Comparison of the Isolated Plantar Fascia Release Versus Plantar Fascia Release Combined With Calcaneal Decompression in Management of the Patients With Resistant Heel Pain

Eighteen fresh-frozen cadaver foot specimens underwent release of the plantar fascia via a newly described endoscopic technique. A 75% release was attempted on each specimen in order to represent a partial fascial release. Each specimen was then dissected to assess the success of the procedure. Five separate measurements were recorded evaluating the reproducibility of the procedure, adequacy of the release considering accepted etiologies for chronic heel pain, and the possibility of damage to local structures. Partial release was noted to be possible, but controlling the exact percentage of the incision was difficult. The release averaged 82% of the width of the fascia, with a range of 53% to 100%. There was no damage in any specimen to the first branch of the lateral plantar nerve, the structure considered most at risk during the procedure. Release of the deep fascia of the abductor hallucis muscle was not possible with this approach.

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Biomechanical Consequences of Sequential Plantar Fascia Release

Foot & Ankle International ◽

10.1177/107110079801900306 ◽

1998 ◽

Vol 19 (3) ◽

pp. 149-152 ◽

Cited By ~ 71

Author(s):

G. Andrew Murphy ◽

Spiros G. Pneumaticos ◽

Emir Kamaric ◽

Phillip C. Noble ◽

Saul G. Trevino ◽

...

Keyword(s):

Surgical Treatment ◽

Plantar Fascia ◽

Computer Programs ◽

Heel Pain ◽

Joint Capsule ◽

Calcaneocuboid Joint ◽

Transverse Arch ◽

Biomechanics Of The Foot ◽

Plantar Fascia Release

Plantar fascia release has long been a mainstay in the surgical treatment of persistent heel pain, although its effects on the biomechanics of the foot are not well understood. With the use of cadaver specimens and digitized computer programs, the changes in the medial and lateral columns of the foot and in the transverse arch were evaluated after sequential sectioning of the plantar fascia. Complete release of the plantar fascia caused a severe drop in the medial and lateral columns of the foot, compared with release of only the medial third. Equinus rotation of the calcaneus and a drop in the cuboid indicate that strain of the plantar calcaneocuboid joint capsule and ligament is a likely cause of lateral midfoot pain after complete plantar fascia release.

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Endoscopic Plantar Fascia Release: A Case Series

Foot & Ankle International ◽

10.1177/107110070302400213 ◽

2003 ◽

Vol 24 (2) ◽

pp. 176-179 ◽

Cited By ~ 35

Author(s):

R.A. Boyle ◽

G.L. Slater

Keyword(s):

Plantar Fasciitis ◽

Case Series ◽

Plantar Fascia ◽

Subjective Assessment ◽

Heel Pain ◽

Walking Distance ◽

Reliable Procedure ◽

Plantar Fascia Release ◽

Partial Release

Plantar fasciitis is a common disabling condition that can be recalcitrant to treatment. Endoscopic Plantar Fascia Release (EPFR) has received greater attention in recent years as a viable, and possibly superior, alternative to established open procedures for the treatment of plantar fasciitis. In a series of 17 patients (17 feet) with follow-up over an average of 16 months, we report a two portal endoscopic technique of partial release of the plantar fascia, as a successful, safe and reliable procedure for the treatment of plantar fasciitis in the patient group selected. The surgical results of 17 EPFR's performed by the same surgeon were reviewed. All patients had preoperative symptoms of subcalcaneal heel pain for greater than 12 months, all having undergone nonsurgical measures for at least 12 months. Of 17 feet, all reported marked improvement of preoperative symptoms within two months. Patients' subjective assessment of the procedure was strongly supportive, 100% totally satisfied or satisfied with only minor restrictions. Postoperatively, 82.4% reported mild or no pain, and 100% had improvement in walking distance. Complications all resolved within two to six months; there were no re-operations and no infections.

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A novel closed technique for ultrasound-guided plantar fascia release with a needle: review of 107 cases with a minimum follow-up of 24 months

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-021-02302-y ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

A. Iborra ◽

M. Villanueva ◽

P. Sanz-Ruiz ◽

Antonio Martin ◽

Concepción Noriega

Keyword(s):

Plantar Fasciitis ◽

Plantar Fascia ◽

Rehabilitation Program ◽

Heel Pain ◽

Ultrasound Guided ◽

Lateral Column ◽

Guided Surgery ◽

Plantar Fasciotomy ◽

Plantar Fascia Release

Abstract Background This study aims to analyze the clinical outcome of a new ultrasound-guided surgery for partial plantar fasciotomy performed with a needle for treatment of plantar fasciitis. Methods We performed a retrospective review of 107 patients diagnosed with plantar fasciitis who underwent ultrasound-guided release of the plantar fascia. The series included 62 males (57.9%) and 45 females (42.1%) treated between April 2014 and February 2018, with a mean follow-up of 21.05 ± 10.96 months (7–66) and a minimum follow-up of 24 months. The mean age was 48.10 ± 10.27 years (27–72). Clinical assessments and ultrasound examination were carried out before treatment, after 1 week, and then after 1, 3, 12, and 24 months. The clinical assessment was based on a visual analog scale and the Foot and Ankle Disability Index. Results Heel pain improved in 92.5% (99) of patients, but not in 7.4% (8 patients). In the group of patients whose heel pain improved, 9 experienced overload on the lateral column and dorsum of the foot, which improved with the use of plantar orthoses and a rehabilitation program. We recorded no nerve complications (e.g., paresthesia), vascular injuries, or wound-related problems. Conclusion Ultrasound-guided partial plantar fasciotomy with a needle is safe, since structures are under direct visualization of the surgeon and the risk of damage is minimal. Stitches are not necessary, and recovery is fast. Consequently, costs are low, and the patient can return to work quickly. This technique may represent a valid option for treatment of plantar fasciitis.

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Comparison of the Therapeutic Outcomes between Open Plantar Fascia Release and Percutaneous Radiofrequency Ablation in the Treatment of Intractable Plantar Fasciitis

10.21203/rs.2.20318/v2 ◽

2020 ◽

Author(s):

Yusong Yuan ◽

Yuan Qian ◽

Hao Lu ◽

Yuhui Kou ◽

Yangbo Xu ◽

...

Keyword(s):

Radiofrequency Ablation ◽

Plantar Fasciitis ◽

Recovery Time ◽

Operative Time ◽

Plantar Fascia ◽

Treated Group ◽

Heel Pain ◽

Foot And Ankle ◽

Percutaneous Radiofrequency Ablation ◽

Plantar Fascia Release

Abstract Background: Heel pain is one of the most common complaints in foot and ankle clinic and one of the leading causes of heel pain is plantar fasciitis. Methods: A retrospective analysis was carried out in 31 cases (39 feet) of patients with intractable plantar fasciitis. In the enrolled 26 cases, there were 16 patients (19 feet) received open plantar fascia release, and the other 15 patients (20 feet) received percutaneous radiofrequency ablation. The surgical results were assessed by visual analogue scale (VAS) and American orthopaedic foot and ankle society ankle-hindfoot scale (AOFAS-AH) before and after surgery in all patients. Results: All 31 patients were followed up successfully, with a mean follow-up time of 58.77 months. There were no differences of patient’s demographics and characteristics information between the two groups. The average operative time of the feet in the open plantar fascia release is longer time than the percutaneous radiofrequency ablation. Furthermore, the percutaneous radiofrequency ablation group had a shorter recovery time to normal activity than the open plantar fascia release group. There were no difference of postoperative VAS scores and the AOFAS-AH scores between the two groups. All patients reported satisfaction after either operation. Conclusion: Symptoms of pain and limb function were significantly improved in patients both of the partial plantar fascia release treated group and the percutaneous radiofrequency ablation treated group. The two types of surgical procedures shared the same long-term curative effects. However, percutaneous radiofrequency ablation was a better technique from the point of shorter operative time and postoperative recovery time.Trial registration: Retrospectively registered.

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Comparison of the Therapeutic Outcomes between Open Plantar Fascia Release and Percutaneous Radiofrequency Ablation in the Treatment of Intractable Plantar Fasciitis

10.21203/rs.2.20318/v1 ◽

2020 ◽

Author(s):

Yusong Yuan ◽

Yuan Qian ◽

Hao Lu ◽

Yuhui Kou ◽

Yangbo Xu ◽

...

Keyword(s):

Radiofrequency Ablation ◽

Plantar Fasciitis ◽

Recovery Time ◽

Operative Time ◽

Plantar Fascia ◽

Treated Group ◽

Heel Pain ◽

Foot And Ankle ◽

Percutaneous Radiofrequency Ablation ◽

Plantar Fascia Release

Abstract B ackground : Heel pain is one of the most common complaints in foot and ankle clinic and one of the leading causes of heel pain is plantar fasciitis. Methods : A retrospective analysis was carried out in 31 cases (39 feet) of patients with intractable plantar fasciitis. In the enrolled 26 cases, there were 16 patients (19 feet) received open plantar fascia release, and the other 15 patients (20 feet) received percutaneous radiofrequency ablation. The surgical results were assessed by visual analogue scale (VAS) and American orthopaedic foot and ankle society ankle-hindfoot scale (AOFAS-AH) before and after surgery in all patients. Results: All 31 patients were followed up successfully, with a mean follow-up time of 58.77 months. There were no differences of patient’s demographics and characteristics information between the two groups. The average operative time of the feet in the open plantar fascia release is longer time than the percutaneous radiofrequency ablation. Furthermore, the percutaneous radiofrequency ablation group had a shorter recovery time to normal activity than the open plantar fascia release group. There were no difference of postoperative VAS scores and the AOFAS-AH scores between the two groups. All patients reported satisfaction after either operation. Conclusion: Symptoms of pain and limb function were significantly improved in patients both of the partial plantar fascia release treated group and the percutaneous radiofrequency ablation treated group. The two types of surgical procedures shared the same long-term curative effects. However, percutaneous radiofrequency ablation was a better technique from the point of shorter operative time and postoperative recovery time. Trial registration: Retrospectively registered.

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COMPARISON OF IMMEDIATE EFFECT ON APPLICATION OF REMOTE SELFMYOFASCIAL RELEASE ON POSTERIOR CHAIN FLEXIBILITY IN ASYMPTOMATIC YOUNG INDIVIDUALS

10.36106/ijsr/0115384 ◽

2021 ◽

pp. 26-27

Author(s):

Rishika Balani ◽

Tanvi Patole

Keyword(s):

Weight Bearing ◽

Plantar Fascia ◽

Knee Extension ◽

Post Intervention ◽

Chain Flexibility ◽

Myofascial Release ◽

Outcomes Measures ◽

Group A ◽

Group B ◽

Plantar Fascia Release

Aim of study: The aim of the study was to compare the immediate effect on application of remote self- myofascial release on posterior chain exibility in asymptomatic young individuals. Material and Method: 44 subjects were assigned into two groups, Group (A) Plantar fascia release and Group (B) Suboccipital release. Outcomes measures used were Sit and reach test (SRT), Active knee extension test (AKE) and Weight bearing lunge test. Result: There was a signicant difference in SRT and AKE on left side between group A and B. Within the same group there was a signicant improvement in outcome measures post intervention. Conclusion: There was an immediate increase in exibility of the hamstrings, gastrocnemius-soleus muscles and lumbar spine ROM through remote self- myofascial release.

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Platelet rich plasma is better than corticosteroid in longterm outcome in planter fasciitis: A study in a tertiary level teaching hospital at Dhaka, Bangladesh

Z H Sikder Women’s Medical College Journal ◽

10.47648/zhswmcj.2020.v0102.03 ◽

2019 ◽

Vol 1 (Number 2) ◽

pp. 11-14

Author(s):

Md. Johurul Hoque ◽

Muhammad Emam Zaman ◽

Ripon Kumar Das ◽

Mohammad Sayeed AL Mahmud ◽

Mahbuba Khatun

Keyword(s):

Platelet Rich Plasma ◽

Corticosteroid Injection ◽

Plantar Fascia ◽

Heel Pain ◽

P Value ◽

Heel Pad ◽

Patient Reported ◽

Long Term Follow Up ◽

Prospective Comparative Study ◽

And Function

This is a prospective comparative study to compare the efficacy of PRP injection versus corticosteroid injection for planter fasciitis. 35 male and 25 female (Mean Age 35.5 yrs.) presenting with planter fasciitis were randomized to receive there Platelet-rich plasma (PRP) injection (2ml PRP with 2ml of 2% xylocaine) given by a single surgeon. Patients were assessed before (Days0) and after (Days 30, 60, 90) treatment for chronic heel pain more than 6 months. Patients where followed up 1 year to assess heel pain over the calcaneal tuberocity. In the present study of 60 patients there were 35 male and 25 female. In the present study of 60 patients the mean age was 35.5 years (Range between 35 to 65 years). Infection, rupture of plantar fascia, heel pad atrophy and neurovascular damage where not found. Five patient reported pain for unto 9 days after PRP injection. In both groups heel pain improved dramatically after treatment, but the mode of improvement different. Compared with PRP injection. Corticosteroid injection improve at a faster rate over the first 30 days and then started to decline slightly until 90 days. After PRP injection heel pain, function improve steadily and where eventually better. PRP injection and Corticosteroid injection 30 days and faster rate 60 days of both group P-Value 0.0001. Almost high grater rate 60 days, group comparison with heel pain and function of the patients. PRP was more effective over the long term follow up period then corticosteroid injection in improving heel pain and function. That’s way we recommend PRP in a first line injection treatment because it is very simple, cheap and more effective.

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Consequences of Partial and Total Plantar Fascia Release: A Finite Element Study

Foot & Ankle International ◽

10.1177/107110070602700210 ◽

2006 ◽

Vol 27 (2) ◽

pp. 125-132 ◽

Cited By ~ 66

Author(s):

Jason Tak-Man Cheung ◽

Kai-Nan An ◽

Ming Zhang

Keyword(s):

Finite Element ◽

Plantar Fascia ◽

Finite Element Study ◽

Plantar Fascia Release ◽

Element Study

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Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches

Health SA Gesondheid ◽

10.4102/hsag.v24i0.1244 ◽

2019 ◽

Vol 24 ◽

Author(s):

Christopher Yelverton ◽

Sunil Rama ◽

Bernhard Zipfel

Keyword(s):

Plantar Fasciitis ◽

Pain Perception ◽

Plantar Fascia ◽

Heel Pain ◽

Combination Group ◽

Mcgill Pain Questionnaire ◽

Musculoskeletal Problem ◽

Common Causes ◽

Therapy Interventions ◽

The University

Background: Plantar fasciitis is one of the common causes of heel pain and a common musculoskeletal problem often observed by clinicians. Numerous options are available in treating plantar fasciitis conservatively, but no previous studies have compared combined conservative management protocols.Aim: The aim of this study was to compare manipulation of the foot and ankle and cross friction massage of the plantar fascia; cross friction massage of the plantar fascia and gastrocsoleus complex stretching; and a combination of the aforementioned protocols in the treatment of plantar fasciitis.Setting: This study was conducted at the University of Johannesburg, Chiropractic Day Clinic, and included participants that complied with relevant inclusion criteria.Methods: Forty-five participants between the ages of 18 and 50 years with heel pain for more than 3 months were divided into three groups and received one of the proposed treatment interventions. The data collected were range of motion (ROM) of the ankle (using a goniometer) and pain perception using the McGill Pain Questionnaire and Functional foot index and algometer.Results: The results of this study indicate that cross friction massage of the plantar fascia and stretching of the gastrocsoleus complex showed the greatest overall improvement in terms of reducing the pain and disability and ankle dorsiflexion ROM, whereas the combination group showed the greatest increase in plantar flexion.Conclusion: The results demonstrated that all three protocols had a positive effect on the ROM and pain perception to patients with plantar fasciitis.

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