Plantar Fasciitis Embolization
in Cocoa, FL

Breakthrough Minimally Invasive Treatment for Chronic Heel Pain in Cocoa, FL

If you wake up to stabbing heel pain or ache after a day on your feet, you may be living with plantar fasciitis, an inflammatory condition of the connective tissue along the bottom of the foot. At Vascular and Embolization Specialists in Cocoa, FL, Dr. Derek Mittleider performs plantar fasciitis embolization (PFE), a minimally invasive procedure that calms the inflammation driving your pain with no incisions, no general anesthesia, and no hospital stay.

A Proven Alternative to Heel Surgery

Surgery for plantar fasciitis means cutting the ligament that supports your arch, and recovery can run several weeks. PFE is a modern, image-guided procedure that targets only the abnormal vessels feeding the inflamed fascia, leaving the ligament and the structure of your foot untouched.

  • Outpatient procedure takes about 1–2 hours.
  • No incisions, no stitches, and nothing cut or released.
  • Most patients resume normal activities within 2–5 days.
  • No hospital stay and no general anesthesia.
Plantar Fasciitis Embolization Treatment | Vascular & Embolization Specialists - Cocoa Beach Florida

What You Should Know About Plantar Fasciitis Embolization

How the Procedure Works

Dr. Mittleider inserts a catheter through a small access point at the ankle or groin and uses X-ray guidance to deliver tiny particles into the arteries supplying the inflamed plantar fascia. Chronic heel pain is fed by abnormal new blood vessels that grow into the tissue; closing them reduces inflammation and allows the fascia to heal naturally, easing pain without touching the ligament itself.

  • Sharp heel pain with your first steps in the morning.
  • Pain after standing, walking, or running.
  • Discomfort that worsens after periods of rest.
  • Tenderness along the bottom of the heel or arch.
  • Limited mobility caused by chronic foot pain.

You may be a good fit for PFE if you:

  • Have had heel pain for six months or longer.
  • Are not getting lasting relief from therapy, orthotics, or injections.
  • Want to avoid surgery or are not a surgical candidate.
  • Prefer a faster recovery with fewer restrictions.

Left untreated, plantar fasciitis changes the way you walk, and that altered gait often creates new pain in the opposite foot, the knees, and the lower back. In Florida the condition tends to build quietly: sandals with little arch support, bare feet on tile floors, long shifts on concrete and weekend walks on soft sand all keep the fascia under load. Treating it earlier usually means a shorter recovery and better long-term results.

Minimally Invasive,
Long-Term Relieffor Heel Pain

PFE gives patients a nonsurgical option that treats the source of the pain while preserving the structure of the foot. Most people are back to normal activity within a few days, and relief often continues to build over the following weeks. No cutting, no general anesthesia, no long recovery.

Feature
Plantar Fasciitis Embolization (PFE)
Plantar Fasciitis Surgery Physical Therapy/Injections
Minimally Invasive
Yes
No Yes
Requires Hospital Stay
No
Sometimes No
Recovery Time
2–5 days
2–6 weeks Ongoing
Preserves Foot Structure
Yes
No Yes
General Anesthesia Required
No
Yes No
Long-Term Symptom Relief
Yes
Yes Variable

Why Patients Choose Vascular & Embolization Specialists

Our team is focused on safe, modern care with real results. Dr. Derek Mittleider is a board-certified interventional radiologist and a Fellow of the Society of Interventional Radiology, with advanced expertise in embolization for chronic pain, including knee and shoulder embolization.

Specializing in
Image-Guided Treatment

Board certified in Diagnostic Radiology and in Vascular and Interventional Radiology, and fellowship trained at the Miami Cardiac and Vascular Institute.

Faster Recovery
& Less Downtime

Same-day discharge, with most patients back on their feet within days. Our practice also enrolls patients in active clinical trials.

Trusted by Patients
in Cocoa, FL

Patients travel to our Cocoa office from Rockledge, Merritt Island, and Titusville, as well as Melbourne, Palm Bay, and Orlando. Read patient reviews.

Plantar fasciitis embolization offers relief from chronic heel pain without the risks of surgery. If you are ready to get back on your feet, we are here to help you explore a simpler, safer option.

Plantar Fasciitis Embolization Treatment | Vascular & Embolization Specialists - Cocoa Beach Florida

Tired of living with foot pain that limits your lifestyle? Plantar Fasciitis Embolization offers a proven, outpatient solution with no scalpel, no downtime, and no more waiting for relief.

Experience Relief Without Heel Surgery

Frequently Asked Questions

Yes. The technique was pioneered by Dr. Yuji Okuno in Japan, and a prospective study published in the British Journal of Radiology in 2024 reported 100% technical success in patients whose plantar fasciitis had failed conservative therapy, with average pain scores falling from 8.5 out of 10 to 1.0 at twelve months and no significant adverse events. Embolization for musculoskeletal pain has also been reviewed by an expert panel in the American Journal of Roentgenology.
The largest series to date, published in Foot and Ankle Surgery, followed 66 patients for up to four years and reported significant improvement in both pain and function, with average pain scores dropping from 7.9 out of 10 to 0.7 at twelve months. Some patients feel relief within days, while others improve gradually over several weeks.The procedure typically takes about 1–2 hours. It is performed on an outpatient basis, and you’ll go home the same day.

No. Nothing is cut or released. Surgery for plantar fasciitis involves dividing the ligament, which permanently alters the mechanics of the arch. Embolization treats the blood vessels feeding the inflamed tissue and leaves the fascia intact.

The most common are mild soreness or minor bruising near the access point, which typically settle within a few days. Serious complications are extremely uncommon, and the published series report no major adverse events.
The procedure takes about one to two hours and is performed on an outpatient basis. You receive local anesthesia and light sedation, are monitored briefly afterward, and go home the same day. Arrange a ride, since sedation is used.
Usually yes, and that is the most common situation we see. PFE is designed for heel pain that has not responded to conservative care, so previous therapy, orthotics, night splints, steroid injections, or shockwave treatment do not rule you out. Ongoing research is also registered on ClinicalTrials.gov.
Coverage depends on your plan and on your documented history of conservative treatment. Our team will review your benefits with you before you commit to treatment. Call (321) 321-3001 or request an appointment and we will walk you through it.