Plantar Fascia Release Indications
Plantar fascia release surgery is performed when conservative management for plantar fasciitis including medication and physiotherapy has failed.
Other indications for plantar fascia release include:
- Plantar fascia pain for 6 – 12 months
- Severe restriction in function despite conservative management
- Great affect in ability to work
- Great affect in sporting performance
Plantar Fascia Release Procedure
Plantar fascia release is a surgical procedure usually performed via an endoscopy; however some surgeons still use the traditional open surgery method.
The plantar fascia release procedure involves the following stages:
- A small incision is made at the heel bone.
- The plantar fascia ligament is cut or fully detached to relieve tension.
- The surgeon will tidy up the area and smooth the bone to allow for healing of the fascia under less tension.
- If a bony spur is present on the heel it will be removed.
- In some cases, the surgeon will also release some of the muscle (abductor hallucis) to prevent trapping of nerves.
The Benefits Post-Surgery
Plantar fascia release surgery results in a number of benefits on your life including:
- Elimination or a reduction in pain
- Restoration of a normal gait pattern
- Regaining of full function
- Return to sport
- Increased overall well-being and mood
Physiotherapy Rehabilitation Post Surgery
Physiotherapy rehabilitation is vital in ensuring you gain maximum benefit of plantar fascia release surgery. The ability to weight bear is slightly different depending on if you have had open surgery or an endoscopy.
- After open surgery you may require a non-weight bearing brace or cast for a few weeks to allow the tissues to repair.
- After endoscopy you can begin partial weight bearing straight away as there is less damage to the soft tissues.
- Range of movement exercises
Physiotherapy will begin with gentle range of movement exercises to regain mobility and flexibility of the joints.
- Strengthening exercises
A programme of strengthening exercises will be given to regain strength of the muscles in and around the foot.
- Gait re-training
Your physiotherapist will analyse your gait and progress your weight bearing status safely.
- Sports specific training
Exercises and drills will be given to help you reach your previous sporting level and goals.