Endoscopic Release of Resistant Plantar Fasciopathy

Abstract

Background: Plantar fasciopathy is the most common cause of plantar heel pain. No enough evidence in literature strongly supports the effectiveness of any specific treatment for such conditions.Objective: To assess the efficacy and safety of a modified surgical technique for endoscopic release of plantar fascia. Patients and methods:A total of 29 feet in 25 patients with plantar fasciopathy for at least one year and resistant for at least two modalities of conservative treatment for six months were involved in this prospective study. All patients had been diagnosed clinically and the study was carried at the Department of Orthopedics,

Endoscopic Plantar Fascia Release in Cases of Chronic Resistant Plantar Fasciopathy

“…Traditional plantar fascia release, resection, or debridement of the afflicted fascial segment produces excellent outcomes but can also be accompanied by a protracted healing period and a few issues. Lateral arch collapse, arch instability, and medial longitudinal foot discomfort are all possible outcomes of a plantar fascia tear [12]. But 10% of the time for lateral column overload, calcaneocuboid and mid-tarsal joint soreness appeared as implications.…”

“…In the initial studies of endoscopic partial plantar fascia release (EPFR), it emerged that complete relaxation of the plantar fascia raised the risk of lateral column overload. El-Sayed, et al [12] who had endoscopic plantar fasciotomy was monitored by Bader, L. et al [17]. After a median of 49.5 months of followup, 37 feet reported no discomfort, 11 feet reported a decrease, and 1 foot reported an increase.…”