Cortisone Injection: Plantar Fasciitis Treatment

If you suffer from plantar fasciitis, you know how painful and irritating simple daily activities can be. From the first steps out of bed in the morning, the discomfort is difficult to ignore. You have likely tried a variety of non-surgical treatments in an attempt to gain some relief. Stretching, orthotic inserts and physical therapy are sometimes enough to address the painful symptoms of plantar fasciitis. However, some people benefit from a nonsurgical technique called a cortisone injection.

What is a cortisone injection

Cortisone injections are shots given to a specific area of the body in attempt to reduce inflammation and pain. While results vary from one person to the next, most people enjoy a decrease in pain for several months. The relief is not immediate but will gradually start to take effect within a week after being administered.

Plantar fasciitis impacts the simplest of daily activities. Standing, walking and running are painful almost constantly. Once the effects of the cortisone shot are felt, patients usually report that these activities are much more tolerable.

Patient testimonial:

Plantar fasciitis is not something you should learn to live with. Take it from an actual patient that suffered for an entire year before taking action to finding relief with treatment from a cortisone injection.

“I had been dealing with the pain of plantar fasciitis for a year before I made an appointment to see Dr. Nadaud. I was hoping for pain relief so I could start enjoying running again, and walk without pain. After speaking with both him and his Physician’s Assistant, we decided on a plan of action tailored specifically to me. I am happy to say, that I am pain free now, and enjoying running again for the first time in a year! Not only am I feeling better, but my experience with Agility Orthopaedics was superb. Everyone I interacted with was friendly, professional, and, of course, very knowledgeable! I would highly recommend Dr. Nadaud and his staff anytime!”

If you are tired of suffering with pain in your feet or foot, consider talking to your foot and ankle orthopaedic surgeon about a cortisone injection as an option.


Biologic Therapy: Treatment Options for Healing

If you are suffering from an injury impacting your tendons, joints or other musculoskeletal tissue, you are likely exploring options for the best treatment. Historically, surgery, rest, casting and physical therapy would be the best options to help heal and find long term relief. But have you considered Biologic Therapy? Perhaps this is a term you have heard of but are unsure what it is or if it is right for you.

What is Biologic Therapy?

Biologic Therapy is a type of treatment that uses substances made from living organisms to treat disease. It is designed to heal injuries in tendons, joints, and musculoskeletal soft tissues.

 Why Choose Biologic Therapy?

Biologic Therapy offers an alternative to surgery and traditional pain management. It enhances the body’s ability to heal using your platelets and stem cells to repair muscles, tendons, ligaments, and cartilage. This treatment option is low-risk and minimally invasive.

 How Biologic Therapy May Help You

Agility Orthopaedics uses biologic therapy to treat a variety of orthopedic conditions and injuries, ranging from knee pain to heel pain. The conditions we treat include arthritis and cartilage damage as well as tendon, ligament, and muscle disorders. Some common diagnoses that can benefit from biologic therapy are: plantar fasciitis, achilles tendonitis, knee arthritis, peroneal tendonitis and posterior tibial tendonitis.


Treatment Options


Amnion Therapy:

Amnion therapy is an off-the-shelf option that helps stimulate the healing of tendons, muscles, and soft tissues for patients that prefer a non-invasive biological option.  Amnion helps provide supplemental support, protection, and growth factors to assist in the healing process.


Platelet-Rich Plasma (PRP) Therapy:

Platelets are rich in growth and healing factors that activate stem cells to regenerate new, healthy tissue. Utilizing the body’s natural healing process, PRP therapy is a concentration of platelets that are injected into the damaged ligaments, tendons, and joints. These injections promote tissue repair and accelerate healing.


Because Biologic Therapy is still investigational, most insurance companies do not cover these procedures. This form of therapy is not for everyone, and surgery may be the best choice. Contact Agility Orthopaedics to schedule an appointment and find out which option is the best for you.

Plantar Fasciitis: Treating Heel Pain Effectively

Do you suffer from unexplained pain in your heels? Does this pain seem to be markedly worse when you get out of bed in the morning? If you answered yes to these questions, it is possible that you are suffering from plantar fasciitis.

What exactly is plantar fasciitis? This term refers to a condition that results when the plantar fascia (a thick band of tissue on the bottom of your heel) becomes inflamed.

Risk Factors

There are a number of factors that can contribute to plantar fasciitis. Runners frequently report suffering from this condition. But you don’t have to be an endurance athlete to experience plantar fasciitis. People that spend a lot of time on their feet are also at risk to experience this painful issue. People who are overweight and people that wear shoes without the proper type of support, have a higher likelihood of developing plantar fasciitis as well. Foot mechanics can also play a role in developing this type of foot pain. Having a high arch or inversely, having flat feet, can lead to developing plantar fasciitis.

Treatment Options 

  • The first step to getting proper treatment is getting an accurate diagnosis from an orthopaedic surgeon. Surgeons with training in the area of foot and ankle orthopaedics have focused training in foot issues.
  • Working with a physical therapist can bring some relief. Doing some stretching exercises in addition to massage and contrast baths can result in healing.
  • Non-steroidal Anti-inflammatory drugs (NSAIDS) can help reduce some of the inflammation in the heel region.
  • Steroid injections can help decrease both the inflammation and pain in your plantar fasciitis. Consult with you orthopaedic surgeon about whether or not this could be a viable option for your specific case.
  • Shoe inserts can help change the weight distribution on your feet therefore alleviating the strain on your plantar fascia. Consult with your foot and ankle orthopaedic surgeon about getting a custom set of orthotics for your shoes.

Don’t let the chronic pain associated with plantar fasciitis impact your daily life. Make an appointment with an orthopaedic surgeon today to get an accurate diagnosis and to formulate a plan for treating the underlying issues.

Physiatrists: What Can a Physical Medicine Doctor Do For You?

Physiatry can be defined as Physical Medicine and Rehabilitation (PM&R). It is a medical specialty that focuses on diagnosis and treatment of chronic and acute pain, weakness and numbness. Physiatrists are doctors that have completed four years of medical school with a specialty focus in physical medicine and rehabilitation. Individuals suffering from bone, joint, muscle, ligament, nerve and spinal cord impairments may benefit from working with a physiatrist.

Once you have been diagnosed either by a medical doctor such as an orthopaedic surgeon or primary care physician, a physiatrist can offer a number of non-surgical interventions to treat your symptoms. What exactly can a physiatrist do to treat your physical impairments?

Treatment Services Offered by a Physiatrist

  • Injections (spinal and other types) using fluoroscopic guidance
  • Spasticity management
  • Joint injections
  • Trigger point injections
  • Nerve conduction studies (NCS) and electromyography (EMG)
  • Medication prescription
  • Prosthetics
  • Orthotics

In addition to medical interventions, physiatrists also work with a team of other medical and non-medical professionals to ensure the best treatment plan. Focused on improving the overall quality of life of their patients, physiatrists aim at restoring the patient’s functional ability. Physiatrists often work with orthopaedic surgeons, social workers and physical therapists to coordinate a comprehensive approach to treatment.

Benefits of Working With a Physiatrist

  • Treatment is focused on the whole person, not just the symptom
  • Coordinated approach to take into consideration the treatment recommendations of other professionals
  • Address pain and weakness with non-surgical interventions

Whether your physical impairments are the result of an injury, medical condition or disability, a physiatrist can help develop a treatment plan to meet your individual needs. Be sure to check with your insurance provider to see which physiatrists in your area will be covered under your plan.

Looking for a Physiatrist in the St. Louis area? Click here for more information on Dr. Andrew Wayne of Agility Orthopaedics.

Physical Medicine and Rehabilitation: Improving Quality of Life

With hundreds of specialties and subspecialties in medicine, it can be hard to determine whom to see when you have a medical issue. There are several overlapping specialties, especially when it comes to treating conditions of the bones, joints and muscles. Physical Medicine and Rehabilitation is one area of medicine that focuses on many parts of the body.

What is Physical Medicine and Rehabilitation?

Physical Medicine and Rehabilitation (PM&R) is an area of medicine that focuses on restoring and  improving an individual’s functional ability. With a focus on improving quality of life, PM&R can be used to treat a wide range of physical impairments. These impairments include but are not limited to conditions of the bones, joints, muscles, ligaments, brain, spinal cord and nerves.

What is a Physiatrist?

A Physiatrist is a medical doctor that has a trained focus in the speciality area of Physical Medicine and Rehabilitation. A Physiatrist has completed four years of medical school beyond an undergraduate degree. Further, a physiatrist completes a four-year residency in the area of Physical Medicine and Rehabilitation.

Physiatrists offer a variety of procedures to help patients suffering from bone, joint, muscle and nerve issues. These issues could be the result of an injury or medical condition/disease. Some of services offered by a physiatrist include:

  • Spinal injections
  • Joint injections
  • Nerve conduction studies (NCS) and Electromyography (EMG)
  • Spasticity management
  • Trigger point injections for muscle disorders

In addition to specific medical procedures, physiatrists often work in conjunction with a team of medical professionals to develop a comprehensive treatment plan for each individual. Physical therapists, occupational therapists, orthopaedic surgeons, primary care doctors and neurologists often work closely with physiatrists to ensure optimal care for the patient. In addition, physiatrists often involve non-medical professionals in the development and execution of the treatment plan. These professionals often include: social workers, therapists and vocational counselors.



Summer Sports Safety: Top Ten Tips

With summer fast approaching, excitement is in the warming air. This is the time of year when people are itching to get outside and get active. Whether through sports, summer camps or just hitting the playground, kids and adults are increasing activity levels. But don’t get sidelined with an injury before the season gets underway.

An increase in physical activity also means an increase in injuries, especially orthopaedic injuries. Visits to urgent care and emergency rooms tend to spike as people are spending more time outside, engaging in athletic activities. You can help prevent the most common summer sports injuries by following some simple tips.

Top Ten Tips for Summer Sports Safety

  1. Hydration: Make sure you are drinking plenty of liquids. Water is great but it is also good to take in fluids that contain electrolytes.
  2. Wear a helmet: Helmets aren’t just for contact sports. If you are riding a bike, scoot, roller blades or a hover board, make sure to protect your head with a helmet.
  3. Wear gear that fits: It might seem obvious but you would be surprised how many people wear protective gear that does not fit properly. Gear that is too big or too small may not adequately protect your body in a collision or a fall.
  4. Sun Safety: Pads and helmets are great for protecting your bones but what about your skin? Be sure to apply sunscreen all over and to reapply every few hours.
  5. Know your limits: While playing sports in the heat of summer, your body is more prone to fatigue easily. Be sure to take breaks and listen to your body. This might mean cutting a practice short or sitting out more than normal.
  6. Check playground equipment: Do not trust that all playground structures are safe. Faulty equipment as well as structures that are not age appropriate can be an issue. Cruise the playground for a safety check before letting your kids loose.
  7. Swimming safety: There are many safety concerns if you plan to swim or your kids plan to swim this summer. Make sure a lifeguard is on duty, wear a life vest if needed and never leave children unattended near the water.
  8. Stretch: No matter what sport or physical activity you enjoy during the summer months, be sure to properly stretch, warm up and cool down.
  9. Know when to stop: If you start to feel pain during an activity, STOP! What might start as a small injury, strain or sprain could get worse if you push yourself. If you experience pain that worsens or does not get better, seek an evaluation by a doctor.
  10. Proper footwear: What you put on your feet is very important, especially during the summer. Do not wear sandals or attempt to go barefoot if you plan to exercise or engage in a sport.

Don’t let an injury slow down your summer fun! Take precaution and avoid preventable injuries so you and your family can get the most out of this fun time of year. As always, if you do sustain an injury, be sure to see a qualified physician such as an orthopaedic surgeon.

Baseball Injuries: Prevention Tips for Youth Catchers

Baseball Injuries

Spring training brings feverish excitement as the baseball season begins. But along with the renewed enthusiasm for the sport comes an increase in common baseball injuries. From upper body to lower extremities, no limb is safe when it comes to injury.

If you are a catcher or have a child that plays this position, there are several baseball injuries that can bring an abrupt stop to the season. The range of physical activity during a game or practice varies significantly for a catcher. Both the upper and lower body are put to work, creating strain on legs, knees, back, shoulders and elbows.

Common Injuries for Catchers

Knee Injuries:

The position that a catcher takes during a baseball game puts an enormous amount of stress on the knees. Therefore, it is not surprising that catchers are prone to some common knee injuries. These injuries include but are not limited to: meniscus tears, muscle strains and tendonitis. The severity of these injuries varies greatly but often, catching them early can mean the difference between a short recovery and a season-ending issue.

Shoulder Injuries:

The shoulder is a very complex joint. Therefore, it is no surprise that there are a number of baseball injuries that can occur for a catcher. Some of the most common types of shoulder injuries for a catcher include: superior labrum anterior to posterior (SLAP) tear, bicep tendinitis, rotator cuff tears, shoulder instability and scapular rotation dysfunction.

Elbow Injuries:

With every throw a catcher makes, stress occurs to the shoulder and elbow. Overuse injuries are very common for pitchers and catchers alike due to the repetitive motion of the throwing arm throughout practices and games. Some of the most common baseball injuries resulting from throwing include: ulnar collateral ligament (UCL) injuries, ulnar neuritis and valgus extension overload.

When it comes to baseball injuries, there are several ways to get hurt if you are a catcher. As you can see, most of the injuries listed above result from overuse. But there are a number of ways to prevent many of these baseball injuries.

Preventing Baseball Injuries in Catchers

  • Follow guidelines limiting number of innings and number of throws per game for a catcher.
  • Work with coaches on proper form and technique.
  • Participate in proper conditioning exercises. The stress put on the body of a pitcher can be reduced with proper strengthening techniques. Be sure to work with your coaches and trainers to ensure the correct exercises.
  • Overuse injuries can be prevented if you listen to your body and allow for proper recovery time. What might start out as a small injury can easily develop into something more serious if you do not allow time to heal.

Don’t let a baseball season slow you down this year. Take the proper steps to prevent an injury so you can get the most out of your year.


Common Winter Orthopaedic Injuries and Prevention

Winter is coming and along with it, a seasonal trend of orthopaedic injuries. Common winter orthopaedic injuries can mean a big damper on your holiday spirit. But the change in the weather does not need to mean a trip to see your orthopaedic surgeon. There are plenty of ways to avoid many of the most common winter orthopaedic injuries.

Here is a list of the most common winter orthopaedic injuries:

  • Hand fractures resulting from a fall often on ice or a slippery wet surface.
  • Distal radius (wrist fractures) often associated with attempting to break a fall with outstretched hand. This type of injury can also result from a skiing, ice skating or snow boarding fall.
  • Ankle fractures can easily occur when an individual falls or twists the ankle. Orthopaedic surgeons often treat individuals that have fallen from a ladder while hanging holiday lights or decorations.
  • Knee injuries, including a torn meniscus or torn anterior cruciate ligament (ACL), are common for winter sports enthusiasts. Skiers and snowboarders can be at higher risk for this type of injury in the winter months especially when the body is fatigued at the end of a long day on the slopes.

How can you avoid the above common winter orthopaedic injuries? Follow a few simple tips and your chances of sustaining an injury should decrease over the next few months.

  • Wear proper footwear. Your feet are the first thing that hit the ground when you venture out from the house. Be sure that you have tread on your shoes and good ankle supports especially if the ground is covered in ice or snow.
  • Make sure to salt sidewalks and parking lots. Even the smallest spot of ice can land you flat on your back in a split second.
  • Be aware of your surroundings. This is important especially at night. Be sure to hold hand rails when going down slick stairs and always look before you step.
  • When participating in winter sports, always be sure to wear proper protective gear, including a helmet.
  • Properly hydrate. The body can easily become dehydrated in the winter despite the fact that temps are chilly. Whether shoveling the snow or hitting the slopes, make sure to drink plenty of water throughout the day.
  • Allow plenty of time. Rushing and walking quickly can increase the likelihood that you might fall on a slippery surface. Be sure to allow extra time when leaving the house.

If you do succumb to one of the common winter orthopaedic injuries, be sure to seek the treatment of a board certified orthopaedic surgeon.

Bunions: Surgical and Non-Surgical Treatment

If you have a bunion, you know how painful and uncomfortable it can be to get through your daily routine. Bunions form at the base of the big toe creating a deformity in the joint. As the big toe pushes against the next toe, it causes the joint to protrude, often appearing red and swollen.

Bunions can be painful and can create limitations in your daily life. In addition to limited movement in the big toe joint, the pain can worsen depending on the type of footwear you choose.

How can you find relief if you suffer from bunions? There are a number of options, both surgical and non-surgical. Making an appointment with an orthopaedic surgeon that specializes in foot and ankle is a great way to determine the best treatment options for you. After a physical examination and possibly an x-ray, the orthopaedic surgeon can help you develop a treatment plan.

Here are some of the common ways to treat bunions:

  • Use ice to hep reduce swelling and inflammation.
  • Find and wear shoes that are comfortable, supportive and allow plenty of room for your toes. Wearing shoes with a wider toe box will alleviate cramping.
  • Arch supports or orthotics that insert into your existing shoes can also help by distributing weight evenly on your feet.
  • Cortisone injections along with nonsteroidal anti-inflammatory medications can provide temporary relief by reducing swelling.
  • Surgical treatment options include straightening the toe out by removing some of the bone and/or removing inflamed tissue surrounding the joint.
  • A surgeon might elect to realign the bone or in some cases even fuse the bones in the joint together permanently.

Suffering from bunions does not have to be an accepted part of your life. If you have bunions that cause pain and limit your daily activity, make an appointment with an orthopaedic surgeon to get a clear diagnosis and a treatment plan.


Top Running Injuries and How to Prevent Them

Running season is in full swing and that means it is prime time for a variety of lower body injuries. Running injuries can happen to the novice athlete as well as a seasoned runner. If you are a runner or thinking about becoming a runner, it is important to know how best to avoid injury.

Some of the top running injuries include:

  1. Shin splints are a painful type of injury that often result from overuse. Also known as medial tibial stress syndrome (MTSS), shin splints are often marked by a feeling of pain on the inside portion of the tibia.
  2. Plantar fasciitis is a sharp, tight sensation on the bottom of the foot. Plantar fasciitis can result from overuse as well as not wearing supportive footwear.
  3. Runner’s knee, Patellofemoral pain syndrome (PFPS), is another common running injury. It is characterized by pain felt under the kneecap caused by an inflammation in the tissues where the patella meets the femur.
  4. Illiotibial band syndrome can be confusing for some runners as the symptoms can seem like a knee injury. The illiotibial band runs from the pelvis down to the knee. Pain from this syndrome can range from the hip, down the leg and around the knee area.
  5. Stress fractures resulting from running are very common and painful. Frequently characterized as an overuse injury, stress fractures develop due to the repetitive, high impact nature of running.
  6. Ankle sprains can easily happen for a runner no matter how experienced you are. Sprains result from a twisting or rolling of the ankle joint that stresses the ligaments of that joint. Symptoms include swelling and inability to bear weight on the foot.

Running injuries range dramatically in severity and duration. Some injuries can take months to recover from while others can be treated effectively over a few weeks. Preventing running injuries is definitely easier than treating them so make sure you take proper precautions no matter how experienced you are as a runner.

Preventing running injuries can be fairly simple. Being prepared with supportive footwear is one of the most important things you can do. Make sure you are fitted for the correct size and with a shoe that offers good support.

Another key for preventing running injuries is fueling your body. In addition to hydrating before, during and after a run, you should also take in a balance of protein, carbs and leafy greens. Keeping your body strong and hydrated during a run prevents fatigue that can lead to poor form.

Be sure to stretch before and after your run to prevent sore muscles. Further, space out your runs rather than running multiple days in a row. The high impact nature of this sport makes it likely to develop overuse injuries quickly.

Running injuries are very common. If you do suffer from an injury, you can try treating it at home with rest, ice, compression and elevation (R.I.C.E.). However, if your injury makes it painful to walk or if it has not gotten better after a few days, it is best to seek evaluation from an orthopaedic surgeon.