What is a Fasciotomy for Plantar Fasciitis?
A fasciotomy is a surgical procedure that removes a portion of the plantar fascia. This is intended to be a one-time procedure. While some patients may need follow-up surgeries, most should feel much better after the surgery. Although there may be some pain and swelling during the first few weeks, the second week is usually less painful and inflammation-free. After the surgery, patients can begin increasing their activity level as tolerated. However, they may be instructed to limit their activities for six hours.
The procedure is usually performed under local or regional anesthesia. In some cases, patients may also receive sedation to make the procedure more comfortable. The surgeon makes a small incision in the foot and inserts a thin, slotted tube (cannula) into the plantar fascia. Next, he inserts a lighted camera called an endoscope into the cannula.
Before the surgery, patients must rest for several days. In addition to using crutches or a walking boot, they may need to use a cane for a few days to recover. A few months after the surgery, patients can return to normal activity. In some cases, it may take months to heal completely before patients can resume normal activity. If the pain is severe and interferes with their daily activities, their doctors may recommend surgery to relieve the pain.
A fasciotomy may be required if a patient has heel spurs. In advanced cases of plantar fasciitis, a portion of the heel bone is removed to relieve tension and encourage healing. After the surgery, patients must wear a cast or brace for a few weeks to minimize pressure on the treated foot and allow the tissues to heal. If the patient is not satisfied with the results, they may decide to have a fasciotomy on the other foot.
The most common surgery for plantar fasciitis is a plantar fasciotomy with an endoscopic approach. The surgery is an outpatient procedure that usually takes 15 to 20 minutes. During this procedure, a small incision is made in the heel and a small camera is used to cut the plantar fascia. Once the process is complete, the patient is released from the hospital. Afterwards, patients should expect to experience minor discomfort for a few days. They may be prescribed with pain medication or can take over-the-counter medications as directed.
There are two types of fasciotomy procedures for plantar fasciitis. The most common type of fasciotomy involves a 1 to 2-inch incision. The plantar ligament is removed from the heel bone with a small incision in the foot. The procedure can be done on patients with limited pain or discomfort after the procedure. A small incision is made on the side of the foot, while the endoscopic method uses an endoscopic scope.
During the recovery process, patients can expect to recover for six to 18 months. In addition to regaining basic functionality, a fasciotomy can also decrease the arch of the foot. This surgery can be performed on both adults and children. The procedure is highly effective and has a very high rate of success. Most people will recover fully within six to 12 weeks. If the surgery is not successful, the patient will need to undergo further physical therapy and change their lifestyle.
In this minimally invasive procedure, the plantar fascia is released. A few minor complications can occur as a result of the fasciotomy, including bone spurs. These spurs are common and are often not a cause of pain in most people. Some patients can be cured without surgery, but the recovery period depends on the individual. Once the surgery is completed, 90% of people with plantar faciitis will experience complete relief.
This surgery is an effective way to treat plantar fasciitis and is a good option for some patients. The recovery period for a fasciotomy is usually between three and six weeks. Depending on the extent of damage, a person can experience some numbness, weakness, or tingling after the surgery. If the treatment is not effective, the patient may suffer from a recurring infection.