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Plantar fascia release surgery involves cutting part of the plantar fascia ligament to release tension and relieve inflammation of the ligament (plantar fasciitis). Your doctor can use medicine that numbs the area (local anesthetic) for the procedure. Plantar fascia release can be done by cutting the area (open surgery) or by inserting instruments through small incisions (endoscopic surgery).
If you have traditional open surgery, you may wear a non–weight-bearing cast or walking boot, for 2 to 3 weeks after surgery to allow tissues to heal.
If you have endoscopic surgery, you can begin limited weight-bearing immediately and can begin wearing normal shoes again as soon as it is comfortable. Most people return to their normal activities in 3 to 6 weeks.
You will begin a gradual strengthening and flexibility program after surgery. Running or jumping is restricted for at least 3 months after surgery.
Surgery may be appropriate for only 5% of people with plantar fasciitis.footnote 1 Some foot experts may recommend surgery more often. Generally, your doctor may recommend surgery if:
Most people (over 75 out of 100) have less pain after plantar fascia release surgery. Up to 25 out of 100 people who have surgery continue to have pain.footnote 2
Risks of plantar fascia release include:
Endoscopic surgery should be done by a surgeon who is specially trained in the technique and who has experience doing the surgery. Ask how many endoscopic surgeries the surgeon has done and how successful they were.
CitationsAmerican Academy of Orthopaedic Surgeons and American Academy of Pediatrics (2010). Plantar fasciitis. In JF Sarwark, ed., Essentials of Musculoskeletal Care, 4th ed., pp. 839–844. Rosemont, IL: American Academy of Orthopaedic Surgeons.Mann JA, et al. (2014). Foot and ankle surgery. In HB Skinner, PJ McMahon, eds., Current Diagnosis and Treatment in Orthopedics, 5th ed., pp. 384–455. New York: McGraw-Hill.
Current as of: November 16, 2020
Author: Healthwise Staff
Medical Review:William H. Blahd Jr. MD, FACEP - Emergency Medicine & Anne C. Poinier MD - Internal Medicine & Adam Husney MD - Family Medicine & E. Gregory Thompson MD - Internal Medicine & Kathleen Romito MD - Family Medicine & Gavin W.G. Chalmers DPM - Podiatry and Podiatric Surgery
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