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Main causes of foot pain
The foot is a complex structure of 26 bones, 33 joints and more than 100 ligaments. So there are many possible sources of pain. A diagnosis is made after ultrasound and MRI.
Plantar fasciitis / "heel spur"
Inflammation and microtears of the plantar aponeurosis. Typical complaint — sharp pain under the heel with the first morning steps, which eases after walking but returns by evening. The X-ray spur is an incidental finding, not the cause of pain.
Achilles tendinopathy
Tendinopathy of the Achilles tendon. Pain and thickening above the heel, morning stiffness, limited dorsiflexion. Typical for runners, with overload, and in middle age.
Ankle arthrosis
Usually post-traumatic — after ankle fractures and chronic instability. Pain on loading, stiffness, crepitus, restricted range of motion.
Metatarsalgia
Forefoot pain under the metatarsal heads. Sensation of a "pebble" or "sock fold." Associated with overload, deformities (hallux valgus), arch changes.
Morton's neuroma
Thickening of an interdigital nerve. Burning, shooting pain and numbness between the 3rd and 4th toes, especially in narrow shoes. Hypoechoic mass on ultrasound.
Hallux valgus and hallux rigidus
Deformity and arthrosis of the first metatarsophalangeal joint. Pain on walking, restricted big toe extension, "bunion." regenerative treatment started early slows progression.
Pain in the heel
Plantar fasciitis
Classic complaint: "first steps in the morning — like walking on nails." Pain under the heel, worsens after prolonged standing. Confirmed by ultrasound — aponeurosis thickening over 4 mm.
Achilles tendinopathy
Pain behind and above the heel, in the Achilles zone. Typical thickening of the tendon 2–6 cm from its insertion. Ultrasound — hypoechoic areas and neovascularization.
Regenerative treatment
Ultrasound-guided CGF or PRP precisely into the zone of maximum degeneration. 2–3 sessions with a 2–4 week interval. Return to activity in 2–6 weeks. Surgical fasciotomy becomes unnecessary in most cases.
Pain in the ankle
Most frequent diagnoses: post-traumatic arthrosis, osteochondral talar lesions, tendinitis around the ankle, chronic instability.
Cartilage regeneration
In stage I–II ankle arthrosis, MFAT Ortho + CGF restore cartilage and subchondral bone. An alternative to arthrodesis and endoprosthesis.
Focal chondral defects
Osteochondral lesions of the talus (OCD) often require combination with microfracture or AMIC. Regenerative treatment boosts the biological response.
Tendinitis
Posterior tibial, peroneal, anterior tibial — all respond to ultrasound-guided CGF/PRP injections.
Forefoot and midfoot
Metatarsalgia, Morton's neuroma, arthrosis of the naviculo-cuneiform joint — all follow the same treatment principle: a precisely targeted ultrasound-guided injection. In Morton's neuroma, regenerative methods often avoids neurectomy (nerve removal), preserving toe sensation.
Foot pain treatment with regenerative methods
The procedure is outpatient, with no incisions and no general anesthesia. The patient goes home the same day and walks immediately. A full protocol is usually 2–4 sessions with a 2–4 week interval. Follow-up at 3 and 6 months with ultrasound or MRI.
Expected result — pain reduction by 2–4× on the visual analog scale, return to sport in 2–4 months. No method in medicine gives guarantees; efficacy depends on stage and individual factors.
Clinic and method matching — free of charge
Describe your case and attach your MRI report. We will identify clinics that use the relevant methods and forward your request to them. No obligation; we reply within two working days.
Send a requestFrequently asked questions
Morning heel pain with the first steps — classic plantar fasciitis. Regenerative treatment regenerates the fascia with ultrasound-guided injections.
A "spur" is a bony outgrowth seen on X-ray and does not hurt by itself. The inflamed plantar fascia nearby does. The fascia is what needs treatment.
Usually not at stage I–II. Regenerative treatment lets you avoid arthrodesis and endoprosthesis. At III–IV — individual.
Yes. Most patients return to running within 2–4 months after a full protocol.
Yes, this is one of the main indications. Ultrasound-guided CGF/PRP stimulates collagen regeneration.