Plantar Fasciitis Surgery
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It is generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the plantar fascia ligament. This added scar tissue will be problematic, requiring physical therapy and conservative treatment options post-surgery. If not dealt with properly, your foot (or feet as you could develop from over compensation in both) could end up in worse condition than before the surgery! If pain persists after 12 months of symptoms where conservative treatments have failed then surgery is only performed as a last resort.
More than 90% of people with plantar fasciitis will improve within 10 months of starting a nonsurgical simple treatment method. (source: American Academy of Orthopaedic Surgeons)
Some conservative treatment methods recommended include:
- Rest - This is important for initial healing because without an appropriate amount of rest you are at risk for increased inflammation, pain and re-injury of your plantar ligament.
- Cold Compression - Immediate cold compression (using the ColdCure Technology® Plantar/Spur Freezie Wrap®) will allow you to manage pain while getting rid of swelling, inflammation, and edema in your foot.
- Blood Flow Stimulation Therapy™ (BFST®) - You can use your own blood flow to maximize your rehabilitation, decrease recovery time, and boost overall long-term healing.
Other Conservative Treatment Methods can be Risky
In some cases, physicians may recommend drugs or medications like NSAIDs (non-steroidal anti-inflammatory drugs) to manage pain and inflammation. Your doctor should limit your injections, multiple cortisone steroid injections can cause the plantar fascia to rupture (tear), which can lead to a flat foot and chronic pain. Most side effects are temporary, but skin weakening (atrophy) and lightening of the skin (depigmentation) can be permanent. (reference: PubMed - US National Library of Medicine National Institutes of Health)
Safe, Effective Conservative Treatment Options are Available
If your physician has decided that your injury can be treated with conservative treatment, you can join our many customers who have had great success treating themselves with the powerful, conservative treatment products we offer through AidMyPlantar - the Plantar/Spur Freezie Wrap® and the Inferno Wrap®
If Surgery is Required...
You have exhausted all nonsurgical measures in the past 12 months. With your doctor's advice and you decide surgery is the next step.
Tradition heel spur surgery/plantar fasciotomy
Traditional open surgery involves the surgeon making a 4cm open incision on the side of your foot. The fascia will be partially cut across the surface of the ligament close to where it attaches at the heel bone. A surgical retractor is used to further widened 'gap' of the incision.
The surgeon may address your calcium deposits and/or bone spurs. During this procedure the plantar fascia not detached from the heel bone, only a portion of the ligament is detached. Then the process of removing any calcium deposits and/or bone spurs from the heel area.
Once the first cut of the ligament is done, and the surgeon still feels the fascia is 'tight'. Another small 2cm incision is made just at the base of the ball of the foot. With the fascia exposed more cuts are placed in the ligament and surgeon will manually push you foot in an upward motion to ensure the 'release' of the tissue. The skin is then sutured close you may be fitted with a non-weight-bearing cast or brace for 2 to 3 weeks allowing the tissue to heal
Endoscopic plantar fascia release
Newer tools and techniques endoscopic surgery has become the 'gold standard' for plantar release (fasciotomy). Normally, a day surgery that only requires a local anesthesia. The surgeon will use one or two 1 cm small incisions on either side of the heel below the ankle bone. A small camera and scalpel are inserted and portion of the plantar fascia is cut from the heel bone. (No removal of any calcium deposits and/or bone spurs are done in this surgery.) Flexing you foot in an upward motion to ensure the 'release' of the tissue. The skin is then sutured close and you are sent home. You can begin limited weight-bearing immediately and wearing normal shoes again as soon as you are comfortable. Most people can return to normal activities in 3 to 6 weeks.
Unlike the traditional method of an open surgery, this procedure has less risks and complications involved. To learn about all risks you may face be sure to speak to your doctor.
When normal range of motion is not possible of flexing your feet, despite a year of calf stretches. Your doctor may recommend this type of surgery to lengthening (weaken the lever force of the leg) the calf muscles (gastrocnemius). When the calf muscles become tight increased stress is placed on the plantar fascia.
During the gastrocnemius recession surgery, a 4-7 cm incision is made on the back inside part of the lower leg. Controlled depth incisions are made in the Medial gastrocnemius muscle (or complete release) and plantaris tendon. A surgical retractor is used to further widened 'gap' of the incisions. The surgeon will move the foot and ankle to see the results in the new range of motion and or if more incisions will be needed to 'release' the tissue. The skin is then sutured close and you are placed in a right angle cast, brace or splint for the first two weeks. Then moving to a walking boot it is important to strengthen the calf since you will lose strength in the short term. By the 6-8 week mark, you can usually walk normally, it may take 8-12 months to regain 90-95% of the original calf strength.
Modified Endoscope surgery can be preformed for gastrocnemius recession, depending on the surgeons skill of the operation.
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.
If surgical intervention is required, talk to your physic an about using these same products for post-surgery recovery as you will find them to be effective for reducing post-surgery inflammation, enhancing range of motion and minimizing scar tissue growth.
Thinking about Plantar Fasciitis Surgery?
We Have Answers That Can Help...
Most cases of plantar fasciitis respond well to conservative treatments, however, surgery will be needed in some cases. Being presented with a recommendation for surgery is certainly a scary thought for most.
The Internet provides a wealth of information and details on the surgery itself, however, it is a challenge to find quality information on how to prepare for surgery and what to do to speed recovery after the surgery is completed.
Surgery in itself is not the end of the journey,
it is merely the beginning of a new chapter.
It truly takes a comprehensive approach - both before and after surgery - to ensure a complete recovery takes hold. There is no single answer and each individual situation is different.
We here at AidMyPlantar.com provide suggestions and options for people to help get them through this life changing event. We assist many people in shaping an individual course of action to help them prepare for surgery and to heal afterwards.
If you are contemplating surgery and you would like to ask us questions on steps needed to ensure a more complete healing process, then call our office toll free:
We are available on weekdays between 8:00am and 10:00pm or on weekends between 11:00am and 6:00pm (Eastern Standard Time).
Prevention and Promotion of Lifelong Health
If you want to prevent return of plantar fasciitis, rupture, avoid re-injury, or manage pain and increase circulation for lifelong health benefits, an Plantar/Spur Freezie Wrap® and Plantar/Spurs Inferno Wrap® will provide exceptional results. Why spend time in pain, off from work, and missing out on your active lifestyle when you can be proactive about your injury and the health of your body? Talk to your doctor about incorporating a regular routine of Freezie Wrap® and Blood Flow Stimulation Therapy™ into your everyday health regimen.
Learn More About SUPERIOR Plantar Fasciitis Treatments
Learn more about how the Plantar/Spur Freezie Wrap® is designed to be the most effective cold compression wrap on the market today.
Learn more about how the Plantar/Spur Inferno Wrap® helps with the healing process.