We have privileges at the following hospitals:
Joseph Office Park
1401 Harrodsburg Rd. Suite C-115
Lexington, KY 40504 - MAP
103 Diagnostic Drive Suite B
Frankfort, KY 40601 - MAP
202 Kidd Drive,
Berea, KY 40403 -
Road, Suite 210
Georgetown, KY 40324 - MAP
805 Alexa Drive,
Medical Arts Building
Mt. Sterling, KY 40353 - MAP
Resonance Imaging (MRI) Diabetes
Spur Syndrome / Plantar Fascitis Treatment Alternatives
spur syndrome or heel pain
is usually caused by a mechanical problem involving the
alignment of the foot. There is a dense fibrous band of
tissue in the bottom of the foot known as the plantar fascia.
The plantar fascia inserts into the heel bone and spreads
out across the bottom of the foot.
Due to the mechanical mis-alignment of the foot, excessive
tension is placed on this band of tissue causing inflammation
and pain. The size or presence of a heel spur does not always
correlate with the amount of pain. Heel pain is usually
worse in the morning, especially the first steps, or after
periods of rest. As the pain intensifies, the heel can hurt
even while resting.
is a possibility in some patients, the pain will go
away. However, in most cases, the longer a patient waits
to seek treatment, the more chronic the condition usually
becomes. In most instances, conservative care includes
shoe modifications, medications, injections and physical
therapy. If pain and discomfort persist after conservative
measures have been exhausted, then surgery is recommended.
WHAT IS ENDOSCOPIC PLANTAR FASCIOTOMY?
Endoscopic Plantar Fasciotomy is a recent advancement in foot
surgery for the correction of heel spur syndrome and plantar
fasciitis. The new procedure allows for a shorter recovery
period and a faster return to normal activity. Weight bearing
is usually encouraged immediately after the procedure. The
surgery is performed on a outpatient basis. The procedure
utilizes specially designed instruments that allow the surgeon
to directly visualize the foot structures on a video screen
while making two small incisions on the foot.
HOW IS THIS PROCEDURE DIFFERENT?
The previous surgical treatment for heel spur surgery
involved making a large open incision. The tight ligament
was then severed and the bone spur which has attached to the
fascia was also removed. The bone spur is the result of chronic
inflammation, where the fascia that is attached to the heel
bone has been pulling over an extended period of time. The
spur is a symptom of the inflammation and not the actual cause
of the heel pain. Due to the severity of this procedure, patients
were not able to bear weight on their feet after surgery for
2 to 4 weeks.
In performing an Endoscopic Plantar Fasciotomy, it is not
necessary to remove the heel spur in order to help alleviate
the pain. Two small incisions are made in the fascia to release
the tension. Most patients are able to return to work within
a week, and resume their normal pace within a month. Factors
such as age, weight, and occupation can modify the recovery
WHAT ARE THE RISKS AND COMPLICATIONS?
There are fewer complications with the new procedure
when compared with the previous surgical treatments offered.
As with all surgery, no procedure is risk-free, and there
is no guarantee as to the success of the procedure. The postoperative
risks include delayed healing, infection, pain in the arch
area, and a possibility of a small area of numbness at the
incision sites. Fortunately, most surgical complications can
be resolved with careful follow-up by the surgeon.
ARE YOU A CANDIDATE FOR THIS SURGICAL PROCEDURE?
If you have failed to obtain relief with conservative treatment,
then you may benefit from Endoscopic Plantar Fasciotomy. A
complete evaluation and discussion with the physician will
help to determine if surgical intervention is an option for