Percutaneous Ultrasonic Fasciotomy for Refractory Plantar Fasciopathy After Failure of a Partial Endoscopic Release Procedure

Abstract Plantar fasciopathy is a painful, degenerative condition of the plantar fascia that affects 2 million people annually and has an estimated 10% lifetime prevalence. When both nonoperative and operative management fails, patients have limited therapeutic options. We present a case of an activ...

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Bibliographic Details
Published in:PM & R 2015-11, Vol.7 (11), p.1194-1197
Main Authors: Pourcho, Adam M., DO, Hall, Mederic M., MD
Format: Article
Language:English
Subjects:
Endoscopy
Fasciitis, Plantar - diagnosis
Fasciitis, Plantar - surgery
Humans
Male
Middle Aged
Physical Medicine and Rehabilitation
Reoperation
Ultrasonic Surgical Procedures
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Summary:Abstract Plantar fasciopathy is a painful, degenerative condition of the plantar fascia that affects 2 million people annually and has an estimated 10% lifetime prevalence. When both nonoperative and operative management fails, patients have limited therapeutic options. We present a case of an active 47-year-old male runner who was successfully treated with songraphically guided percutaneous ultrasonic fasciotomy after undergoing a prolonged course of nonoperative management and an endoscopic plantar fascia release procedure. Percutaneous ultrasonic fasciotomy may be considered in patients with chronic, refractory plantar fasciopathy, including those for whom a prior operative release procedure has failed.
ISSN:1934-1482
1934-1563
DOI:10.1016/j.pmrj.2015.04.004