You’ve done the night splints, the insoles, the frozen water bottle. Every time you think it’s gone, you take a step out of bed and it’s right back. Dr. Aneesh Garg, DO, CAQ says the reason it keeps coming back is simple: you’re treating the wrong problem. Chronic plantar fasciitis isn’t an inflammation issue — it’s tissue degradation. And no anti-inflammatory treatment, including cortisone shots, will fix a tissue degradation problem. In this episode he breaks down why steroid injections make the tissue weaker, why focused shockwave is the gold standard treatment, and what actually works for heel pain that’s been going on for months or years.
Chapters:
- 0:00 Why plantar fasciitis keeps coming back
- 0:48 Why chronic plantar fasciitis is a misnomer — it’s fasciosis, not inflammation
- 1:44 Tissue degradation vs. inflammation — why the distinction changes everything
- 3:19 Would a cortisone shot finally fix my plantar fasciitis?
- 3:27 No — and here’s why steroid injections make it worse
- 5:38 What to read at dynamicathlete.com before your next appointment
- 7:36 What actually works for plantar fasciitis that’s been going on for months or years
- 7:42 Focused shockwave is the gold standard — one of the first FDA-cleared indications
- 8:18 How EMTT creates a better healing environment before shockwave targets the tissue
- 9:17 When to add PRP or stem cells for that last 10 to 20%
- 10:04 What treatment actually looks like for someone who’s had this for years
- 13:12 Why don’t more doctors recommend shockwave for plantar fasciitis?
- 15:12 Buying back years of pain-free life — what the investment actually looks like
- 17:07 Patients who said shockwave didn’t work — and what changed at Dynamic Athlete
- 19:43 The big takeaways: tissue degradation, no steroids, focused shockwave
