Foot & Ankle Conditions: Non-Surgical Treatment in Palm Beach
The foot and ankle are among the most commonly injured areas in active individuals, particularly in the South Florida lifestyle of running, tennis, golf, pickleball, and year-round activity. At Palm Beach Regenerative, Dr. Ghattas treats a range of foot and ankle conditions including plantar fasciitis, Achilles tendon injuries, ankle ligament tears, and ankle osteoarthritis.
Image-guided orthobiologic treatment provides a precise, non-surgical approach to addressing the underlying tissue pathology in these conditions. Give us a call to find out more.
What Are Plantar Fasciitis & Ankle Conditions?
Common foot and ankle conditions treated at Palm Beach Regenerative include:
- Plantar Fasciitis: Degeneration and micro-tearing of the plantar fascia, the thick band of tissue along the bottom of the foot connecting the heel to the toes. It is the most common cause of heel pain in active adults.
- Achilles Tendon Injuries: Partial tears, tendinosis, or chronic thickening of the Achilles tendon, particularly common in runners and court sport athletes.
- Ankle Ligament Tears: Sprains of the lateral ankle ligaments (ATFL, CFL) that result in chronic instability or pain.
- Ankle Osteoarthritis: Cartilage degeneration within the ankle joint, often following prior ankle fractures or repeated sprains.
Signs and Symptoms
- Plantar fasciitis: Sharp heel pain, worst with the first steps in the morning or after rest
- Achilles: Posterior heel or calf pain, morning stiffness, pain with running or jumping
- Ankle ligament: Chronic ankle instability, recurrent sprains, swelling after activity
- Ankle OA: Deep ankle joint pain, stiffness, swelling, difficulty walking on uneven surfaces
Common Causes and Risk Factors
- Repetitive impact loading from running, jumping, or court sports
- Training errors, such as sudden increases in activity or mileage
- Biomechanical factors: flat feet, high arches, leg length discrepancy
- Prior ankle injuries or fractures
- Age-related tendon and cartilage degeneration
- Excess body weight
How It Is Diagnosed
Diagnostic musculoskeletal ultrasound allows real-time visualization of the plantar fascia, Achilles tendon, and ankle ligaments, confirming the degree of degeneration or tearing, and guiding treatment planning.
MRI provides comprehensive assessment for ankle joint arthritis, ligament tears, and bone pathology. Dr. Ghattas uses the appropriate imaging tool for your specific condition.
Conventional Treatment Options
- Physical therapy: Stretching, eccentric loading programs, and gait correction
- Orthotics and footwear modification
- NSAIDs for short-term symptom management
- Steroid injections: May provide temporary relief but can weaken plantar fascia or Achilles tendon with repeated use
- Extracorporeal shock wave therapy (ESWT): Supported for plantar fasciitis
- Surgery: For refractory cases: plantar fascia release, Achilles debridement, or ankle fusion/replacement
The Palm Beach Regenerative Approach
For plantar fasciitis, Achilles tendinopathy, and ankle ligament injuries, image-guided platelet injection delivered precisely to the degenerated tissue under real-time ultrasound provides growth factors that support the body’s natural tendon and ligament healing response.
For ankle joint osteoarthritis, orthobiologic injection into the ankle joint under fluoroscopic guidance may help manage inflammation and symptoms.
All procedures are performed under real-time image guidance, which is critical for accurate treatment delivery in the complex anatomy of the foot and ankle.
The BioMod Advantage: At Palm Beach Regenerative, treatment does not end with a single injection. Through our BioMod Lab, Dr. Ghattas may combine your orthobiologic procedure with MLS Robotic Laser Therapy to reduce inflammation and support tissue recovery, alongside customized Xymogen supplement protocols designed to optimize your body’s healing environment. This integrated, concierge approach is what sets Palm Beach Regenerative apart from a standard injection clinic.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
NEXT STEP
Consultations Are Usually Available Within 1 to 2 Weeks
Request a consultation or call (561) 501-3900.
●PATIENT OUTCOMES
Patient Experiences
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
These testimonials reflect the real-life experiences of patients with the Regenexx protocol but are not necessarily typical of what you or any other patient might experience. Individual results of the procedures using Regenexx lab processes will vary depending on a number of factors, including your diagnosis, the severity of your condition, your overall health, and others. To better understand what large numbers of patients experience on average, please visit the Patient Results page, and inquire with a physician within the licensed Regenexx network near you.
