border, with on-site, valet, and street parking.
8907 Wilshire Blvd, Suite 270
Beverly Hills, CA 90211
Mon–Thu 10am–5pm
Fri 9am–5pm
Sat & Sun Closed
If you have done the stretching, the orthotics and the rest and it still hurts, PRP is worth discussing. Consultations are complimentary.