Overview

Plantar Fasciitis is inflammation of the heel bone, it is very common condition. It occurs as a result of repetitive straining or a tear of the fascia. The plantar fascia runs along the length of the sole of the foot and its main job is to assist the maintenance of the inner arch. It can be compared to an elastic band in the way it can stretch but also in the way it is prone to tearing, particularly micro tears.
Originally, heel spurs were thought to be the cause of plantar fasciitis, however it has since been proven they do not cause plantar fasciitis, therefor do not need to be removed. In fact, it’s possible they form as a result of the inflammation in the soft tissue.
Initially, treatment should be non-surgical, and some choices include analgesics, anti-inflammatories, massage, ice, strengthening exercises for the surrounding muscles. You may also consider the use of cushioning heel pads and night splints to aid your pain and treatment. Another consideration for treatment could be an ultrasound/shockwave therapy or cortisone injections.

Process

Should you find the non-surgical treatments do not remedy the condition, surgery may be an option. Surgery is performed via an incision on the instep of the foot, detaching the ligament from the heel bone to relieve tension. The main objective is to reduce the tension and inflammation causing the pain. The surgeon may also choose to smooth the surface of the bone to help the plantar fascia heal without the strain of the bone.

Recovery

Following surgery, patients wear a non-weight-bearing cast for roughly 2-3 weeks. This is to decrease tension and allow the tissues to heal well. Generally, patients can begin limited weight-bearing almost immediately following surgery. Depending on the severity of your condition, you may be able to return to normal footwear immediately and return to regular activities within three to six weeks. Dr Rodda will then prescribe each patient a strength and flexibility program designed to rehabilitate the muscles gradually. It is advised that patients refrain from running and any jumping related exercises for at least three months following surgery to allow ample time for the condition to heal.

Benefits

• Reduced pain
• Better quality of life
• Opportunity to return to sport and daily activities without pain

Risks

• Like any surgery, there is always a rare risk of infection, blood clots, nerve injury or a reaction to the anaesthetic
• Enduring pain beyond surgery
• Discomfort on the outer part of the top of the foot

FAQs

How long is the hospital stay following surgery?
This procedure is a day surgery, you will not require an overnight stay in hospital.

What should I expect following surgery in terms of my recovery?
Dr Rodda recommends you rest and elevate your foot over the first 7 days, using crutches as required.
Foot swelling is normal for the first 4 weeks following surgery.

How much time will I need off work?
In a job where you are seated most of the day, you should be able to return to work within a week.
If your job is primarily spent standing, you should be able to return to work 3-4 weeks after surgery.
Dr Rodda will further advise case by case during your consultation.

When will I ab able to play sport again?
Generally, patients can return to sporting activities 6-12 weeks after surgery.