Mid-Sole Release of the Plantar Fascia Combined With Percutaneous Drilling of the Calcaneus for Treatment of Resistant Heel Pain

Rizk, Ahmed; Kandel, Wael A; Tabl, E.A.; Kandil, Mahmoud Ibrahim

doi:10.1177/1071100717723131

Cited by 6 publications

(6 citation statements)

References 15 publications

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“…Open, mini-open, and arthroscopic plantar fasciotomy methods have been reported. The open plantar fascia release procedure is a popular method; however, it requires a large incision and significant dissection, the healing time is longer and there is the potential risk of painful scar tissue [1,21] . Arthroscopic plantar fascia release has been evaluated as a method with a high success rate by experienced surgeons.…”

Section: Discussionmentioning

confidence: 99%

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The early term functıonal results of calcaneal spur removal, calcaneal drilling and plantar fascıa release combined technıques ın painful heel syndrome

Karaytuğ¹

2018

Haydarpasa Numune Med J

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Introduction: Painful heel syndrome is characterized by pain and sensitivity in the inferomedial aspect of the calcaneal tuberosity. In cases resistant to conservative treatment, various surgical procedures may be used. The purpose of this study was to report the functional outcomes for a combined technique of calcaneal spur excision, drilling, and plantar fascia release for the treatment of resistant heel pain. Methods: Patient results of preoperative and postoperative American Orthopaedic Foot and Ankle Score (AOFAS), Visual Analogue Scale (VAS), and Short Form 12 Physical Composite Score (SF-12 PCS) were evaluated. Calcaneal spur recurrence was investigated radiologically.

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Section: Discussionmentioning

confidence: 99%

“…P ainful heel syndrome is characterized by pain and sensitivity in the inferomedial aspect of the calcaneal tuberosity. The incidence is approximately 15% in the adult population [1] . Although its etiology has not yet been completely clarified, plantar fasciitis is thought to be the most important cause of painful heel syndrome [2] .…”

mentioning

confidence: 99%

The early term functıonal results of calcaneal spur removal, calcaneal drilling and plantar fascıa release combined technıques ın painful heel syndrome

Karaytuğ¹

2018

Haydarpasa Numune Med J

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“…Retrospective evaluations of partial plantar fasciotomy have reported rates of success, ranging from 57% to 96%. 7,8,43,46,48 All of these studies have had substantial limitations and variability limiting any definitive conclusions on the benefit of operative release. Many of these studies report worsening and/or persistent heel pain in an unacceptably high percentage of patients.…”

Section: Partial Plantar Fasciotomymentioning

confidence: 99%

“…A number of retrospective reviews have demonstrated success with these techniques ranging from 40% to 100%, but none have demonstrated clear superiority over the open technique and they both have rates of persistent heel pain similar to open surgery. 5,6,25,38,43 It is often difficult to distinguish between PF and nerve compression. The history, physical examination, and imaging provide essential clues, but cannot always differentiate between them.…”

Section: Partial Plantar Fasciotomymentioning

confidence: 99%

Evaluation and Treatment of Chronic Plantar Fasciitis

Latt

Jaffe

Tang

et al. 2020

Foot & Ankle Orthopaedics

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Plantar fasciitis is the most common cause of chronic heel pain in adults, affecting both young active patients and older sedentary individuals. It results from repetitive stress to the plantar fascia at its origin on the medial tubercle of the calcaneus and is often associated with gastrocnemius tightness. The diagnosis can be made clinically with a focused history and physical examination; imaging is reserved for atypical presentations and those that do not respond to initial treatment. The most common presenting symptom is aching plantar heel pain, which is worst with first step in the morning or after periods of rest. Diagnosis is confirmed with point tenderness at the origin of the plantar fascia on the medial tubercle of the calcaneus. Initial treatment consists of activity modification, anti-inflammatory medication, gastrocnemius and plantar fascia stretching, and an in-shoe orthosis that lifts and cushions the heel. These nonoperative treatments lead to complete resolution of pain in 90% of patients but can take 3-6 months. Patients who remain symptomatic despite a 6-month trial of nonoperative therapy may be considered for minimally invasive treatment or surgery. Platelet-rich plasma injections and therapeutic ultrasound are among a number of minimally invasive treatments that stimulate the body’s healing response. Corticosteroid injections temporarily relieve pain, but may increase the risk of plantar fascia rupture and fat pad atrophy. Botulinum toxin injections relax the calf muscles, which decreases the stress in the plantar fascia. Operative treatments include gastrocnemius recession and medial head of gastrocnemius release, which decrease the stress on the plantar fascia and partial planter fasciotomy, which stimulates a healing response. Level of Evidence: Level V, expert opinion.

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“…Plantar fasciitis is the most common cause of chronic heel pain, affecting up to 15% of adult foot complaints. 25,29,33 It is usually a self-limiting disease as it usually resolves within 8-12 months in approximately 80% to 90% of patients. 14,27 However, it can be a challenging condition as several months to even years may be required before subsidence of symptoms with conservative treatment.…”

Section: Introductionmentioning

confidence: 99%

Prospective Randomized Evaluation of Local Injection of Allogeneic Growth Factors in Plantar Fasciitis

2020

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Background: The aim of this study was to evaluate the efficacy and safety of injection of allogeneic growth factors in patients with plantar fasciitis. Methods: This study included 150 patients who were randomly divided into 2 equal groups; the patients were locally injected with allogeneic growth factors (GFs) (treatment group) or with saline 0.9% (control group). The patients were assessed using visual analog scale (VAS) and Foot Function Index–Revised short form (FFI-Rs) scores preinjection and 1, 3, 6, and 12 months postinjection. The patients were questioned about their satisfaction. Any adverse effects were recorded. Results: At baseline, there was no significant difference between both groups regarding the mean VAS and FFI-Rs scores. At 3-month follow-up, the reduction in mean VAS score was 87% in the treatment group and 55% in the control group ( P < .001), and the reduction in mean FFI-Rs score was 62% in the treatment group and 40% in the control group ( P < .001). Treatment group and study visit were significant factors affecting both VAS and FFI-Rs scores. Overall, 92% were satisfied in the treatment group, and 78.2% in the control group. Postinjection pain occurred in 5 patients in the treatment group. Conclusion: This study provides Level I evidence regarding the efficacy and safety of allogeneic GF injection in patients with plantar fasciitis. However, additional studies are needed to evaluate their adverse effects, immunogenicity, and microbiological safety. Level of Evidence: Level I, prospective randomized controlled case series.

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Mid-Sole Release of the Plantar Fascia Combined With Percutaneous Drilling of the Calcaneus for Treatment of Resistant Heel Pain

Abstract: Level IV, retrospective case series.

Cited by 6 publications

References 15 publications

The early term functıonal results of calcaneal spur removal, calcaneal drilling and plantar fascıa release combined technıques ın painful heel syndrome

The early term functıonal results of calcaneal spur removal, calcaneal drilling and plantar fascıa release combined technıques ın painful heel syndrome

Evaluation and Treatment of Chronic Plantar Fasciitis

Prospective Randomized Evaluation of Local Injection of Allogeneic Growth Factors in Plantar Fasciitis

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