Comparison of Isolated Calcaneal Spur Excision and Plantar Fasciotomy in Addition to Spur Excision in Patients With Plantar Heel Pain Accompanied by Calcaneal Spur

Sönmezer, Murat; Fidan, Fırat; Lapcın, Osman

doi:10.7759/cureus.31768

Cited by 4 publications

(6 citation statements)

References 24 publications

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“…Several studies have found that endoscopic plantar fascia release is often satisfactory in the treatment of recalcitrant plantar fasciitis. 10 , 26 , 27 Cottom et al 28 found that AOFAS scores and VAS scores of patients with recalcitrant plantar fasciitis improved significantly during a 5‐year follow‐up period after inflammatory tissue debridement of the plantar fascia. Rizk et al 29 found that heel drilling and decompression combined with metatarsal fascia laxation was effective in the treatment of recalcitrant plantar fasciitis.…”

Section: Discussionmentioning

confidence: 99%

“…Surgery plays an important role in patients with plantar fasciitis and bone spurs that fail conservative treatment, 7,8 such as metatarsal fascia lysis, calcaneal spur grinding, calcaneal drilling decompression, gastrocnemius release, and so on. 4,[9][10][11] Because bone spurs increase the risk of heel pain, 12 most surgeons remove them as they appear. However, few studies have proposed surgical protocols for plantar fasciitis with bone spurs.…”

Section: Introductionmentioning

confidence: 99%

“…Calcaneal spurs are bony protrusions of the root trochanter, and Menz et al 6 reported that heel spurs and plantar fascia thickening often co‐occur in patients with heel pain. Surgery plays an important role in patients with plantar fasciitis and bone spurs that fail conservative treatment, 7,8 such as metatarsal fascia lysis, calcaneal spur grinding, calcaneal drilling decompression, gastrocnemius release, and so on 4,9–11 . Because bone spurs increase the risk of heel pain, 12 most surgeons remove them as they appear.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Study of a Four‐Step Program for the Treatment of Plantar Fasciitis with Bone Spurs

Jiang,

Liu,

et al. 2024

Orthopaedic Surgery

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ObjectiveThe most common causes of plantar and heel pain are plantar fasciitis and calcaneal spurs, and they often co‐exist. Surgery is a recognized treatment for refractory plantar fasciitis. However, few studies have proposed treatment options for patients with metatarsophalangeal fasciitis with bone spurs. Accordingly, this study's purpose was to propose a four‐step surgical regimen, and to improve the surgical outcome of plantar fasciitis with osteophytes and to establish a procedure for surgical treatment.MethodsRetrospective analysis of 45 patients suffering from plantar fasciitis with bone spurs from 2020 to 2023. All patients underwent a four‐step procedure, including plantar fascia release, calcaneal spur grinding, inflammatory tissue removal, and calcaneal burr decompression. The imaging parameters and functional scores were recorded before and after the operation. The objective evaluation included the measurement of calcaneal spur length on radiographs. Clinical evaluation included the American Orthopaedic Foot and Ankle Society (AOFAS), the Visual Analog Scale (VAS), and the Foot and Ankle Outcome Scale (FAOS). Measurement data that conformed to normal distribution were expressed as (x2 ± s), and pre‐and postoperative AOFAS, FAOS, and VAS scores were compared using repeated‐measures ANOVA, and preoperative and postoperative spur lengths were compared using paired t‐tests.ResultsThe 45 patients were followed up for 3 to 30 months, (17.72 ± 8.53) months, at final follow‐up, the patient's AOFAS score improved from preoperative (74.93 ± 5.56) to (94.78 ± 3.98), FAOS score increased from preoperative (76.42 ± 3.37) to (96.16 ± 2.74), the VAS score decreased from (3.18 ± 0.54) to (1.07 ± 1.20) (p < 0.05), the length of spur decreased from (0.72 ± 1.81) cm to (0.23 ± 1.19) cm, and there were significant differences before and after operation (p < 0.05).ConclusionThe four‐step surgical regimen is an appropriate and effective surgical procedure to treat plantar fasciitis with bone spurs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical Study of a Four‐Step Program for the Treatment of Plantar Fasciitis with Bone Spurs

Jiang,

Liu,

et al. 2024

Orthopaedic Surgery

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“…Surgical intervention for heel spurs is generally considered a last resort when all other treatment options have failed, and symptoms persist. The surgical objective is to remove the bony protrusion and address any accompanying soft tissue damage ( 23 ). The choice of surgical technique may vary depending on the condition's severity and the individual's unique circumstances.…”

Section: Surgical Interventionmentioning

confidence: 99%

Key Considerations When Targeting a Heel Spur

Mohseni,

Mousavi,

Alebouyeh

2023

Anesth Pain Med

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: Heel spur is a common medical condition that can cause substantial discomfort and reduce the quality of life of the affected patients. When seeking treatment for a heel spur, it is important to consider the differential diagnoses and underlying medical conditions that may contribute to the symptoms. This manuscript aims to explore several distinctive diagnostic possibilities, essential factors to consider, and practical strategies for managing heel spurs. This paper explains the common differential diagnoses and addresses medical conditions related to heel spurs. The importance of accurate diagnosis in planning treatment protocol is highlighted. In addition, we explain treatment strategies, including preventive measures, conservative treatments, and more advanced procedures. Physicians can help relieve pain and improve the quality of life of the affected individuals by considering the diverse aspects of managing heel spurs.

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“…However, regarding the calcaneal spur formations that may first come to mind in the etiology of patients with plantar fasciitis, the results are contradictory regarding the relationship between the size of the spurs and pain and symptoms [13,14]. For this reason, different treatments for many other mechanisms, including spur excision, can be used to treat the disease [15,16]. In this study, the mean age of the patients was 41, which is consistent with the age range often observed in similar studies.…”

mentioning

confidence: 99%

Ultrasound-guided platelet-rich plasma vs. radiofrequency nerve ablation for refractory plantar fasciitis

Erdoğan,

Cengiz,

Yurtbay

et al. 2024

The European Research Journal

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Objectives: Plantar fasciitis (PF), which accounts for approximately 80% of heel pain, is a common condition affecting adults' quality of life. There are many different treatment modalities used in the treatment of PF. In this study, we compared the clinical and functional outcomes of patients diagnosed with chronic PF in our clinic who underwent USG-guided PRP (platelet-rich plasma) injection and patients who underwent RFNA (radiofrequency nerve ablation) treatment. Methods: Ultrasound-guided PRP injection or RFNA was performed on 95 patients who were diagnosed with chronic PF and met the inclusion criteria. This group of patients was followed for at least one year (October 2021-October 2023), and the clinical and functional results of the patients were compared. Results: The mean pre-treatment Visual Analog Scale (VAS), Foot Function Index (FFI), and American Orthopaedic Foot and Ankle Society (AOFAS) posterior-ankle scores were similar, and no significant difference was found (P>0.05). A significant improvement was observed in the groups' FFI, VAS, and AFOAS scores after treatment (P<0.05). However, no significant difference was found in treatment modalities (P>0.05). Conclusions: As a result of the study, it was concluded that PRP injection and RFNA are effective treatment methods in patients diagnosed with chronic plantar fasciitis without response to other conservative treatment methods, but these two methods are not superior to each other.

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Comparison of Isolated Calcaneal Spur Excision and Plantar Fasciotomy in Addition to Spur Excision in Patients With Plantar Heel Pain Accompanied by Calcaneal Spur

Cited by 4 publications

References 24 publications

Clinical Study of a Four‐Step Program for the Treatment of Plantar Fasciitis with Bone Spurs

Clinical Study of a Four‐Step Program for the Treatment of Plantar Fasciitis with Bone Spurs

Key Considerations When Targeting a Heel Spur

Ultrasound-guided platelet-rich plasma vs. radiofrequency nerve ablation for refractory plantar fasciitis

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