Plantar Fasciiotomy

Plantar fasciitis is a painful and debilitating condition in which conservative, non-surgical treatment can be used. However, it is not always the best means due to the fact that it can be chronic and re-occur. Thus, a minor surgical procedure can sometimes be the best answer for permanent results without any reoccurrence when non-surgical treatments are not working.

Plantar fasciitis deals with inflammation of the plantar fascia, a thick fibrous band of connective tissue that runs along the bottom of a patient’s foot, from the heal towards the five toes. These fibers are constantly being pulled and not stretching properly as they are very tense throughout the day. Thus, when a patient bears weight while walking, the tense fibers are stepped on causing increased pain.  This can eventually become long lasting and chronic. The best indication of plantar fasciitis is when pain is seen with the first steps of the day, upon getting out of bed. Patients with this condition also seem to have difficulty bending toes and often are seen with knee pain.

To treat this condition surgically, Dr. Jenson uses a groundbreaking technique that offers a minimally invasive procedure that should give a patient permanent results with a faster recovery time. Using endoscopic means, a very small incision is made on the side of the foot in order to gain access to the plantar fascia fibers. He then uses special instruments to open the tissues and snip some of the small fibers from the band. These fibers are often accessory and do not cause any effects in the patient's ability to use their foot. The release of these small fibers allows lengthening of the connective tissue, which provides release of stress and tension. Thus, a patient now bears weight with proper stretching of the tendon during activity.

Considered an outpatient surgery, the patient is able to go home once surgery is complete. The actual surgery time is quick, as it usually only lasts close to an hour. Most importantly, the recovery phase is fast and simple. Since it is soft tissue, Dr. Jenson likes to take precautionary measures to ensure complete healing without any risk for infection. Thus, he requires his patients to prevent bearing any weight on the foot for 1 week, after which the patient comes into the office for a follow up. Upon approval, the patient will be in a special surgical shoe for 2 weeks, after so they will come back to the office to remove their sutures. The patient will then be able to transfer to regular shoes with regular activity and no restrictions. Often, physical therapy is done in the office to ensure quicker and more efficient healing.