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30.08.2014

Plantar fascia release,insoles impact gel,memory foam insert for sleep number,plantar fasciitis sock - Step 2

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A new study in the Journal of the American Podiatric Medical Association (JAPMA) evaluated the safety and efficacy of ultrasound-guided plantar fascia release for treatment of chronic plantar fasciitis. The authors concluded that ultrasound-guided plantar fascia release is an effective and safe surgical procedure for the treatment of chronic plantar fasciitis.
Plantar fasciitis is the tearing, inflammation and eventual degeneration of the plantar fascia, a long ligament in the bottom of the foot. This study evaluated the use of ultrasound to assist the surgeon in endoscopic plantar fascial release. Forty-one patients were selected for the study and forty six feet underwent endoscopic plantar fascial release.


Guiding the small arthroscopic instruments with ultrasound allows the surgeon to better visualize the plantar fascia and it minimizes trauma to the surrounding structures. Ultrasound can be used to visualize and evaluate the thickness of the plantar fascia, which has been shown to correlate with heel pain. Approximately 90% of individuals with plantar fasciitis will improve with conservative therapy within 12 months. Surgical options include coblation therapy, endoscopic plantar fascial release and open heel surgery.
The advantage of endoscopic plantar fascial release is the small incision (0.5 cm) which results in less trauma to surrounding tissues and translates to a faster healing time.


Using ultrasound in combination with the endoscopic technique allows for more precise anatomical dissection and better visualization of the plantar fascia. Further studies which compare ultrasound guided plantar fascia release to the traditional endoscopic plantar fascial release and studies with long term follow-up will help further determine the safety and effectiveness of this procedure.



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