Plantar Fasciitis

Microsurgery For Plantar Fasciitis

Plantar Fasciitis Symptoms

Persistent heel pain, usually most painful with the first steps of the day and walking after periods of inactivity.

Microsurgery Treatment Options For Plantar Fasciitis

Minimally invasive procedures include Tenex, Topaz, and Tenjet.

Treatment Option Description (with Duration)

• TENEX

  • Tenex is a minimally invasive treatment option that can be done under light sedation in-office. This revolutionary procedure uses ultrasonic waves to break up the diseased tissue, scar tissue, and calcifications in the plantar fascia that is causing pain. With a local anesthetic in the heel, a small wand is inserted into the fascia and is guided ultrasonically to get remove the injured tissues while leaving the healthy tissues intact and increasing blood supply to the region to speed healing time. No stitches are necessary. 
  • This procedure is outpatient and takes about 20-30 minutes. 
  • Downtime is about 1 week in a walking boot, although walking is allowed.
  • Normal activities can be resumed one week after surgery. 

• TOPAZ

  • Topaz Coblation Therapy uses a special needle-like wand that harnesses radiofrequency waves to gently release the plantar fascia. Small micro-tears are created in a grid pattern about a half-centimetre apart to increase blood flow to the affected area. No stitches are necessary.
  • This procedure is outpatient and takes about 20-30 minutes. 
  • Downtime is about 1 week in a walking boot although, walking is allowed.
  • Normal activities can be resumed one week after surgery. 

• ENDOSCOPIC PLANTAR FASCIOTOMY

  • Endoscopic Plantar Fasciotomy (EPF) is a minimally invasive surgical procedure where one or two small incisions are made at the base of the plantar fascia near the heel bone. These incisions are less than a centimetre long each. A specialized scope or camera is inserted under the fascia and is used as a guide to cut the tightest part of the fascia near the heel bone. Two sutures are used to close the incisions and are removed in the office about 10 days after the procedure.
  • Local and sedation anesthesia is used.
  • Downtime is about 1 week in a walking boot, although walking is allowed.
  • Normal activities can be resumed one week after surgery. 

Plantar Fasciitis Microsurgery Expected Outcomes

Plantar Fasciitis is a chronic condition but once alleviation of symptoms is achieved, maintenance stretching and orthotics can typically prevent recurrence.

Say Goodbye to Foot Pain 

If you're suffering from ankle/heel pain due to Plantar Fasciitis, or any other foot/ankle condition, our New York foot doctors can help! Four locations across NYC to serve you better, Wall Street, Times Square, Grand Central, and Upper East Side. Call us at 917-398-3668 or book an appointment online.