Plantar fasciitis can cause significant heel pain, making everyday activities challenging. When non-surgical treatments fail to provide relief, a procedure known as plantar fascia release may be recommended. This guide provides an overview of the surgery, its benefits, and what you can expect during recovery.
What is Plantar Fascia Release Surgery?
Plantar fascia release surgery is a procedure designed to alleviate heel pain by cutting the tight medial or central band of the plantar fascia. This band, located on the bottom of the foot, can become inflamed and painful in individuals with chronic plantar fasciitis.
During the procedure, a small incision is made on the inside of the heel, usually on a non-weight-bearing surface. The surgeon then identifies and cuts the tight band of the plantar fascia. The procedure typically takes about 15 minutes and does not require the use of any fixation devices like screws or wires.
Why Consider This Surgery?
The main goals of plantar fascia release surgery are:
To decrease heel pain by relieving tension in the plantar fascia.
To restore foot function and improve quality of life.
This is a relatively short procedure with minimal recovery time, making it a convenient option for those who haven’t found relief through conservative methods.
Risks and Considerations
While the surgery is generally safe, there are some specific risks to consider, including:
Thickened or tender scars.
Areas of numbness around the incision site.
Recurrence of plantar fasciitis symptoms.
Flattening of the foot, which can lead to mid-arch or lateral foot pain.
Your consultant will discuss these risks with you and ensure you understand all aspects of the procedure before moving forward.
Who is a Candidate for This Procedure?
This surgery is typically reserved for patients with:
Severe heel pain caused by plantar fasciitis that has not responded to non-surgical treatments.
Symptoms that significantly impair normal work or daily activities.
Non-surgical treatments that are usually attempted first include:
Altering activity levels.
Using painkillers and anti-inflammatory medications.
Wearing orthotic supports or custom footwear.
Calf stretching exercises or tension night splints.
Steroid injections or shockwave therapy.
Surgery is considered only when these approaches fail to provide significant relief.
What to Expect During Surgery
The procedure can be performed under local anaesthesia, ensuring you remain awake but pain-free. A series of injections around the ankle or behind the knee is used to numb the area. If preferred, local anaesthesia with sedation or general anaesthesia may be an option. Your consultant will discuss these choices with you.
Plantar fascia release is typically a day surgery, allowing you to return home the same day. You’ll need a responsible adult to assist you during the first 24 hours after the procedure.
Recovery Timeline
First 2-4 Days:
Pain management is essential; you will be provided with appropriate medications.
Rest is crucial. Keep your foot elevated and limit movement to essential activities only.
Walking is permitted with care, but overexertion should be avoided.
One Week After Surgery:
You may attend a follow-up appointment to have your foot checked and re-dressed.
Gradual activity is encouraged, but increased pain may indicate you are doing too much.
Two Weeks After Surgery:
Sutures, if used, will be removed.
Bandages are no longer necessary, and you can get your foot wet.
Many patients can transition to wearing regular shoes at this stage.
2-6 Weeks After Surgery:
Swelling may persist, especially at the end of the day.
You can resume work, though manual labour jobs may require a longer recovery time.
You can drive if you can safely perform an emergency stop, but check with your insurance provider first.
Sports and intense physical activities should still be avoided during this time.
8-12 Weeks After Surgery:
The foot continues to heal and feels more normal.
Swelling significantly decreases, and light sports may be considered based on your recovery.
Six Months After Surgery:
A final follow-up appointment will assess your progress.
Swelling should be minimal, and the benefits of surgery should be fully realised.
Twelve Months After Surgery:
Complete healing is achieved, and any residual symptoms should be resolved.
Planning for Recovery
To ensure a smooth recovery, it’s important to:
Arrange for a support system during the initial recovery phase.
Follow all post-operative care instructions closely.
Use pain management and mobility aids as recommended by your healthcare provider.
Plantar fascia release surgery is a straightforward and effective option for those with chronic plantar fasciitis that has not responded to other treatments. With proper preparation and adherence to recovery protocols, patients can look forward to significant pain relief and improved foot function. If you’re considering this surgery, consult your healthcare provider to determine if it’s the right option for you. Get in touch with Coriel about Plantar Fascia Release Surgery here