Early diagnosing and a structured treatment plan are crucial for healing plantar fasciitis. If treatment is delayed or inadequate in the initial stages of plantar fasciitis, the condition can take six to eighteen months or more to be fully treated.
Nevertheless by sticking to a suitably structured treatment plan and blending many of the individual treatments available, thankfully in the majority of cases, non-invasive treatment is enough to cure the condition. Only in the most extreme cases is surgery required.
Topaz surgery for plantar fasciitis is a minimally invasive procedure.
Topaz surgery (or microdebrider) allows surgeons greater control treating the damaged tendons while leaving unaffected the structure of the tissue.
The procedure usually takes less than 20 minutes to perform. A fter making a small incision, the surgeon uses the Topaz Microdebrider device around the affected tendon 1/4 inch apart resulting in a grid-like pattern. On every third or fourth application, the surgeon inserts the Topaz Microdebrider device deeper into the tendon itself, to a depth of approximately 1/4 inch. A small dose of radiofrequency energy is directed into the tissue to remove small amounts of tissue.
Endoscopic Plantar Fasciitis Release
Plantar Fascia release surgery involves cutting part of the plantar fascia ligament to release tension and to relieve inflammation of the ligament.
After local anesthetic is applied in order to numb the area, the surgeon will make an incision above the heel padwhere the thicker skin of the sole meets the thinner skin of the back of the heel. The incision can also be done on the bottom of the foot.
The surgeon will then detach the plantar fascia from the heel bone or make incisions to release the tension. The surgeon could also smooth the bone surface or remove it in order to let the plantar fascia heal with less tension. Sometimes a small wedge of damaged tissue is removed as well.
The surgeon can free the thickest part of the foot muscle so that the nerves will not be trapped. If there is a heel spur present, the surgeon can remove it as well.
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