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Surgery for plantar fasciitis should be the last option as
success rates can be as low as 37% and as high as 60%..
Endoscopic Plantar Fasciotomy
This is a difficult procedure and requires the podiatric surgeon
to have a great level of skill. The procedure takes 30 minutes
and is performed in day surgery. The patient is given appropriate
injections to anaesthetize the foot. The surgeon cuts a portion
of the plantar fascia from the heel. Two small incisions are
made either side of the heel. A tube is inserted into the fascia
and a "endoscopic" camera is used to cut the fascia
which relieves the tension of the fascia. New fascia grows in
the gap created by the cut, recovery times vary depending on
the age, weight and occupation of the patient. Recovery periods
can vary between 1 to 3 months. Complications include nerve
entrapment and severe arch discomfort.
Heel Spur Removal
Removal of the bony growth is not successful in the majority
of cases, however some surgeons swear by this procedure. Removal
of the the attachment of the plantar fascia causes lowering
of the arch. There are also reported cases of patients developing
heel fractures post surgery.
Post Operative Complications for all Heel
Pain surgery
A nerve may be cut during surgery which can cause a loss of
sensation, tingling feeling to the arch and toes. Surgery can
also cut a artery or a vein which can cause avascular necrosis
which is a temporary or permanent loss of blood to the bones
which can cause bone tissue to die, this is a rare complication.
Immediately After Surgery
- Apply ice after 2 hours for 2 days
- Reduce activity
- Consider arch supports to help with post operative pain
and aid healing
- Vitamin C has been reported to heal scar tissue
- Listen to the doctors instructions
Questions you should ask the Surgeon
- Are there any other options apart from surgery?
- What is the success rate for this procedure?
- What can go wrong?
- How long will I be off work?
- Will I need shoe modifications?
- What kind of post operative pain will I get and for how
long?
- What happens if the surgery does not work?
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