Advanced Injectable & Biologic Treatments
If you have been told your only options are cortisone shots or surgery, you have not heard the full story. At Cella Foot & Ankle Specialty, Dr. Antonella Cella, DPM, FACFAS offers a comprehensive suite of advanced injectable and biologic treatments, a new generation of non-surgical options that go far beyond temporary pain relief. These treatments are designed to address the cause of your pain, not just the symptom, helping patients in Fair Lawn, NJ stay active, avoid the operating room, and get back to living their lives.
Our Injectable & Biologic Treatment Menu
Dr. Cella offers several advanced injectable therapies, each suited to a different type of foot and ankle problem. During your consultation, she will determine which option, or combination of options, is right for you.
Euflexxa® (Viscosupplementation)
Best for: foot and ankle joint arthritis
Euflexxa® is an FDA-approved hyaluronic acid injection that restores the natural cushioning and lubrication inside arthritic joints. If you have osteoarthritis of the ankle, subtalar joint, or midfoot, and cortisone is no longer providing relief, Euflexxa® offers longer-lasting results by replenishing what arthritis has broken down.
- FDA-approved and covered by most insurance, including Medicare
- A series of three weekly in-office injections
- Relief that can last six months or more
Leneva® (Injectable Adipose Matrix)
Best for: fat pad atrophy and chronic pressure pain
Leneva® is the only FDA-cleared injectable designed specifically to restore lost fat pad volume in the foot. If the ball of your foot or heel feels like you are walking on bone despite orthotics and padding, Leneva® replenishes the cushioning tissue that has thinned over time.
- The only FDA-cleared injectable for plantar fat pad restoration
- A single in-office treatment session
- Results that can last twelve months or more
Amniotic Tissue Injections (Regenerative Biologics)
Best for: chronic tendon, ligament, and soft tissue conditions
Amniotic tissue injections deliver a concentrated regenerative environment, rich in growth factors, structural proteins, and anti-inflammatory signals, directly to damaged tissue. This is the right option when chronic plantar fasciitis, Achilles tendinopathy, tendon degeneration, or soft tissue breakdown has not responded to conventional treatment.
- FDA-regulated biologic products
- Covered by many insurance plans, including Medicare
- Promotes actual tissue repair, not just temporary relief
How Dr. Cella Chooses the Right Treatment for You
No two patients are alike, and no single injection is right for every condition. During your consultation, Dr. Cella will review your full history, including prior treatments, imaging, and how your symptoms have evolved; examine your foot and ankle with the trained eye of a board-certified surgeon; explain your options clearly, including what each treatment does, what it does not do, and what to realistically expect; and build a treatment plan that may combine injectable therapies with orthotics, physical therapy, or other conservative care. You will never be pushed toward a treatment that is not right for you. If surgery is ultimately the best path, Dr. Cella will tell you and is fully qualified to perform it, but in many cases the right injectable approach can get you where you need to be without ever going to the operating room.
Why These Treatments — And Why Dr. Cella?
Cortisone injections have their place, but repeated steroid use can weaken tendons, thin cartilage, and mask pain without ever addressing its source. The injectable and biologic treatments offered at Cella Foot & Ankle Specialty represent a fundamentally different philosophy: treat the tissue, restore the function, and avoid unnecessary surgery. Dr. Cella is one of a select group of podiatric surgeons in Bergen County offering this full spectrum of advanced injectables under one roof, combined with the surgical expertise to know exactly when each one is and is not appropriate.
What Most of Our Injectable Patients Have in Common
Many patients who come to us for injectable treatments share a similar story:
- They have tried cortisone, and either it stopped working or they do not want to keep using it
- They have been told surgery is the next step, but they are not ready
- They have tried orthotics, physical therapy, and rest, with only partial relief
- They want a provider who will actually listen and offer something beyond the standard protocol
If that sounds like you, you are in the right place.
Frequently Asked Questions
Can I receive more than one injectable treatment?
Yes, and many patients benefit from a combination approach. For example, a patient with ankle arthritis and fat pad atrophy may be a candidate for both Euflexxa® and Leneva®. Dr. Cella will identify the right combination for your specific presentation.
Are these treatments painful?
Discomfort is minimal. Dr. Cella uses precise injection technique and, when appropriate, local anesthetic to ensure your comfort throughout the procedure.
How quickly will I feel results?
It depends on the treatment. Euflexxa® typically shows peak benefit at weeks five through thirteen, amniotic tissue injections generally show progressive improvement over four to eight weeks, and Leneva® provides immediate cushioning with continued tissue integration over time.
Do I need imaging before treatment?
In many cases, yes. X-rays or diagnostic ultrasound help confirm the diagnosis and guide precise injection placement. Dr. Cella will advise you on what imaging is needed at your consultation.
Are these treatments covered by insurance?
Several of these therapies, including Euflexxa® and amniotic tissue injections, are covered by many plans and Medicare, while others may be partially covered or self-pay. Our staff will verify your benefits and explain any costs before you begin.
How do I know if I am a candidate?
The best way to find out is a consultation with Dr. Cella, who will evaluate your history, examine your foot and ankle, and review any imaging. From there she will recommend the treatment or combination most likely to relieve your specific condition.