Abstract
A curved, oblique plantar incision in the proximal aspect in the medial longitudinal arch was used to release the plantar fascia in eight feet with recalcitrant plantar fasciitis. Seven feet became pain free and the eighth was 75% improved. Normal sensation to the heel was preserved in all cases. No painful scars or neuromas of the calcaneal branch of the posterior tibial nerve developed. This approach represents a significant improvement over previously reported surgical approaches.
Get full access to this article
View all access options for this article.
References
1.
Campbell
J.W.
Inman
V.T.
: Treatment of plantar fasciitis and calcaneal spurs with the UC-BL shoe insert . Clin. Orthop , 103 : 57 –62 , 1974
2.
DuVries
H.L.
: Heel spur (calcaneal spur) . Arch. Surg. , 74 : 536 –542 , 1957
3.
Furey
J.G.
: Plantar fasciitis: The painful heel syndrome . J. Bone Joint Surg. , 57A : 672 –673 , 1975
4.
Graham
C.E.
: Painful heel syndrome: Rationale of diagnosis and treatment . Foot Ankle , 3 : 261 –267 , 1983
5.
Kahn
C.
Bishop
J.O.
Tullos
H.S.
: Plantar fascia release and heel spur excision via plantar route . Orthop. Rev. , 14 : 222 –225 , 1985
6.
Lapidus
P.W.
Guidotti
F.P.
: Painful heel: Report of 323 patients with 364 painful heels . Clin. Orthop. , 39 : 178 –186 , 1965
7.
Lester
D.K.
Buchanan
J.R.
: Surgical treatment of plantar fasciitis . Clin. Orthop. , 186 : 202 –204 , 1984
8.
Manteil
B.S.
: Radiotherapy for painful heel syndrome . Br. Med. J. , 2 : 90 –91 , 1978
9.
Michetti
M.L.
Jacobs
S.A.
: Calcaneal heel spurs: Etiology, treatment, and a new surgical approach . J. Foot Surg. , 22 : 234 –239 , 1983
10.
Snider
M.P.
Clancey
W.G.
McBeath
A.A.
: Plantar fascia release for chronic plantar fasciitis in runners . Am. J. Sports Med. , 11 : 215 –219 , 1983
11.
Snook
G.A.
Crissman
O.D.
: The management of subcalcaneal pain . Clin. Orthop. , 82 : 163 –168 , 1972
12.
Tanz
S.S.
: Heel pain . Clin. Orthop. , 28 : 169 –178 , 1963
13.
Turek
S.J.
: Orthopaedics: Principles and Their Application , Vol. 2 , p. 1472 . Philadephia , J. B. Lippincott Co. , 1984
