Percutaneous release of plantar fasciitis

Background and aim Plantar fasciitis (PF) is reportedly the most common cause of pain in the inferior heel. It affects sedentary and athletic populations. Obesity and prolonged standing are risk factors for it. Diagnosis is primarily based on history and physical examination. PF is thought to be cau...

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Main Authors: Mohammad A. Negm, Ehab A. Elshal, Mohammad E. Abdelkader
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Al-Azhar Assiut Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/azmj.azmj_210_20
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author Mohammad A. Negm
Ehab A. Elshal
Mohammad E. Abdelkader
author_facet Mohammad A. Negm
Ehab A. Elshal
Mohammad E. Abdelkader
author_sort Mohammad A. Negm
collection DOAJ
description Background and aim Plantar fasciitis (PF) is reportedly the most common cause of pain in the inferior heel. It affects sedentary and athletic populations. Obesity and prolonged standing are risk factors for it. Diagnosis is primarily based on history and physical examination. PF is thought to be caused by biomechanical overuse from prolonged standing or running, thus creating microtears at the calcaneal enthesis. Patients and methods This was a single-center, prospective, observational, case series study that involved 20 patients with chronic PF. All patients were treated by percutaneous plantar fasciotomy, with a follow-up duration of 6 months. Results In our study, there were 20 patients (20 feet) in whom there was a significant change in American Orthopedic Foot and Ankle Scale from 44.75±8.61 before the operation to 90.45±11.69 in the first follow-up visit (2 months after operation) and to 90.9±13.35 in the second visit (6 months after the operation) and a significant change in visual analog scale from 6.8±1.06 before the operation to 1.45±1.96 in the first follow-up visit and to 1.7±2.54 in the second follow-up visit. Regarding postoperative patient satisfaction levels, 60% of patients were very satisfied and 15% were satisfied, whereas 25% were not satisfied. All patients in this study returned to their full activity at an average of 3.85±1.09 weeks. Conclusion The percutaneous release of plantar fascia was effective in the treatment of PF.
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spelling doaj-art-146908b869f044fb951896bcaed4f0ab2025-01-17T15:44:09ZengWolters Kluwer Medknow PublicationsAl-Azhar Assiut Medical Journal1687-16932024-01-012211610.4103/azmj.azmj_210_20Percutaneous release of plantar fasciitisMohammad A. NegmEhab A. ElshalMohammad E. AbdelkaderBackground and aim Plantar fasciitis (PF) is reportedly the most common cause of pain in the inferior heel. It affects sedentary and athletic populations. Obesity and prolonged standing are risk factors for it. Diagnosis is primarily based on history and physical examination. PF is thought to be caused by biomechanical overuse from prolonged standing or running, thus creating microtears at the calcaneal enthesis. Patients and methods This was a single-center, prospective, observational, case series study that involved 20 patients with chronic PF. All patients were treated by percutaneous plantar fasciotomy, with a follow-up duration of 6 months. Results In our study, there were 20 patients (20 feet) in whom there was a significant change in American Orthopedic Foot and Ankle Scale from 44.75±8.61 before the operation to 90.45±11.69 in the first follow-up visit (2 months after operation) and to 90.9±13.35 in the second visit (6 months after the operation) and a significant change in visual analog scale from 6.8±1.06 before the operation to 1.45±1.96 in the first follow-up visit and to 1.7±2.54 in the second follow-up visit. Regarding postoperative patient satisfaction levels, 60% of patients were very satisfied and 15% were satisfied, whereas 25% were not satisfied. All patients in this study returned to their full activity at an average of 3.85±1.09 weeks. Conclusion The percutaneous release of plantar fascia was effective in the treatment of PF.https://journals.lww.com/10.4103/azmj.azmj_210_20mini-invasive releasepercutaneous surgeryplantar fascia releaseplantar fasciopathy
spellingShingle Mohammad A. Negm
Ehab A. Elshal
Mohammad E. Abdelkader
Percutaneous release of plantar fasciitis
Al-Azhar Assiut Medical Journal
mini-invasive release
percutaneous surgery
plantar fascia release
plantar fasciopathy
title Percutaneous release of plantar fasciitis
title_full Percutaneous release of plantar fasciitis
title_fullStr Percutaneous release of plantar fasciitis
title_full_unstemmed Percutaneous release of plantar fasciitis
title_short Percutaneous release of plantar fasciitis
title_sort percutaneous release of plantar fasciitis
topic mini-invasive release
percutaneous surgery
plantar fascia release
plantar fasciopathy
url https://journals.lww.com/10.4103/azmj.azmj_210_20
work_keys_str_mv AT mohammadanegm percutaneousreleaseofplantarfasciitis
AT ehabaelshal percutaneousreleaseofplantarfasciitis
AT mohammadeabdelkader percutaneousreleaseofplantarfasciitis