Main causes of foot pain

The foot is a complex structure of 26 bones, 33 joints and more than 100 ligaments. So there are many possible sources of pain. A diagnosis is made after ultrasound and MRI.

Plantar fasciitis / "heel spur"

Inflammation and microtears of the plantar aponeurosis. Typical complaint — sharp pain under the heel with the first morning steps, which eases after walking but returns by evening. The X-ray spur is an incidental finding, not the cause of pain.

Achilles tendinopathy

Tendinopathy of the Achilles tendon. Pain and thickening above the heel, morning stiffness, limited dorsiflexion. Typical for runners, with overload, and in middle age.

Ankle arthrosis

Usually post-traumatic — after ankle fractures and chronic instability. Pain on loading, stiffness, crepitus, restricted range of motion.

Metatarsalgia

Forefoot pain under the metatarsal heads. Sensation of a "pebble" or "sock fold." Associated with overload, deformities (hallux valgus), arch changes.

Morton's neuroma

Thickening of an interdigital nerve. Burning, shooting pain and numbness between the 3rd and 4th toes, especially in narrow shoes. Hypoechoic mass on ultrasound.

Hallux valgus and hallux rigidus

Deformity and arthrosis of the first metatarsophalangeal joint. Pain on walking, restricted big toe extension, "bunion." MIBRAR® started early slows progression.

Pain in the heel

Plantar fasciitis

Classic complaint: "first steps in the morning — like walking on nails." Pain under the heel, worsens after prolonged standing. Confirmed by ultrasound — aponeurosis thickening over 4 mm.

Achilles tendinopathy

Pain behind and above the heel, in the Achilles zone. Typical thickening of the tendon 2–6 cm from its insertion. Ultrasound — hypoechoic areas and neovascularization.

MIBRAR® treatment

Ultrasound-guided CGF or PRP precisely into the zone of maximum degeneration. 2–3 sessions with a 2–4 week interval. Return to activity in 2–6 weeks. Surgical fasciotomy becomes unnecessary in most cases.

Pain in the ankle

Most frequent diagnoses: post-traumatic arthrosis, osteochondral talar lesions, tendinitis around the ankle, chronic instability.

Cartilage regeneration

In stage I–II ankle arthrosis, Lipogems® Ortho + CGF restore cartilage and subchondral bone. An alternative to arthrodesis and endoprosthesis.

Focal chondral defects

Osteochondral lesions of the talus (OCD) often require combination with microfracture or AMIC. MIBRAR® boosts the biological response.

Tendinitis

Posterior tibial, peroneal, anterior tibial — all respond to ultrasound-guided CGF/PRP injections.

Forefoot and midfoot

Metatarsalgia, Morton's neuroma, arthrosis of the naviculo-cuneiform joint — all follow the same treatment principle: a precisely targeted ultrasound-guided injection. In Morton's neuroma, MIBRAR® often avoids neurectomy (nerve removal), preserving toe sensation.

30–60 minProcedure duration
2–4Sessions per protocol
0Hospital stay
2–4 moReturn to running

Foot pain treatment with MIBRAR®

The procedure is outpatient, with no incisions and no general anesthesia. The patient goes home the same day and walks immediately. A full protocol is usually 2–4 sessions with a 2–4 week interval. Follow-up at 3 and 6 months with ultrasound or MRI.

Expected result — pain reduction by 2–4× on the visual analog scale, return to sport in 2–4 months. No method in medicine gives guarantees; efficacy depends on stage and individual factors.

Describe your case — get a plan

Upload a foot MRI or ultrasound and a short complaint description. Our clinic doctor will provide a free preliminary opinion.

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Frequently asked questions

Why does my foot hurt in the morning?

Morning heel pain with the first steps — classic plantar fasciitis. MIBRAR® regenerates the fascia with ultrasound-guided injections.

What is the difference between a heel spur and fasciitis?

A "spur" is a bony outgrowth seen on X-ray and does not hurt by itself. The inflamed plantar fascia nearby does. The fascia is what needs treatment.

Is surgery needed for ankle arthrosis?

Usually not at stage I–II. MIBRAR® lets you avoid arthrodesis and endoprosthesis. At III–IV — individual.

Can I run after treatment?

Yes. Most patients return to running within 2–4 months after a full protocol.

Does MIBRAR® help with Achilles tendinopathy?

Yes, this is one of the main indications. Ultrasound-guided CGF/PRP stimulates collagen regeneration.