PRP & Prolozone Therapy for Plantar Fasciitis and Tendonitis in Folsom
For heel, Achilles, and elbow pain that hasn’t responded to orthotics, rest, or cortisone — treatment aimed at the degenerated tissue itself.
- No surgery, no boot
- Same-day, in-office procedure
- For pain lasting 6+ months
Most evaluations are scheduled within 48 hours.
Chronic tendon pain isn’t inflammation
After a few months, the tissue problem changes — and so should the treatment.
The pain that greets you in the morning
Plantar fasciitis and chronic tendinopathy share a pattern: worst on the first steps, easing with movement, then returning with a vengeance later.
Stabbing first steps
Getting out of bed and putting weight on the heel is the worst moment of the day.
Eases, then returns
Warms up after ten minutes of walking, then hurts badly again after sitting or at day’s end.
Tender Achilles or heel
A specific painful spot you can press on, often with a thickened band you can feel.
Elbow pain gripping
Tennis or golfer’s elbow — pain shaking hands, lifting a kettle, or turning a doorknob.
Why rest and orthotics stop working
These are reasonable first steps. When symptoms pass the six-month mark, the underlying tissue has usually changed and needs a different approach.
What usually gets tried
- Custom orthotics redistribute load but don’t repair degenerated tissue.
- Rest reduces pain temporarily; symptoms return once loading resumes.
- Cortisone into a tendon carries a recognised risk of rupture, especially the Achilles.
- Anti-inflammatories target inflammation that is largely absent in chronic cases.
Regenerative approach
- Injection placed into the degenerated tissue under ultrasound guidance.
- Aimed at prompting a repair response in tissue that has stopped healing on its own.
- No walking boot, no immobilisation, no surgical release.
- Combined with progressive loading, which is what actually remodels tendon.
Two therapies for stubborn tendon and fascia pain
Both are used for chronic cases where the tissue is degenerated rather than acutely inflamed.
PRP Treatments
Platelet-rich plasma injected into the plantar fascia or affected tendon to deliver growth factors and prompt collagen remodelling. The primary tool for chronic tendinopathy.
Explore PRP treatmentsProlozone Therapy
Oxygen-ozone injections used to improve the local tissue environment and reduce pain in chronic fascial and tendon problems.
Explore prolozone therapyWho these injections are built for
This is treatment for chronic cases. If your pain started three weeks ago, conservative care first is the right answer.
Loading work is not optional. Injection alone rarely produces lasting change in tendon. The eccentric loading programme that follows is what remodels the tissue — we’ll be direct with you about that.
- Plantar fasciitis lasting longer than six months
- Achilles tendinopathy that hasn’t responded to loading programmes
- Tennis elbow or golfer’s elbow (epicondylitis)
- Patellar tendinopathy — ‘jumper’s knee’
- Cortisone that helped briefly, or that you’d rather avoid
Three steps from evaluation to recovery
Tendon ultrasound check
We image the fascia or tendon to confirm the diagnosis, grade the degeneration, and rule out a partial tear.
Micro-targeted injection
Treatment placed precisely into the degenerated region under ultrasound guidance.
Tissue remodelling
A progressive eccentric loading programme — the part that converts the injection into a durable result.
Your questions, answered
Because chronic plantar fasciitis usually isn’t an inflammatory problem despite the name. After several months the tissue shows degeneration rather than active inflammation, so an anti-inflammatory has little to act on. Cortisone can also thin the fat pad under the heel with repeated use, which makes things worse long-term.
Many patients do well with one to three sessions spaced several weeks apart. Improvement is gradual and typically builds over two to three months as the tissue remodels.
Injections into fascia and tendon are more uncomfortable than joint injections — we won’t pretend otherwise. The area is numbed first, and the procedure is brief. Expect a few days of increased soreness afterward, which is part of the intended response.
You’ll need to modify load for a period after injection, then rebuild gradually through the loading programme. Complete rest is not the goal — controlled loading is what drives tendon remodelling.
PRP is commonly used for Achilles tendinopathy and doesn’t carry the rupture risk associated with corticosteroid injection into that tendon. Any partial tear found on ultrasound changes the plan, which is why we image first.
Put your foot down first thing
Book a consultation with our Folsom naturopathic team to find out if PRP or prolozone is right for your heel, Achilles, or elbow pain.
Bring any imaging you’ve had — we’ll review it with you.
Medical disclaimer: The information on this page is for general education and is not medical advice, diagnosis, or treatment. The regenerative therapies described here are not FDA-approved to cure, treat, or prevent any disease. Individual results vary and no specific outcome is guaranteed. Candidacy is determined only after an in-person evaluation with a licensed provider.