Plantar fasciotomy procedure is a good option for those who continue to suffer from plantar fasciitis, despite efforts to treat the disorder with non-surgical methods.
Because there are several potential causes of heel pain, it is important to have heel pain properly diagnosed. Dr Kim is able to distinguish between all the possibilities and determine the underlying source of your heel pain.
What Is a Plantar fasciotomy?
A plantar fasciotomy involves releasing part of the plantar fascia to release tension and relieve strain on the inferior calcaneal (Baxter’s) nerve. Dr Kim anaesthetises (local anesthetic) for the procedure. A plantar fasciotomy can be achieved using a small incision and can be performed under local or general anaesthetic.
• Dr Kim makes an incision on the non-weightbearing part of the bottom of the foot, to avoid painful postoperative scarring.
• Antibiotics are given, usually as an injection below the skin, prior to the procedure to reduce the risk of infection.
WHAT TO EXPECT AFTER SURGERY
You will wear a postoperative shoe (not a boot) that allows you to walk immediately following the surgery. This shoe is worn for 2 to 3 weeks after surgery to allow tissues to heal. You can begin limited weight-bearing immediately and can begin wearing normal shoes again as soon as it is comfortable. Most people return to their normal activities in 3 to 6 weeks.
You will begin a gradual strengthening and flexibility program after surgery. Running or jumping is restricted for at least 3 months after surgery.
WHY IT IS DONE
Surgery may be appropriate in those people who:
• continue to have severe, disabling symptoms despite careful attention to home and other nonsurgical treatment.
• have had symptoms for at least 6 to 12 months.
• are an athlete and symptoms are affecting performance or ability to take part in a reasonable athletic program.
• are unable to work despite nonsurgical treatment.