When Plantar Fasciitis Surgery Becomes an Option

Plantar fasciitis develops when tissue along the bottom of the foot becomes irritated or damaged. This strong band connects the heel to the front of the foot and supports the arch. The resulting pain can make standing, running, or walking difficult. A podiatrist can examine the foot, review the patient’s health history, and diagnose the problem. In most cases, treatment from a podiatrist can help to reduce strain and improve foot function. However, surgery is an option when heel pain remains severe after months of professional care and limits activities.

The surgery is called a plantar fasciotomy, also known as a plantar fascia release. The podiatric surgeon detaches part of the fascia from the heel bone, which reduces built-up tension in the damaged tissue. Endoscopic surgery uses tiny cuts and a small camera to guide the surgeon. The choice depends on the patient’s health, symptoms, and the surgeon’s recommendation. Both approaches are outpatient procedures, so patients can return home the same day. Risks include infection, nerve injury, and continued heel pain. A podiatrist can explain the benefits and risks.

Recovery follows a plan created by the surgeon and podiatrist. Patients must protect the incision and follow instructions about placing weight on the foot. Many people can bear weight within two to three weeks, although timing depends on the procedure and wound healing. Full recovery takes about two months. Follow-up visits allow the podiatrist to check healing, evaluate foot movement, and address swelling or tenderness. Patients should call the medical office if they notice increasing pain, drainage, or fever. Gradual improvement is expected, but discomfort can remain as the tissue heals. The care team will explain when it is safe to return to work, exercise, and wear normal shoes. If you have severe heel pain, it is suggested that you schedule an appointment with a podiatrist who can discuss the benefits of this type of foot surgery with you.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Adriana Strimbu, DPM  from Complete Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in Hallandale Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Plantar Fasciitis

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