How can Baird Vascular Institute at VCU Health help my heel pain?

baird heel pain

Tendons are the tough, flexible bands of tissue that connect your muscles to the bones in your joints, working together to allow all the twisting, gripping, grabbing, bending and lifting in your busy life. But repetitive pounding motions can cause microscopic tears every time you use your tendon. As you keep at it, these micro tears do not have time to heal properly and, unless treated, can get worse, making you suffer for months or years. This condition is often called simply tendinitis (tendon inflammation), but usually is actually tendinosis, tendon tissue that has simply broken down from the overuse and micro tears.

You know the feeling – it’s gotten a little worse with time. That little twinge you felt on your daily jog has now become a knife-sharp sting in the exact same spot with every step you take, every day. It’s impossible to ignore the pain…and you shouldn’t. Tendon injuries need attention. Sometimes, rest, therapy and a change in activities may ease the pain…but often the damage is permanent, and only gets worse.

Sometimes you can cope with tendon injuries with ice, rest, physical therapy and other treatments – particularly if you stop the repetitive activity and rest as soon as you feel the very first twinges. More often than not, people try coping with the growing pain, on the job or at play. However, if the damage doesn’t heal properly, or if you continue the activity and increase the damage, you risk long-term injury, constant pain – and giving up an activity you love.

We can help. Using precision ultrasound imaging guidance and a minimally invasive treatment, we can delicately remove the damaged tendon tissue and get you back to the activities you love in a matter of weeks – with little to no pain. Unlike other medical or physical therapies, this procedure safely removes the cause of the pain at the source, and unlike many traditional surgical procedures, it is far less invasive, requires far less recovery time – and has a much higher success rate. The treatment requires only a local anesthetic and a tiny incision, and is virtually pain-free. We use a targeted application of ultrasound energy to break down the damaged tendon tissue while leaving surrounding healthy tissue untouched.

We then use an FDA-cleared device to remove the damaged tendon tissue. You don’t even need stitches. The entire treatment takes about 20 minutes.

Most people won’t need any further treatment, such as physical therapy. You wear a walking boot for a week or two while the area heals. The most common post-procedure problem reported is some soreness, which can generally be treated with over-the-counter pain medication and typically lasts less than a week. In a recent study, doctors reported no other side effects. More than 25,000 people have had the treatment since 2012, with a high rate of satisfaction. In most cases, patients are back to the activities they love in six weeks or less.

Call us at (804) 828-2600 to discuss whether image-guided treatment is the right option for you.

Image Guided Tendon Treatment for Tennis Elbow

Baird tennis elbow

“Excruciating.” That’s the word every active person uses to tell us about the pain of “runner’s heel” (plantar fasciitis), “tennis elbow” and other tendon injuries. That little twinge you felt on your daily jog or practicing your forehand has now become a knife-sharp sting in the exact same spot with every step or every swing you take, every day. It’s impossible to ignore the pain…and you shouldn’t. Tendon injuries need attention. Sometimes, rest, therapy and a change in activities may ease the pain…but often the damage is permanent, and only gets worse.

Until now. Using precision ultrasound imaging guidance and a minimally invasive treatment, we can delicately remove the damaged tendon tissue and get you back to the activities you love in a matter of weeks – with little to no pain.

We’ve talked several times about image guided tendon treatment for plantar fasciitis, but what about tennis elbow? We spoke with Dr. Jeffrey Elbich about the difference in the procedure.

Q. Tell us about the difference in the image guided tendon treatment procedure on the elbow vs. on the heel?

A. The procedure is quite similar; patient positioning is essentially upright in a chair as opposed to lying down. It seems to be a less sensitive area compared with plantar work, but I still give IV medicine (moderate sedation) to maximize comfort. The  procedure time a slight bit quicker because it’s usually smaller treatment zone.

Q. How big is the incision and where is it?

A. The incision is approximately 2-3mm over the lateral (outside) elbow.

Q. What’s the recovery time?

A. For the outpatient procedure, there will be some post-procedural discomfort and swelling expected for a few days, you’ll have some lifting restrictions for about 2 weeks. A patient can expect pain relief an average of 1-2 months after the procedure.

Q. What has the patient reaction been afterward?

A. We’ve had good results with the elbow treatment ~90% success.

Q. What does your ideal patient for this type of treatment look like?

 A. Any individual that has had pain localized to specific location on elbow (lateral epicondyle), going on for more than four months, despite conservative measures and at home remedies. An office visit will confirm the pain location, as well as ultrasound to see if there is targetable tissue.

The treatment requires only a local anesthetic and a tiny incision, and is virtually pain-free. We use a targeted application of ultrasound energy to break down the damaged tendon tissue while leaving surrounding healthy tissue untouched.

Is image-guided treatment right for me?

If you answer yes to these questions, it may be time to discuss our image-guided tendon treatment.

  • Have you given up any activities due to tendon pain?
  • Have you been suffering for three months or longer?
  • Have you taken multiple steps to get rid of your pain without lasting success?
  • Are you tired of masking the pain or enduring it rather than treating it at the source?

Call us at (804) 828-2600 to discuss whether image-guided treatment is the right option for you.

Is image-guided treatment right for me?

baird-image-guided-right-for-me

“Excruciating.” That’s the word every active person uses to tell us about the pain of “runner’s heel” (plantar fasciitis), “tennis elbow” and other tendon injuries. That little twinge you felt on your daily jog or practicing your forehand has now become a knife-sharp sting in the exact same spot with every step or every swing you take, every day. It’s impossible to ignore the pain…and you shouldn’t. Tendon injuries need attention. Sometimes, rest, therapy and a change in activities may ease the pain…but often the damage is permanent, and only gets worse.

Until now. Using precision ultrasound imaging guidance and a minimally invasive treatment, we can delicately remove the damaged tendon tissue and get you back to the activities you love in a matter of weeks – with little to no pain.

If you answer yes to these questions, it may be time to discuss our image-guided tendon treatment.

  • Have you given up any activities due to tendon pain?
  • Have you been suffering for three months or longer?
  • Have you taken multiple steps to get rid of your pain without lasting success?
  • Are you tired of masking the pain or enduring it rather than treating it at the source?

Sometimes you can cope with tendon injuries with ice, rest, physical therapy and other treatments – particularly if you stop the repetitive activity and rest as soon as you feel the very first twinges. More often than not, people try coping with the growing pain, on the job or at play. However, if the damage doesn’t heal properly, or if you continue the activity and increase the damage, you risk long-term injury, constant pain – and giving up an activity you love.

If you’re frustrated with chronic tendon pain or have tried multiple treatment options, image-guided tendon treatment – also called percutaneous tenotomy or fasciotomy – could be the treatment you need for rapid pain relief. Unlike other medical or physical therapies, this procedure safely removes the cause of the pain at the source, and unlike many traditional surgical procedures, it is far less invasive, requires far less recovery time – and has a much higher success rate.

The treatment may require only a local anesthetic and a tiny incision, and is virtually pain-free. We use a targeted application of ultrasound energy to break down the damaged tendon tissue while leaving surrounding healthy tissue untouched.

Most people won’t need any further treatment, such as physical therapy. You wear a walking boot for a week or two while the area heals. The most common post-procedure problem reported is some soreness, which can generally be treated with over-the-counter pain medication and typically lasts less than a week. In a recent study, doctors reported no other side effects. More than 35,000 people have had the treatment since 2012, with a high rate of satisfaction. In most cases, patients are back to the activities they love in six weeks or less.

We treat a range of common tendinitis or tendinosis conditions that can take you out of action:

  • “Runner’s heel” (plantar fasciosis or fasciitis)
  • “Tennis or golfer’s elbow” (lateral or medial epicondylosis of the elbow)
  • Achilles tendinosis

If you’re been coping with tendon pain, it may be time for us to help you get back in action.

 

 

 

Ad campaign featuring our new website is a hit

VCU Baird SHSMD awardsBack in September, we launched a new website and advertising campaign to promote our Image-Guided Tendon Treatment, as a better alternative for pain relief for conditions such as plantar fasciitis, tennis elbow and other tendon issues. The new website, RelieveMyFoot.com, shows an animated character who goes to great lengths to avoid foot pain, including traveling by balloon and being shot out of a cannon.

Created by our advertising agency ndp, and animator Studio Flatlands, the use of a cartoon character to illustrate the pain of plantar fasciitis, and an effective way to relieve it, is unusual, says VCU Health’s Geoff Chestnut.

“We decided that we wanted to pursue something a little more creative than the usual austere and authority driven medical marketing that one so typically sees in the environment today,” he said. “The idea of showing doctors in white coats with smiling patients did not seem to be an approach that would stand out. ndp suggested using animated graphics and interactive, online multi-media components that could easily translate into more traditional forms of marketing such as print, and we’re excited about the results.”

“We wanted each viewer to have an ‘I can relate’ moment when they saw our work,” explained ndp Creative Director Jason Anderson, which is why they compared the pain of plantar fasciitis to stepping on tacks, tiny land mines, and hot coals.

The website recently won a Gold and Best In Show award at the MASHSMD (Mid-Atlantic Society for Healthcare Strategy and Market Development) conference.

Our Image-Guided Tendon Treatment goes beyond conventional therapies such as ice, rest, stretching and steroid injections and works by removing the damaged tendon tissue so that a natural healing process can occur. Unlike traditional surgery, this minimally-invasive process can be completed in around 20 minutes and requires no general anesthesia. For those suffering from the chronic pain of plantar fasciitis, this is good news, say Chestnut, and the new website and advertising materials help explain it.

 

Why would someone need a vascular ultrasound?

Vascular ultrasound is a noninvasive ultrasound method used in vascular screening to evaluate your blood circulation. A vascular ultrasound may also be called a duplex study since it combines traditional ultrasound and Doppler ultrasound.

  • Traditional ultrasound uses sound waves that bounce off blood vessels to create pictures.
  • Doppler ultrasound records sound waves reflecting off moving objects, such as blood, to measure their speed and other aspects of how they flow.

Ultrasound is noninvasive, meaning the vascular screening exam does not require the use of needles, dyes, radiation or anesthesia. Ultrasound imaging uses a small transducer or probe, and ultrasound gel placed directly on the skin. High-frequency sound waves are transmitted from the probe through the gel into the body. The transducer collects the sounds that bounce back and a computer then uses those sound waves to create an image. Since different tissues of the body, such as muscle, bone, and blood vessels have different densities, they show up differently on the image.

Your physician may recommend that you have this vascular screening exam to evaluate the blood flow to specific organs in your body. Vascular ultrasound can be used to evaluate:

  • Blockages to blood flow, such as clots
  • Stenosis or narrowing of vessels, which may be caused by plaque or emboli
  • Tumors, congenital vascular malformations or aneurysms
  • Blood flow to organs and tissues throughout the body
  • Confirm that a blood vessel graft or bypass is working properly
  • Source and severity of varicose veins

Ultrasounds are generally quick and virtually pain-free. The technologists at the VCU Health at Baird Vascular Institute are highly skilled and certified to perform vascular screening ultrasound exams. They work in close collaboration with our physicians to provide the most accurate and useful imaging possible to help diagnose and treat your condition.

 

How does Image Guided Tendon Treatment work?

Image guided tendon treatment is a minimally invasive method to identify and remove pain generating scar tissue from tendons which can occur due to various musculoskeletal conditions such as tennis elbow, golfer’s elbow, jumper’s knee, plantar fasciitis, and Achilles tendonitis. The doctor uses ultrasound imaging, just like the kind used to see babies in the womb, to visualize and identify the specific location of the damaged tendon tissue.

Once the source of your tendon pain is identified, your doctor numbs the area with a local anesthetic, allowing you to stay awake the entire time. Many people say after the numbing process—which feels like a bee sting—they felt only a slight pressure during the procedure (if they felt anything at all). Your doctor then uses gentle ultrasonic energy designed to safely breakdown and remove the damaged tissue. Because the incision is so small and the ultrasonic energy precisely treats only the damaged tendon tissue, the surrounding healthy tissue is left unharmed.

When the procedure is completed, the doctor applies a small adhesive bandage – no stitches are required. Because you are awake during the procedure, many people are able to drive home immediately following the procedure.

With image guided tendon treatment, recovery is rapid and many people are back to normal life within 6 weeks or less. Because the surrounding healthy tissue is not disturbed, and no stitches or general anesthesia is required, there is minimal downtime and less discomfort compared to open surgery.

To learn more, visit http://relievemyfoot.com/.

Source: http://www.tenexfastprocedure.com

http://www.tenexhealth.com/explore-tenex-health/how-does-it-work

What exactly is an Interventional Radiologist?

The VCU Baird Vascular Institute’s medical director, Dr. Malcolm Sydnor, uses fluoroscopic guidance utilizing the latest in interventional technology.

The VCU Baird Vascular Institute’s medical director, Dr. Malcolm Sydnor, uses fluoroscopic guidance to treat a patient with a vascular problem.

Many of the physicians at VCU Baird Institute are Interventional Radiologists. You may have wondered about our specialty, so allow us to explain a bit more.

Interventional Radiologists are specially trained to use minimally invasive, image-guided techniques to diagnose and treat a variety of issues within the human body. The goal is to use the least invasive treatment plan required in order to address the issue, avoid risk to the patient and impact on the body and to speed recovery time. Many times, interventional radiologists are able to treat an issue with less risk, less pain and less recovery time than traditional open surgery.

Interventional radiologists use a variety of tools such as ultrasound, X-ray, CT and MRI technology to target medical issues within the body.

Recognized as a medical specialty by the American Board of Medical Specialties, interventional radiologists are board-certified physicians with additional advanced training in minimally invasive, targeted treatments performed using imaging to guide them. Their board certification includes both Vascular and Interventional Radiology and Diagnostic Radiology, which are administered by the American Board of Radiology.

Interventional radiologists pioneered many of the non-invasive techniques that are commonly used today, such as angioplasty and the catheter-delivered stent. Trained in both radiology and interventional therapy, interventional radiologists possess a combination of skills that are unique to their specialty. Today, an interventional radiologist can treat many of the procedures that once required surgery with a less invasive treatment option.

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