Platelet Rich Plasma Injections

When treating painful foot and ankle conditions, steroid injections have been a staple for immediate relief.

Steroid Injections vs PRP

However, steroid injections can only be given in a certain area a few times, otherwise further damage could occur including tissue atrophy and possible tendon rupture.

Plus, some patients are allergic to certain steroid injection components and cannot receive this type of direct anti-inflammatory.

We now have an alternative to steroid injections. And it all comes from you.

What are Platelet Rich Plasma Injections?

We are now able to perform platelet rich plasma injections, also known as PRP, right in the office.

Platelets contain healing growth factors, and this concentration of platelets used for an injection, can contain FIVE TIMES or more the usual amount of growth factors.

How do they work?

Platelets can decrease inflammation and pain, improve tissue healing (tendons, plantar fascia, ligaments), and increase angiogenesis (formation of new blood supply).

PRP can speed up healing of soft tissues and can have more of a long-term healing effect compared to steroid injections, which do not contribute to tissue healing outside of the anti-inflammatory effect.

What conditions benefit from PRP?

PRP has been used for over 20 years for musculoskeletal conditions. It is now more widely used in sports medicine and in athletes to speed up healing and return the athlete to activity more quickly.  PRP can be used for acute and chronic conditions including peroneal tendonitis, posterior tibial tendonitisplantar fasciitis, Achilles tendinitis, ankle ligament sprains, and osteoarthritis

PRP if not recommended for patients who:

  • have metastatic disease
  • have a tumor
  • have an active infection
  • have a low platelet count
  • are pregnant or breastfeeding
What happens during the procedure?

The process involves drawing the patient’s blood in the office, placing the blood in a centrifuge and then drawing off the platelet concentration.  The platelet concentration is then injected in and around the affected area with ultrasound guidance.  We typically have patients do immobilization with boot and/or crutches for two weeks until re-evaluation.

Most patients will have increased pain initially, but this typically resolves in a few hours to a few days after the injection.  Use of ice and Tylenol after injection can be used as needed for pain as you are not recommended to use NSAIDs, as with this injection we are relying on your body’s natural inflammatory response to help heal the tissues.

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If you are experiencing foot pain, call our office or make an online appointment


Staff was extremely friendly and professional. They took us back immediately and no waiting for doctor to come in. Dr Settles-Carter was amazing with my little girl. She took her time and explained every detail to my daughter. As we were leaving my little girl said Dr Settles-Carter was the best doctor ever. Coming from a 10yr old.

Bert King

It took some work, and patience, but my feet are much better now. Dr. Freels worked with me to find exercises, and more importantly, the right shoe to wear. So nice not to dread going into work, for the pain of simply walking. Despite what another review here says, they've never tried to sell me any shoes there, have always left the choice up to me.

Robert Griffith

The staff was very courteous. However, the care provided by Dr. Carter and the staff in the back was exceptional! I finally had answers for my health concerns and issues and a course or plan of treatment including the costs of the services they provide. I especially liked the hours of operation...I can see a doctor for the treatment I need without having to use my personal and sick days! Love the flexibility. Lastly, the ambiance esthetics were relaxing and beautiful.

Bonnie Ogle Taylor

The entire staff at Lexington Podiatry was very welcoming and friendly. Jill went out of her way to make sure my daughter was taken care of. We appreciate being seen so quickly (it would have taken weeks to have seen an orthopedist for her foot injury). Now, she is on the road to recovery! Great office, thanks everyone!

Team Wade 24

Had a great experience! Everyone was very nice, it was clean, the doctor took time to listen to me. She showed me my x-rays and explained them to me. I would recommend them to family and friends.

Heather Purvis

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. We do not accept Medicaid or CareSource plans at this time. Visit our New Patient page for more details.