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Endoscopic Release of Chronic Resistant Plantar Fasciopathy

Plantar fasciopathy is the most common cause of plantar heel pain. No enough evidence in literature strongly supports the effectiveness of any specific treatment for such conditions. To assess the efficacy and safety of a modified surgical technique for endoscopic release of plantar fascia. A total of 40 feet in 40 patients with plantar fasciopathy for at least one year and resistant for at least two modalities of conservative treatment for six months were involved in this prospective study. All patients had been diagnosed clinically.The mean AOFAS preoperative score had improved from 51.36 to 89.44 after six months follow-up. While The VAS score dropped from 9 preoperative to 1. Eighty four (84%) of patients had satisfactory outcomes according to Roles and Madsuley criteria. No major complications were recorded. Endoscopic plantar fascia release could be a viable alternative for management of chronic resistant plantar fasciopathy.