Plantar fascitis is characterized by insidious-onset pain at the site where the plantar fascia inserts into the calcaneus, mainly occuring after long periods of standing or walking. It is often, but not always, accompanied by an exostosis in the form of a spur arising from the medial apophysis of the calcaneal tuberosity, alongside the myofascial insertion fibers located at this point.
The incidence of this condition is greater in patients aged 40 to 60 years, and there is no difference between the sexes.
A percutaneous approach for fasciotomy and spur removal is much less invasive than open techniques. The surgery should only be used before a complete conservative medical approach has been tried for 6 months and when all available conservative measures fail. The intervention requires application of local anesthesia.
A 0,5 cm incision is made, the fasciotomy can be complete or spare the lateral fascicle and the spur is removed with a straight burr 2-15 mm.
A compression bandage is applied an a surgical shoe with a heel is used. After 1 week a non orthopaedic shoe is permitted.