Русский 
English 
Deutsch 
Español 
العربية 
中文 
Türkçe 
Français 
Italiano 
Video about the MIBRAR® Method
What is plantar fasciitis
Plantar (plantar) fasciitis is a degenerative lesion of the plantar aponeurosis at its attachment to the calcaneus. The most common cause of heel pain — up to 10% of the population over a lifetime. Characteristic symptom: sharp pain with the first steps in the morning, which decreases after "walking it off".
Causes and Risk Factors
Overload
Prolonged standing (teachers, surgeons, hairdressers), running (especially on hard surfaces), sudden increase in load. Load on the fascia during walking — up to 2 times body weight, during running — up to 3.
Biomechanics
Flat feet (foot pronation), high arch (rigid foot), shortening of the Achilles tendon and gastrocnemius muscle, leg length discrepancy. Any biomechanical disorder increases the load on the fascia.
Excess Weight
BMI > 30 — independent risk factor. Each extra kilogram increases the load on the fascia with every step.
Age
Peak 40-60 years. With age, the thickness of the heel fat pad decreases and fascia elasticity diminishes.
Fasciitis vs Heel Spur
Common Misconception
Heel spur (osteophyte) is a consequence, not a cause of pain. 50% of people with heel spurs have no pain. Conversely, fasciitis can occur without a spur. The fascia must be treated, not the spur. Removal of the spur without fasciitis treatment does not solve the problem.
Diagnosis
Clinical Presentation
Pain in the medial part of the heel with the first steps in the morning — pathognomonic symptom. Tenderness on palpation of the medial tuberosity of the calcaneus. Increased pain with dorsal flexion of the foot (fascia stretch).
Ultrasound
Fascia thickening > 4 mm (normal 2-4 mm) — main criterion. Hypoechogenicity at the attachment site. Doppler — neovascularization in chronic process. Allows detection of partial tears.
MRI
For unclear diagnosis or ineffective treatment. Visualizes fascia, bone marrow edema of the calcaneus, perifascial edema. Rules out stress fracture, tumor.
X-ray
To assess heel spur (if present). However, presence or absence of spur does not determine fasciitis treatment strategy.
Treatment of Fasciitis using the MIBRAR® Method
MIBRAR® regenerates degenerated fascia at the cellular level — unlike cortisone, which only suppresses inflammation and weakens tissue.
Under high-frequency ultrasound control, the exact area of fascia degeneration is identified for targeted injection.
2. CGF Injection
CGF (in severe cases + Lipogems®) is injected in a fan-shaped pattern into the fascia damage zone at the medial tuberosity of the calcaneus. Growth factors (PDGF, TGF-beta) stimulate collagen synthesis. Stem cells differentiate into fibroblasts.
3. Result
Normalization of fascia thickness and echostructure on follow-up ultrasound in 3-6 months. Disappearance of morning pain in 2-4 weeks. Full effect in 3-6 months.
Morning pain is not normal
Untreated chronic fasciitis progresses. MIBRAR® fascia regeneration is a long-term solution.
Book a consultationQuestions about plantar fasciitis
Overnight, the damaged fascia partially heals in a shortened position. The first steps stretch it again, causing microtears and sharp pain. After "walking it off," the fascia adapts and the pain decreases.
No. The spur is a consequence of fascia tension, not the cause of pain. The fascia must be treated. After MIBRAR® fascia regeneration, pain resolves regardless of the spur's presence.
ESWT has moderate effectiveness (50-70%). It creates microtrauma to stimulate healing. MIBRAR® is significantly more effective: direct delivery of growth factors and stem cells to the damage zone.
Running worsens fasciitis. During treatment, replace running with swimming or cycling. After MIBRAR®, return to running in 4-6 weeks using orthopedic insoles.