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The foot is an intricate structure containing 26 bones. Thirty-three joints, 107 ligaments, 19 muscles, and tendons hold the structure together and allow it to move in a variety of ways. The 52 bones in your feet make up about one quarter of all the bones in your body!
 

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Almost 4 months after surgery and all is still well…..On Monday of this week I had four patients of my own to see in our outpatient surgery department. I went up and down the flight of stairs to surgery a total of 9 times that day. Was I tired at the end of the day? You bet! Did my foot and heel give me any problems? None at all!!!! Thanks again for pain free walking.

- PW from Suffolk, VA

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Endoscopic Procedures PDF Print E-mail

Endoscopic Plantar Fasciotomy - New Surgical Treatment for Heel Pain

Heel pain can be caused by many different conditions, some of them in combination. However, a very common cause of heel pain, plantar fasciitis, which can be treated very successfully with custom functional orthotics (better than 95% of the time in our practice), at times requires surgical intervention (that stubborn 5%). The old standard procedure has a history of potential complications that can lead to suboptimal results. This led to the development of the Endoscopic Plantar Fasciotomy (EPF), a truly elegant procedure.

After applying local anesthesia and, if needed, sedation, Dr. Dairman will make an incision on each side of your heel. These incisions are less than 1/2 inch long. Next, special instrumentation with a camera is introduced into the surgical area. This allows Dr. Dairman to see the anatomy on a nearby monitor. Dr. Dairman will then operate on releasing the "tense" fibers of the fascia near the heel bone with a microblade (the spur, if you have one, does not need to be removed).

The procedure is usually done in under 20 minutes. Patients are generally in regular shoes in three days and virtually pain-free. Results may vary, however, this has not been our experience.

There really is no reason to suffer from chronic heel pain caused by plantar fasciitis that meets the criteria from this procedure. If you suffer from heel pain and conservative measures, including orthotics, heel cups and corticosteroid injections have not worked, this procedure may be for you.