Without a doubt plantar fasciitis is the number one pathology that walks into any foot specialists practice on a daily basis. Plantar fasciitis is most often seen in middle-aged men and women, but can be found in all age groups. Plantar fasciitis occurs because of irritation to the thick ligamentous connective tissue that runs from the heel bone to the ball of the foot. When a patient has plantar fasciitis, the connective tissue that forms the arch of the foot becomes inflamed (tendonitis) and degenerative (tendinosis)–these abnormalities cause plantar fasciitis and can make normal activities quite painful.
To prevent the recurrence of plantar fasciitis after treatment, it is important to continue the stretching and exercises. As stated above, simple treatment measures will usually work in the treatment of plantar fasciitis. Surgery should be reserved for patients who have made every effort to fully participate in conservative treatments, but continue to have pain from plantar fasciitis.
If you fit these criteria, then surgery may be an option in the treatment of your plantar fasciitis.


Unfortunately, surgery for treatment of plantar fasciitis is not as ‘predictable’ as a surgeon would like.
Plantar fasciitis refers to the syndrome of inflammation of the band of tissue that runs from the heel along the arch of the foot; a heel spur is a hook of bone that can form on the heel bone (calcaneus). Plantar fasciitis is diagnosed with the classic symptoms of pain well localized over the heel area of the bottom of the foot.
This treatment, called extracorporeal shock wave therapy, or ESWT, uses energy pulses to induce microtrauma to the tissue of the plantar fascia. These simple exercises will help maintain the flexibility of the foot and prevent the plantar fasciitis pain from returning. The vast majority of patients diagnosed with plantar fasciitis will recover given ample time.
About 70% of patients with plantar fasciitis have been noted to have a heel spur that can be seen on X-Ray.
Often the pain from plantar fasciitis is most severe when you first stand on your feet in the morning.


These syndromes such as Reiter’s syndrome and ankylosing spondylitis can cause heel pain similar to plantar fasciitis. Time is very important in curing the pain of plantar fasciitis, and insufficient treatment before surgery may subject you to potential complications of the procedure.
With some basic treatment steps, well over 90% of patients will achieve full recovery from symptoms of plantar fasciitis within one year of the onset of treatment. If your symptoms are not typical for plantar fasciitis, or if your symptoms do not resolve with treatment, your doctor will consider these possible diagnoses. If these treatments fail, your doctor may consider an operation to loosen the plantar fascia, called a plantar fascia release. Because the diagnosis of plantar fasciitis can be confused with tarsal tunnel syndrome (as described earlier), most surgeons advocate performing a tarsal tunnel release (or at least a partial tarsal tunnel release) along with the plantar fascia release.



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