Plantar Fasciitis Specialists in Downtown & Midtown, NY

Gotham Footcare

Podiatrists located in New York, NY

Plantar fasciitis is the most common cause of heel pain, bringing about 2 million Americans to the doctor each year. Podiatrist Miguel Cunha, DPM, and his expert team at Gotham Footcare -- which has two convenient locations in Midtown and Downtown Manhattan, New York, -- can treat your plantar fasciitis and get you back to the activities you love. If heel pain from plantar fasciitis is interfering with your ability to run, play sports, or otherwise enjoy life, call or click online to book an appointment at Gotham Footcare today.

Minimally Invasive Surgery for Plantar Fasciitis Q & A

What is plantar fasciitis?

Your foot contains a thick band of tissue called plantar fascia that stretches from your heel to your toes. That tissue’s job is to support the muscles and arch of your foot. Too much tension on the tissue can cause it to stretch too far, resulting in tiny tears that cause pain and inflammation.

What are the symptoms of plantar fasciitis?

The most prominent symptom of plantar fasciitis is foot and heel pain. You may have plantar fasciitis if you experience stabbing pain in the bottom of your foot when you get out of bed in the morning, after you stand for long periods of time, or when you stand up after sitting for a while. If you have plantar fasciitis, you may feel more foot pain after exercise, not during it.

Who gets plantar fasciitis?

Anyone can get plantar fasciitis, and in most cases, plantar fasciitis tends to occur without any specific cause. But, several factors can increase your risk of getting it, such as:

  • Tight calf muscles that cause difficulty flexing your foot and bringing your toes toward your shin
  • Obesity
  • Performing a repetitive impact activity such as running, ballet, or other sports
  • A job that requires you to stay on your feet for long periods
  • Flat feet, high arches, or an abnormal walking pattern

What is the treatment for plantar fasciitis?

First, your doctor at Gotham Footcare performs a comprehensive physical exam that includes a close inspection of your foot. Your doctor may ask you to move your foot in different directions and press on your plantar fascia to determine the source of the heel pain.

To confirm diagnosis, your doctor may order imaging tests, such as an in-office digital X-ray or ultrasound.

If you have plantar fasciitis, your doctor at Gotham Footcare works with you to create an individualized treatment plan.

Over 90% of plantar fasciitis cases improve within 10 months of simple treatments, such as:

  • Rest and ice
  • Non-steroidal anti-inflammatory medications (NSAIDS)
  • Stretching exercises
  • Physical therapy
  • Custom-made orthotic devices such as a splint or shoe insert

If these treatments don’t improve your condition, your doctor may recommend minimmally invasive surgery for plantar fasciitis. Gotham Footcare proudly offers the most advanced minimally invasive surgical treatments in the industry.

If foot or heel pain is keeping you from the activities you enjoy, call or click online to schedule an appointment at Gotham Footcare today.



Tenex is a minimally invasive procedure to identify and remove the pain generating scar tissue from the foot, which can occur due to various musculoskeletal conditions such as plantar fasciitis and achilles tendonitis.

How is the Tenex procedure performed?

The Tenex procedure involves the following steps:

1. A local anesthetic is given to numb the affected area

2. Ultrasound imaging identifies precisely the location of damaged scar tissue within the tendon

3. A small incision is made to allow the TX1 Tissue Removal System to go in and break up the damaged scar tissue with the use of high-frequency vibrations, while not affecting the surrounding healthy tissue.

4. The Tenex system gently removes the broken up scar tissue and an adhesive bandage is used to close the incision

How long does it take to recover from the Tenex procedure?

Recovery time is significantly reduced from several months (with traditional surgery) to only one to two weeks with the Tenex procedure. Most patients can begin light weight-bearing exercises within two weeks. 

What are the benefits of Tenex treatment?

  • Chronic pain relief
  • Faster recovery time
  • Small incision
  • No scarring
  • No risks from complications of surgery or general anesthesia
  • Enabling patients to return to vigorous activities


Protein Rich Plasma (PRP) Injection Therapy

What is PRP therapy used for?

PRP injection therapy is a non-invasive treatment and uses your body’s own healing mechanism. Since it is involving your own blood, there are no risks or side effects. Studies have shown that PRP injection is very effective in healing Plantar Fasciitis and the effects are far superior then a cortisone injection because it delivers a month’s worth of blood nutrient supply in a day to promote fast healing to an area like the plantar fascia that usually has a limited amount of blood supply at its disposal.

How does PRP work?

The PRP Injection for Plantar Fasciitis procedure involves the following steps:

1. Draw blood from your arm and spin it in a centrifuge to extract PRP

2. The PRP is then directly injected into the plantar fascia with the help of Ultrasonic imagery.

3. A CAM (Controlled Ankle Movement) shoe is worn for two weeks to limit movement.

What are the advantages of PRP injections to treat Plantar Fasciitis and Achilles Tendonitis?

  • No risks
  • No side effects
  • Effective for a year
  • Non invasive

Amniotic Fluid Injections

Amniotic stem cells are also used to aid in the repair of bone fractures, arthritis, and other conditions affecting the foot and ankle. The treatment is performed by injecting the afflicted area. For cases where there is a severe break, the injection will occur over a period of time.

The difference in stem cell treatment versus the traditional treatment with cortisone shots is that stem cell therapy treats the root cause of the condition, seeking to change the course of the condition and create healing. Cortisone shots only lessen the pain and do not have the ability to change the course of the actual condition.

The amniotic stem cell therapy can help patients avoid surgery and obtain pain relief with achilles tendonitis, ankle arthritis, difficult to heal wounds, plantar fasciitis and more. The results of this treatment are amazing. In most cases, within two weeks there is a marked improvement in skin condition.


Extracorporeal Pulse Activation Technology (EPAT), sometimes referred to as ESWT or Shockwave Therapy, is clinically proven and today’s most advanced, non-invasive technology for treating pain.

In as few as 3 weekly 5 to 10 minute sessions in your doctor’s office,
you’ll be able to return to your favorite sport or activity. And there’s no downtime.

Commonly Treated Condition with EPAT (Shockwave Therapy):

  • Achilles Tendonitis
  • Acute & Chronic Muscle
  • Bursitis
  • Chronic Heel Pain
  • Heel Spurs
  • Ligament Pain
  • Plantar Fasciitis
  • Morton’s Neuroma

Benefits of EPAT:

  • Non-invasive
  • No anesthesia required
  • No incision therefore no risk of infection
  • No scarring
  • No downtime
  • Over 80% patient satisfaction
  • Cost effective
  • Faster healing


Heel pain is typically the result of overuse, but can be caused by a major injury. Heel pain usually occurs on the back or underside of your heel.

Ankle pain or a sprain is often the result of a forceful twisting of the ankle causing a tear of ligaments in the ankle, in which no bones are broken.


Heel pain on the bottom, front edge of the heel. Tenderness over the bottom of the foot. Pain, to varying degrees, when walking, which is usually worse in the morning and improves throughout the day.

Ankle pain, swelling, bluish discoloration, pain with walking, slight increased warmth to the injured area.


Gotham Footcare offers Extracorporeal Pulse Activation Technology (EPAT®).

EPAT® is an innovative, non-invasive way to treat pain. It is based on a unique set of pressure waves that stimulate the metabolism, enhance blood circulation, and accelerate the healing process. Damaged tissue gradually regenerates and eventually heals.

As an alternative to surgery, the procedure includes 3-5 in-office sessions approximately 5-10 minutes each at weekly intervals.