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Plantar Fasciitis

Plantar Fasciitis

If you are experiencing pain that is worse first thing in the morning, or after you have been standing for long periods of time, then you may have Plantar Fasciitis.

Plantar Fasciitis

Have you been thinking about changing your career as you can’t stand for long hours without experiencing heel pain?

Would you like to improve your lifestyle and avoid a loss of income?

Heel pain is one of the most common disorders that foot and ankle physicians treat, and fortunately, conservative treatment is successful in roughly 90% of patients.

When conservative treatment fails, you may require surgical intervention.

Causes

If you are experiencing heel pain that is worse first thing in the morning or after you have been sitting for long periods of time then you may have Plantar Fasciitis.

Other signs include having to stop when you have been walking to let the heel pain decrease. Stretching your fascia or massage your heel to allow for mobility and to reduce the pain.

For other people, the pain can be unbearable when they are spending long periods of time standing due to their work. Plantar fasciitis can affect everyone but common in people whose job requires standing a long time at work such as nurses, retail staff, warehouse workers, pharmacists, post-menopausal women, overweight people or young mothers.

This can be debilitating, causing them to look for other jobs and even change long term careers.

Other causes include wearing non-supportive footwear on hard, flat surfaces and faulty structures of the feet such as high arches or overly flat feet.

Treatment

Conservative Treatment

  • Exercises and stretching
  • Footwear/activity modification – avoid going barefoot
  • Custom orthotics
  • Night splint
  • Ultrasound guided cortisone injections
  • Platelet rich protein (PRP) injection
  • Radiofrequency ablation (Rhizotomy)
  • Extracorporeal shockwave therapy

Surgery

Surgery is advised if non-surgical treatment fails.

Although most patients with plantar fasciitis respond to non-surgical treatment, a small percentage of patients may require surgery. Dr Kim will discuss both options with you to determine which approach would be most beneficial.

Minimally Invasive Plantar Fasciitis Surgery

We offer minimally invasive keyhole plantar fascia release surgery (instep fasciotomy) which releases a portion of the plantar fascia. Only requiring a small 1 – 2 cm incision you will be up and walking the same day* and this surgery has a 93.6% success rate.

The operation for plantar fasciitis is usually day-case procedure and can be done under local anesthesia, twilight sedation or general anesthesia. The operation usually takes around 20 – 30 minutes.

Large Heel Spur Surgery

Minimally invasive keyhole surgery is also used to remove larger heel spurs.
This unique procedure effectively treats the condition at its source reducing significant downtime, scarring, or compromise to the other soft tissue structures around the heel area.

Postoperative Courses

*Immediate weightbearing is allowed in a surgical shoe with limited activities.
Sutures are removed between 10 – 14 days postoperatively.
Patients return to comfortable tennis shoes gradually between 2 – 3 weeks.

Postoperative pain

Severe pain after plantar fasciotomy is rare although pain is subjective. Many patients need mild postoperative analgesics only for 5-7 days postoperatively.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Podiatric Surgeon Dr Kim is the leading surgeon for Foot Surgery in Brisbane and Gold Coast, book a consultation today to discuss which options are best for you.

No referral needed

Contact Us

A GP referral is welcome however it is not essential for your appointment

About

Dr Ji Soo Kim (Specialist Podiatric Surgeon) BPodM, DClinPod, FFPM RCPS(Glasg)

Book Appointment

Dr Kim has two offices, one located in Kelvin Grove, Brisbane. The other is in Southport, Gold Coast.

Please call 1300 522 096

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