Interdigital Wasting in Seattle Fixed with Platelet Lysate

by Chris Centeno, MD /

feet muscle wasting

We all seem to take our feet for granted. I know I do. However, this is where our body meets the ground, and, consequently, they’re pretty important. Since you likely don’t notice your feet, you may be surprised to learn that there are muscles that live there. As we age, some of us will lose those muscles to a condition called “interdigital wasting.” What is this and why should you care? What can be done about it?

Foot Muscles

There are muscles in your feet between the foot bones that eventually make up your toes. Check out the images below, which show various muscles. In fact, your foot is a mix of equal parts bone and muscle with a healthy heaping of fascia thrown in!

What Do the Foot Muscles Do?

Since your foot is in large part made up of muscles, these help to cushion the blow as your foot hits the ground. They also control how the foot bones move. Finally, they help with things like pushing off with your toe and, along with the fascia (the duct tape that connects the bones), with the spring in your step.

Interdigital Wasting

There are nerves that supply the muscles in your feet. These nerves originate in your back and then travel down the thigh and leg, through the ankle, and into the foot. If the nerve is irritated at any point along the way, it can cause the muscles in your foot to get smaller (waste or atrophy). The muscles that you can easily see live between the bones of the foot and are called interdigital. Hence, interdigital wasting means that these muscles get smaller, usually due to nerve problems. The foot just looks hallowed out, like the image on the far left above. This, of course, means that your foot becomes a less efficient shock absorber.

Dr. Attaman’s Seattle Patient

Jason Attaman is an advanced interventional spine provider who is also trained extensively in interventional orthopedics and joined the Regenexx network. We were very proud to add him to our network as Jason is one of the best interventional physicians in the U.S. He sent me the above before and after images of a patient who had interdigital wasting. From here, I’ll let him tell the story of this patient:

“The patient is a 58-year-old woman who originally came to me with left knee pain. In 2015, she saw a surgeon for foot pain and he performed a Morton’s neuroma excision of her RIGHT foot (took out part of a swollen nerve). The surgeon also injected Morton’s neuromas in her left left foot with little response. I treated her knee MCL with PRP which was 100% better and then she asked me to evaluate her left Morton’s neuroma. She did not want to have surgery on her left foot after her right foot surgery experience. I initially performed a steroid injection at her request and this only gave two months of relief. Regrettably, the steroid shot seems to have caused more wasting between the foot bones (as shown above) In May I injected a Regenexx 4th generation platelet lysate near the nerves between her foot bones via ultrasound guidance. In June she came back and the atrophy in her foot interdigital space appears to have improved and the burning in the dorsum of her foot was 50% improved. When she returned at the end of the year, there was complete resolution of the atrophy as shown on the right above. She also noted that pain in dorsum of the foot was 100% gone. While we have more work to do on the foot, the results so far have been impressive!”

Here are Dr. Attaman’s web links: jasonattaman.com and orthoregenerative.com.

What Is Platelet Lysate?

Your blood platelets have growth factors (GFs). Growth factors are natural substances that act like espresso shots for cells that repair tissues. These growth factors can be taken out of the platelets to create a repair serum. We have continued to refine this process through the years to further increase these GF levels.

The upshot? This is a great story of how the effects of high-dose steroids differ so dramatically from regenerative therapies, like platelet lysate. In our almost 13-year experience with platelet lysate, we’ve seen that it works exceptionally well around nerves. When you fix the nerves that tell muscles what to do, the muscles can contract well again and get bigger, which would explain what we see above. Great work, Dr. Attaman!

Category: Latest News

Leave a Reply

Your email address will not be published. Required fields are marked *

8 thoughts on “Interdigital Wasting in Seattle Fixed with Platelet Lysate

  1. ERVIN MARSTON

    Can this work for bone on bone in the shoulder??

    1. Regenexx Team Post author

      ERVIN,
      We treat Severe Shoulder Arthritis regularly. Please see:https://regenexx.com/blog/severe-shoulder-arthritis-stem-cell-update-im-blown-away/ If you’d like to see if your particular case would be a Candidate for a procedure, please submit the Candidate form here: https://regenexx.com/the-regenexx-procedures/shoulder-surgery-alternative/

  2. Robin

    I was curious to know your thoughts about Regenexx 4th generation platelet lysate working on Interstitial cystitis?

    1. Regenexx Team Post author

      Robin,
      We’ve successfully treated Interstitial Cystitis with our Platelet Lysate. In these cases the cause was an L5/S1 disc bulge. Please see: https://regenexx.com/blog/interstitial-cystitis-low-back-pain/

  3. Lenette Hastings

    what about bone on bone knees? what is your success with this ? I have looked at patient reviews, but most are within a year of the procedure. I would like to see some reviews from
    people 4-5 yrs out

  4. Robert Hastings

    what about bone on bone knees? what is your success with this ? I have looked at patient reviews, but most are within a year of the procedure. I would like to see some reviews from
    people 4-5 yrs out

Chris Centeno, MD

Regenexx Founder

Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications.
View Profile

Get Blog Updates by Email

Get fresh updates and insights from Regenexx delivered straight to your inbox.

Regenerative procedures are commonly used to treat musculoskelatal trauma, overuse injuries, and degenerative issues, including failed surgeries.
Select Your Problem Area
Shoulder

Shoulder

Many Shoulder and Rotator Cuff injuries are good candidates for regenerative treatments. Before considering shoulder arthroscopy or shoulder replacement, consider an evaluation of your condition with a regenerative treatment specialist.

  • Rotator Cuff Tears and Tendinitis
  • Shoulder Instability
  • SLAP Tear / Labral Tears
  • Shoulder Arthritis
  • Other Degenerative Conditions & Overuse Injuries
Learn More
Cervical Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Knee

Knees

Knees are the target of many common sports injuries. Sadly, they are also the target of a number of surgeries that research has frequently shown to be ineffective or minimally effective. Knee arthritis can also be a common cause for aging athletes to abandon the sports and activities they love. Regenerative procedures can be used to treat a wide range of knee injuries and conditions. They can even be used to reduce pain and delay knee replacement for more severe arthritis.

  • Knee Meniscus Tears
  • Knee ACL Tears
  • Knee Instability
  • Knee Osteoarthritis
  • Other Knee Ligaments / Tendons & Overuse Injuries
  • And more
Learn More
Lower Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Hand & Wrist

Hand & Wrist

Hand and wrist injuries and arthritis, carpal tunnel syndrome, and conditions relating to overuse of the thumb, are good candidates for regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Hand and Wrist Arthritis
  • Carpal Tunnel Syndrome
  • Trigger Finger
  • Thumb Arthritis (Basal Joint, CMC, Gamer’s Thumb, Texting Thumb)
  • Other conditions that cause pain
Learn More
Elbow

Elbow

Most injuries of the elbow’s tendons and ligaments, as well as arthritis, can be treated non-surgically with regenerative procedures.

  • Golfer’s elbow & Tennis elbow
  • Arthritis
  • Ulnar collateral ligament wear (common in baseball pitchers)
  • And more
Learn More
Hip

Hip

Hip injuries and degenerative conditions become more common with age. Do to the nature of the joint, it’s not quite as easy to injure as a knee, but it can take a beating and pain often develops over time. Whether a hip condition is acute or degenerative, regenerative procedures can help reduce pain and may help heal injured tissue, without the complications of invasive surgical hip procedures.

  • Labral Tear
  • Hip Arthritis
  • Hip Bursitis
  • Hip Sprain, Tendonitis or Inflammation
  • Hip Instability
Learn More
Foot & Ankle

Foot & Ankle

Foot and ankle injuries are common in athletes. These injuries can often benefit from non-surgical regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Ankle Arthritis
  • Plantar fasciitis
  • Ligament sprains or tears
  • Other conditions that cause pain
Learn More

Is Regenexx Right For You?

Request a free Regenexx Info Packet

REGENEXX WEBINARS

Learn about the #1 Stem Cell & Platelet Procedures for treating arthritis, common joint injuries & spine pain.

Join a Webinar

RECEIVE BLOG ARTICLES BY EMAIL

Get fresh updates and insights from Regenexx delivered straight to your inbox.

Subscribe to the Blog

FOLLOW US

Copyright © Regenexx 2019. All rights reserved. | Privacy Policy

*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.

Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.