Plantar fasciitis surgery is a serious procedure and should only be considered after trying to relieve the symptoms using conservative self-care treatments. Recovery time may take longer than expected and serious complications can occur. Seek your orthopaedic surgeon's advice about whether the procedure is right for you. Most patients who undergo plantar fasciitis surgery enjoy full recovery.
This condition refers to the inflammation of the plantar fascia, a fibrous tissue at the bottom of your foot. It is a result of overstretching this band of tissue. This condition is a common problem among runners, those who have have flat feet, high-arched feet and people who wear ill-fitting shoes with poor arch support. When plantar fasciitis worsens, undergoing surgery might be the only way to treat it.
There are many conservative treatments available to treat plantar fasciitis that should be tried before considering surgery. Gentle stretching, orthotic inserts, anti-inflammatory medications, icing and rest could help treat this condition. If the pain is too much and the symptoms are recurring, more serious treatments can be tried like cortisone injections or extracorporeal shock therapy. If these treatments fail to relieve plantar fasciitis in nine to 12 months, plantar fascia surgery may be necessary.
According to the American Academy of Family Physicians, surgical release of the plantar fascia called plantar fasciotomy may be performed on patients to relieve this condition. This procedure is done using open, endoscopic or radiofrequency lesioning techniques.
Patients have a success rate for plantar fascia surgery as high as 70 to 90 per cent. There are potential risk factors that you need to know about such as heel hypoesthesia and flattening of the longitudinal arch. Rupture of the plantar fascia is also possible as well as complications related to anaesthesia.
Plantar fasciitis surgery can be completed in less than one hour. The procedure can be accomplished under local anaesthesia. However recovery will take much longer.
After the operation, you may be advised to wear a cast to immobilise and support your foot for as long as two or three weeks. You may also need the help of crutches to move around while your foot heals. After the cast is removed, more time may be needed for physical therapy, and this may take an additional three to four weeks.
Total recovery time depends on the patient but expect at least three months to completely recover and regain full activity of your foot.
Complications can occur as a result of plantar fasciitis surgery, such as over-release of the plantar fascia, infection, nerve injury to the foot and persistence of pain.