What is Plantar Fascia Release?
Plantar fascia release is a surgical procedure to treat moderate to severe plantar fasciitis in which your surgeon releases or removes the diseased section of the plantar fascia tissue to relieve pain and inflammation in the foot.
What Is Plantar Fasciitis?
Plantar fasciitis is a condition where the plantar fascia becomes inflamed from overstretching or overuse, causing pain in the heel and bottom of the foot. The plantar fascia is a thick band of tissue present at the bottom of the foot. It runs from the heel bone to the toes and helps support the arch of your foot. Plantar fasciitis is one of the most common causes of heel pain. It is most often seen in middle-aged individuals, but may also occur generally in those who are constantly on their feet. It can be treated surgically or non-surgically, with plantar fascia release being the preferred method of surgical treatment.
Indications for Plantar Fascia Release
Non-surgical treatments, such as activity modifications, boots, braces, medications, injections, splints, and orthotics, are always the first line of treatment for plantar fasciitis. Plantar fascial release is only recommended if:
- You have been experiencing severe symptoms for 6 or longer
- Your work and daily activities are significantly affected by your symptoms
- Your athletic performance or ability to engage in sports is being affected by your symptoms
- You are a professional athlete who cannot wait for six months of conservative treatment
- Conservative treatments have proven to be ineffective
Preparation for Plantar Fascia Release
In general, preoperative preparation for plantar fascia release surgery will involve the following steps:
- A thorough examination is performed by your doctor to check for any medical issues that need to be addressed prior to surgery.
- Depending on your medical history and age, you may need to undergo bloodwork and imaging tests to screen for any abnormalities that could threaten the safety of the procedure.
- You will be asked if you have allergies to any medications, anesthesia, or latex.
- You should inform your doctor of any medications, vitamins, or supplements that you are taking.
- You should refrain from taking supplements or medications such as blood thinners, aspirin, or anti-inflammatory medicines for 1 to 2 weeks prior to surgery.
- You should refrain from consuming alcohol or tobacco at least a week before surgery.
- You should not consume solids or liquids at least 8 hours prior to surgery.
- You will need to arrange for someone to drive you home after surgery.
- Written consent will be requested from you after the surgical procedure has been explained in detail.
Procedure for Plantar Fascia Release
Plantar fascia release surgery may be performed as an open surgery, where a large incision is made, or as a minimally invasive endoscopic surgery, where small incisions are made to insert an endoscope (a thin, flexible instrument with a camera and light source) and other tiny surgical instruments.
In general, the surgery involves the following steps:
- You will lie on your back with the foot to be treated hanging over the end of the operating table.
- You will be given regional or general anesthesia.
- For an open surgery, your surgeon will make a large surgical cut on the bottom of the foot or above the heel pad of the foot.
- For an endoscopic surgery, your surgeon will make small surgical cuts on the outer aspect of the foot, close to the ankle.
- The underlying muscles are carefully separated to expose the treatment area, and your surgeon may perform any of the following:
- Make small incisions on either side of the plantar fascia to mitigate tension
- Disconnect the plantar fascia from the heel bone
- Remove a small section of damaged tissue
- Detach a heel spur
- Smoothen or remove the surface of the heel bone to assist with the healing of the plantar fascia with minimal tension
- After confirming adequate plantar fascia release, the overlying soft tissue and skin are closed with sutures, and sterile bandages are applied.
Postoperative Care and Recovery
In general, postoperative care instructions and recovery after plantar fascia release will involve the following steps:
- You will be transferred to the recovery area, where your nurse will closely observe you for any allergic/anesthetic reactions and monitor your vital signs as you recover.
- You will be prescribed pain and anti-inflammatory medications as needed.
- You may be advised to apply ice bags over a towel to the affected area for about 15-20 minutes at a time to reduce postoperative pain and swelling.
- A walking boot or a non-weight-bearing cast will be recommended for two to three weeks to facilitate tissue healing and support the foot.
- Keep the foot elevated at or above the level of your heart to help minimize swelling and discomfort.
- Start rehabilitation (physical therapy) as recommended by your surgeon to improve your range of motion.
- Crutches or a walker may be used to maintain balance or stability while walking. You should begin appropriate exercises to stretch and strengthen the foot muscles.
- Keep the surgical site clean and dry. Instructions on surgical site care and bathing will be provided.
- Refrain from strenuous activities, like lifting heavy weights, for the first few months after surgery.
- A gradual increase in activity level is recommended. You may return to sports once the foot has regained its normal strength and function, provided that you have your surgeon's approval.
- Most patients will be able to return to their normal activities within three to six weeks.
Risks and Complications of Plantar Fasciitis Treatment
Plantar fascia release surgery is a relatively safe procedure; however, as with any surgery, some risks and complications may occur, such as the following:
- Infection
- Bleeding
- Damage to nerves and blood vessels
- Thromboembolism or blood clots
- Anaesthetic/allergic reactions
- Over-release of the plantar fascia
Why Choose Dr. Gary Driver for Plantar Fascia Release in Fort Worth and Weatherford, TX?
Finding the right specialist for plantar fascia release can make all the difference to your recovery and long-term foot health. Here's what sets Dr. Gary Driver apart from other healthcare providers in Fort Worth and Weatherford, TX:
Advanced Treatment Techniques
Dr. Gary Driver offers both traditional and minimally invasive options for plantar fascia release. His expertise in modern surgical techniques ensures effective treatment and shorter recovery times.
Patient-Centered Care
Dr. Gary Driver will take the time to understand your concerns and carefully explain your treatment options so you can make an informed decision. He will do everything he can to make you feel comfortable throughout your treatment and recovery journey.
Convenient Locations
Dr. Gary Driver's clinics in Fort Worth and Weatherford provide patients with high-quality treatment close to their homes. With two locations to choose from, you won't have to travel far to receive medical care.
Fellowship-Trained Foot and Ankle Surgeon
As a fellowship-trained foot and ankle surgeon, Dr. Gary Driver brings extensive experience and specialized knowledge to every surgery he performs. He prioritizes safety and efficacy to provide patients undergoing plantar fascia release with the best possible outcomes.
Contact Dr. Gary Driver for Plantar Fascia Release Surgery in Fort Worth and Weatherford, TX
Heel pain should not be in control of your life. If plantar fasciitis is making it difficult for you to walk or enjoy your daily activities, Dr. Gary Driver is here to help. Contact his office today to schedule an appointment and overcome your pain permanently.
Frequently Asked Questions
What causes plantar fasciitis?
The plantar fascia functions as a shock absorber and supports the arch of your foot. Excessive pressure on the plantar fascia may strain or tear the tissue, causing heel pain. Repeated overstretching or overuse can cause inflammation of the plantar fascia. Other risk factors may include:
- Obesity
- Flat feet or high arches
- Long-distance running, ballet, and dance aerobics
- An occupation that necessitates walking or standing on hard surfaces for long periods
- Wearing thin-soled shoes or shoes with poor arch support
How is plantar fasciitis diagnosed?
Your doctor will review your medical history and examine your foot for signs of tenderness. They may suggest an X-ray or MRI to rule out other causes of heel pain, such as a stress fracture or a pinched nerve.
How much does plantar fascia release cost in Fort Worth and Weatherford, TX?
The cost of plantar fascia release depends on your insurance coverage and the complexity of the procedure. You may also be charged for post-surgical care.
Does insurance cover plantar fascia release?
Insurance coverage for plantar fascia release depends on your provider and plan. Many insurance companies will cover the procedure if it is deemed medically necessary, but you may still have to cover some expenses out-of-pocket.