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The treatment your primary care doctor prescribes first for foot pain sits at the very bottom of the rankings. The treatments at the top are ones most doctors have never heard of, and certainly aren't offering you.

After 28 years and thousands of patients, the same cycle plays out: anti-inflammatories, cortisone shots, OTC inserts, physical therapy, repeat. Pain managed. Problem never fixed.

In this episode, I'm going to rank foot pain treatments from worst to best, explain what each one actually does to your tissue, and show you what questions to ask before agreeing to any of them.

⏱️ TIMESTAMPS
0:00 The First Treatment Your Doctor Gives Is Ranked Last
1:38 How this ranking works: from damage to healing
2:27 Tier 1 (lowest): Anti-inflammatories and NSAIDs
4:42 Why cortisone shots are the real problem
5:31 Over-the-counter inserts: mostly a waste of money
6:51 The question every patient should ask their provider
7:02 Tier 2 (middle): Custom orthotics, PRP, and physical therapy
8:05 Why sequencing matters more than the treatment itself
10:32 Diagnostic self-check: where is your care right now?
12:29 Tier 3 (top): RPA, Wharton's Jelly, and regenerative treatments

❓ QUESTIONS ANSWERED

Why don't cortisone shots fix foot pain long term?
Cortisone is a steroid that reduces pain temporarily but does not repair tissue. Repeated injections can cause fat pad atrophy, plantar fascia rupture, and permanent structural damage to the foot — making the underlying condition significantly harder to treat.

What is the most effective treatment for chronic foot pain?
The top-tier treatments are regenerative therapies like Regenerative Protein Array (RPA) and Wharton's Jelly injections, which signal the body to repair tissue rather than just suppress symptoms. These are rarely offered by primary care doctors because most are not trained in regenerative medicine.

📱 RESOURCES
Website: www.bregmanfance.com
Instagram: https://www.instagram.com/bregman_fance/
Facebook: https://www.facebook.com/BregmanFootandNerve
YouTube: https://www.youtube.com/@DrPeterBregmanDPMfootguru

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ABOUT DR. PETER BREGMAN, DPM
Dr. Peter Bregman is a Board Certified Foot and Ankle Surgeon and former President of the Association of Extremity Nerve Surgeons. With nearly three decades of practice and tens of thousands of patients treated at the Bregman Foot-Ankle & Nerve Center in Las Vegas, Nevada, Dr. Bregman specializes in nerve conditions, complex foot and ankle reconstruction, and advanced regenerative treatments including Wharton's Jelly allografts and peptide therapy. His approach addresses root causes, not just symptoms.

#FootPain #HeelPain #PlantarFasciitis #FootSurgeon #ChronicPain