Plantar Fasciitis Surgery
Plantar fasciitis surgery is usually only recommended to patients who have been dedicated to trying conservative treatments (i.e. stretches, exercise, ultrasound therapy, shoe inserts). If pain persists after 9 months of symptoms where conservative treatments have failed, surgery may be the only option. Surgery on the plantar fascia is normally day surgery that only requires a local anesthesia.
Endoscopic partial plantar fascia release (also known as a Plantar Fasciotomy) involves the surgeon making small incisions on the sides of your foot. A small camera and scalpel are inserted into tiny incisions to perform the surgery.
The inflamed or damaged plantar fascia tissue will be cut or part of it will be removed to relieve pressure and reduce pain. The hope is that your body will grow new fascia in the gap created by the incision.
Open heel-spur fasciotomy surgery involves removing any calcium deposits and/or bone spurs from the heel area. During this procedure, an incision is made at the bottom of the heel over the area of the spur so it can be removed and the fascia may be cut to relieve tension.
This procedure has mixed results, as it is addressing a symptom of inflammation, but not the problem itself. If the plantar fascia is not repaired at the same time, your heel spur will most likely reappear.
Neurolysis involves cutting the nerve sheath of the abductor digiti minimi muscle and breaking up adhesions (scar tissue) to free the nerve and relieve the pressure and pain from inflammation. Radio frequency, heat, or chemical injection, have also been used.
Most of the surgeries for plantar fasciitis require a recovery time of approximately 1.5 months. Sometimes a removable cast will be used to support and immobilize the foot. Occasionally crutches or a cane will be used to minimize weight bearing.
Cold Compression Therapy, Ultrasound Therapy, and Blood Flow Stimulation Therapy™ are recommend to ease pain and speed up post-operative recovery. Physiotherapy and exercises are recommended after the cast is removed (normally 3-4 weeks).
- Partial wound dehiscence (rupture of a surgical wound)
- Foot pain
- Nerve damage
- Hypersensitive neuroma
- Fallen arch if there is an over release of the plantar fascia