Condition Guide · Atlanta, GA

The heel pain that won't go away on its own

Most heel pain settles down within a few months. When it doesn't — when that first-step-in-the-morning stab is still there after a year of stretching, icing, and new shoes — the problem is usually no longer inflammation. It's degeneration of the plantar fascia itself, and that's a different problem with different answers.

6
Atlanta specialists
~15 min
in-office procedure
Local
anesthesia only

Firsthand Account

A Patient Describes the Procedure

Hear what the TenJet procedure involved from someone who has already had it, rather than from a brochure.

TenJet Patient Testimonial

Video courtesy of HydroCision, Inc., the maker of TenJet®. Individual results vary; this patient's experience is not a guarantee of outcome. Talk with a specialist about whether the procedure is appropriate for you.

Understanding The Condition

"Fasciitis" is a bit of a misnomer

The name implies inflammation — -itis — but researchers looking at long-standing cases under the microscope rarely find much of it. What they find instead is a fascia that has broken down at the microscopic level and failed to rebuild, much like a rope fraying from the inside. That distinction is the whole reason chronic cases behave so differently from fresh ones.

Pain concentrates at the inside of the heel, where the fascia anchors to the bone
It is sharpest with the first few steps after rest, then eases as tissue warms
Because it is degenerative rather than inflammatory, anti-inflammatories often disappoint over the long run
A diagnostic ultrasound can show fascia thickening and breakdown directly

See The Procedure

TenJet® in Action

Official demonstration video from HydroCision, the maker of TenJet, alongside a look at how ordinary inflammation differs from the deeper tissue degeneration behind stubborn heel pain.

TenJet Achilles & Plantar Fascia Tendinopathy — Procedure Technique

Healthy tendon fiber structure diagram
Healthy Tissue
Inflamed tissue diagram
Acute Inflammation
Degenerated fiber diagram
Chronic Degeneration

Diagrams and video courtesy of HydroCision, Inc.

Where TenJet Fits

Removing the damaged tissue, sparing the rest

When months of conservative care haven't resolved chronic plantar fasciitis, TenJet gives a specialist a way to address the degenerated fascia directly — without an open incision through the heel and the long recovery that comes with it.

Real-time ultrasound guides the specialist to the exact area of breakdown
A high-pressure saline stream emulsifies only the diseased tissue
Integrated suction removes that debris in the same motion
Healthy fascia around the treatment zone is left intact
Entry is through a small incision — about 15 minutes, local anesthesia, and home the same day
Reimbursed by Medicare and most private insurers
Read the technical details at hydrocision.com →

Common Questions

Frequently Asked Questions

How long should I try conservative treatment first?

Generally a meaningful trial of stretching, orthotics, therapy and activity modification over several months. Tenotomy is considered for pain that persists beyond that.

Does the fascia fully return to normal thickness?

Not always. In one published case thickness improved by roughly 16 percent and remained above normal, yet the patient's pain resolved and he returned to running.

Is the incision on the bottom of the foot?

Access is planned from the imaging and made where the degenerated tissue can be reached safely. It is a small incision, closed simply, rather than an open surgical wound.

How soon do most people feel better?

Published data describes noticeable change around two weeks with continued improvement over roughly three months, though heel pain recovery varies considerably between patients.

This information is general and is not medical advice. Whether any procedure is appropriate for you can only be determined by a physician who has examined you and reviewed your imaging.

Speak Directly With Each Physician's Office
Call the office below that matches the specialist you'd like to see about chronic heel pain.
CC
Sports Medicine & PM&R
Northside Hospital Orthopedic Institute
(770) 795-5620
MS
Non-Operative Orthopedics
Northside Hospital Orthopedic Institute
(770) 758-5059
KK
Dr. Kamal Kabakibou, MD
Interventional Pain Medicine
Center for Pain Management, Atlanta
(404) 882-9778
EO
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
OH
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
UN
PM&R & Spine
Resurgens Orthopaedics, Covington & Decatur
(404) 856-3706