PRP Therapy for Plantar Fasciitis
Ultrasound-guided platelet-rich plasma injections for chronic plantar fasciitis — addressing the degenerated heel tissue at its source for longer-lasting relief than cortisone.
How PRP for Plantar Fasciitis Works
1. Draw
A small sample of your own blood is drawn — the same as a routine lab draw.
2. Concentrate
It is spun in a centrifuge to concentrate the platelets and growth factors 5–7× above baseline.
3. Inject (ultrasound-guided)
Dr. Birch (RMSK) injects the PRP precisely into the injured tissue under real-time ultrasound.
Dr. Jonathan Birch (NMD, RMSK) has performed thousands of ultrasound-guided regenerative injections. Real-time imaging means the PRP reaches the exact tissue that needs it — not just the general area.
Important: PRP therapy is generally not covered by insurance and is fee-for-service at Purety Clinic. We provide transparent pricing at consultation and a superbill you may submit for potential out-of-network reimbursement.
Why PRP for Plantar Fasciitis
Plantar fasciitis is that sharp, stabbing heel pain — worst with the first steps in the morning — caused by strain and degeneration where the plantar fascia attaches to the heel bone. Like other chronic tendon and fascia problems, long-standing cases are really "fasciosis": tissue breakdown with a stalled healing response, which is why they can drag on for many months.
PRP delivers concentrated platelet growth factors into the damaged fascia, restarting a genuine repair process. For chronic plantar fasciitis that has not responded to stretching, orthotics, and night splints, the goal is durable healing rather than the temporary numbing a steroid shot provides — and without the steroid's risk of fat-pad atrophy or fascia rupture at the heel.
Dr. Birch (RMSK) performs the injection under ultrasound, which shows the thickened, degenerated portion of the fascia and guides the PRP precisely to it — important in a small, sensitive area where placement and safety really matter.
What the Research Shows
Plantar fasciitis is one of the better-supported foot indications for PRP. Multiple randomized trials and meta-analyses comparing PRP to corticosteroid injection find that cortisone provides faster early relief, but PRP delivers comparable or superior pain reduction by around 3 months — and the improvement tends to last longer, with relapse far more common after steroid.
PRP also avoids the specific downsides of repeated heel steroid injections, namely heel fat-pad atrophy and the small but real risk of plantar fascia rupture. For chronic, treatment-resistant heel pain, that durability and safety profile is why many clinicians prefer PRP.
PRP is a procedure, not an FDA-approved drug, and results vary by patient. Candidacy and realistic expectations are reviewed at consultation.
Who Is a Candidate for PRP for Plantar Fasciitis?
- Chronic plantar fasciitis / heel pain lasting more than 3 months
- Classic first-step morning heel pain that limits standing, walking, or exercise
- Failed or only briefly helped by stretching, orthotics, night splints, or a prior cortisone shot
- Prefer a treatment that supports healing over repeated steroid injections in the heel
- No active infection, untreated bleeding disorder, or contraindication to injection
Final candidacy is determined at consultation by Dr. Birch after review of your history, exam, and any imaging. PRP is not right for every patient, and we will tell you directly when it is not the best tool for your injury.
What the Plantar Fasciitis Protocol Looks Like
Plantar fasciitis often responds to a single ultrasound-guided PRP injection, with a second injection 4–6 weeks later reserved for more stubborn cases. The visit takes about 45 minutes — blood draw, centrifuge spin, and the guided injection into the fascia. We give you specific guidance on footwear, stretching, and activity for the days afterward.
The heel can be sore for several days, and because that early inflammation is part of the healing response, we ask you to avoid anti-inflammatory medication during this window. Most patients notice steady improvement over 6–12 weeks, supported by a calf and fascia stretching program.
Want the full picture on PRP & regenerative medicine?
See our complete overview of PRP, stem cell, and prolotherapy injections — how each works, what to expect, and the conditions we treat.
Read the Full PRP OverviewFrequently Asked Questions: PRP for Plantar Fasciitis
From the Blog
All ArticlesTwo Licensed Naturopathic Medical Doctors. One Practice.
The naturopathic medical doctors caring for our patients at Purety Family Medical Clinic.
Dr. Jonathan Birch, NMD, RMSK
Founder · Naturopathic Medical Doctor
Licensed Naturopathic Medical Doctor and Registered in Musculoskeletal Sonography. Practicing root-cause integrative medicine since 2014. Areas of focus include FMT and microbiome restoration, hormone and thyroid optimization, autoimmune and Long COVID protocols, ozone and IV nutrient therapy, and PRP and regenerative injections.
Read Dr. Birch's full bioDr. Dena Birch, NMD
Naturopathic Medical Doctor · Women's Health & Pediatrics
Licensed Naturopathic Medical Doctor leading our women's health and holistic pediatric care. Areas of focus include perimenopause and bioidentical hormone therapy, PCOS and thyroid, fertility support, pediatric eczema, immune issues and recurrent infections, and gentle well-child care for families.
Read Dr. Dena's full bioDiscuss PRP for Plantar Fasciitis with Dr. Birch
Call (805) 500-8300 or submit a consultation request. Remote consultations available for patients outside Santa Barbara.
(805) 500-8300
