Most people with plantar fasciitis can successfully treat the condition using non-surgical methods. These include weight reduction, physical therapy, icing, stretching and custom orthotics that provide support and cushion the foot.
For more serious cases that do not respond to other treatments, orthopedic surgery for plantar fasciitis can involve releasing the ligament to relieve tension.
Surgical Treatment
Surgery for plantar fasciitis should be considered only when non-surgical treatments fail to relieve symptoms. Surgical treatment involves releasing tension on the plantar fascia ligament and can be done as either open surgery or an endoscopic procedure using small incisions.
This is an outpatient procedure, usually performed under local anesthesia and sedation. A surgeon makes an incision in the bottom of the foot to expose the plantar fascia. They may also remove any spurs or trapped nerves that are causing pain.
If the plantar fascia is very tight, a doctor may perform a percutaneous needle tenotomy. In this minimally invasive procedure, the surgeon pokes a needle into the plantar fascia to cause inflammation and increase blood flow. This will help the tissue heal. Tight calf muscles, known as gastrocnemius, can cause stress on the plantar fascia. A surgeon can surgically lengthen the calf muscle to reduce strain on the fascia. This can be done through an incision or endoscopically with a small camera and hook.
Platelet-Rich Plasma (PRP) Therapy
PRP injections are a regenerative treatment option for plantar fasciitis and other musculoskeletal injuries. This procedure uses your own blood to stimulate healing by concentrating platelets and plasma. The concentrated platelets release growth factors that increase the number of reparative cells in the area and accelerate the body’s natural healing process.
The PRP procedure involves drawing your blood and placing it in a centrifuge, which spins the blood to separate the plasma from the red blood cells. The platelets are then reintroduced to the bloodstream.
Injections of the regenerative medicine are typically performed in the office. You should not take any anti-inflammatory medications prior to the treatment as they can negatively affect the concentration of platelets in your blood.
Studies on PRP have shown positive results for treating musculoskeletal injuries. However, it is important to know that the results are not always consistent. Some studies have found little or no benefit from using PRP to treat plantar fasciitis.
Tenex
Tenex is a new way to treat chronic tendon pain, including plantar fasciitis. It is a minimally invasive procedure that uses ultrasound technology to remove damaged tissue from the affected area. The procedure is quick and requires only local anesthesia. It has been shown to be more effective than traditional surgery, with a shorter recovery time and less risk of complications.
During the Tenex Health TX procedure, an ultrasound-guided wand is inserted into the affected tissue. The wand emits ultrasonic energy, breaking up and removing the damaged tissue while leaving healthy tissue intact. It is an outpatient procedure, and you can typically return to regular activity in about six weeks.

If you are struggling with debilitating foot or ankle pain, contact us to learn more about treatment options. If conservative approaches like physical therapy, steroid injections, or foot orthotics have failed, we can help you get relief with the Tenex procedure. Our team can restore musculoskeletal function, provide immediate pain relief, and prevent recurrence of your condition.부산족저근막염
Gastrocnemius Recession
In patients who have been unable to find relief with conservative treatment, gastrocnemius recession (also known as the Strayer procedure) can be helpful. In this surgery, your doctor will surgically lengthen the tight calf muscle to take pressure off of the plantar fascia. Your surgeon can perform this surgery open, using a long incision, or endoscopically, which involves a small portal through which your surgeon inserts an instrument with a camera attached.부산정형외과
Studies have shown that this procedure can improve pain, plantar fascia flexibility, and patient satisfaction.2
Like any surgical procedure, gastrocnemius recession does have some risks. These include complications at the surgical site, blood clots, nerve or blood vessel injury, and a return of the original condition or other foot or ankle problems. However, our Resurgens physicians take many precautions to minimize these risks. Patients should follow all postoperative instructions closely to ensure the best results.