A Case of Peroneal Longus Tendonitis Following Endoscopic Plantar ...

This should include careful attention to the lateral column prior to surgery and hypermobility that may increase after the fasciotomy.  In cases of preoperative hypermobility and excessive unlocking of the subtalar joint and/or calcaneal cuboid joints, important surgical planning should include:  1) consideration to cut less fascia , 2) decrease postoperative mobilty and 3) increase foot stability with an orthotic.  References Barrett SL. Endoscopic plantar fasciotomy. Clinics Podiatry Med Surg 1994;11:469-481. Barrett SL, Day SV, Pignetti TT, Robinson LB. Endoscopic plantar fasciotomy: [more...]

Date: 2006-12-21 04:07:53

Blog posts (11) | Videos (20)
 

The Central Ohio Reconstructive Foot and Ankle Surgery Blog ...

Newer methods include Topaz radiofrequency surgery and injection of growth factor called PRP (platelet rich plasma).  Lastly, another non-fasciotomy technique is called shock wave therapy.  Shock wave therapy employs a pulsed ultrasound wave that also stimulates an inflammatory response at the insertion of the fascia. Many doctors are drawn to these non-faciotomy techniques due to the fact that these techniques do not involve cutting the fascia.  And non-fasciotomy techniques are simple to perform and heal quickly. The down side of these procedures is that they have a lower success rate [more...]

Date: 2010-05-11 20:25:00

The Central Ohio Reconstructive Foot and Ankle Surgery Blog ...

The fundamental question regarding plantar fasciitis surgery is whether or not to transect or cut the plantar fascia.  Cutting the fascia is a procedure called a fasciotomy.  Let’s break this discussion into two sections; fasciotomy vs non-fasciotomy procedures. Fasciotomy - A plantar fasciotomy can be performed in a number of different ways.  A fasciotomy can be performed through a plantar stab incision, with an open medial incision or performed endoscopically (called an EPF) with a single or double portal approach.  Which is the best method?  It really depends upon who you speak [more...]

Date: 2010-05-05 17:44:09

Do You Have Problems Putting Your Foot Down-_21259

營f invasive surgery is not your kind of thing, there is a fairly new treatment called EndoScopic Plantar Fasciotomy which helps to treat fascia inflammation. The new technique involves making a very small incision into the heel area, and placing the endoscope into the heel area. This then projects a large image back to a television screen, where the surgeon has a pretty good idea of what is going on within the heel.? The EndoScopic Plantar Fasciotomy is done under local anesthetic and unlike other, more invasive techniques, it does not take as long. Usually straight after the treatment, [more...]

Date: 2010-10-03 16:13:33

Fluid management in major burn injuries Haberal M, Abali AS ...

Appropriate fluid management of major burns directly improves the survival rates of burn patients. Despite the vast array of experience, there are still controversies regarding the best type of fluid management in major burns in the first 24 hours after injury. Currently, fluid resuscitation formulas which were developed over 30 years ago, have been accepted as guidelines, but ongoing studies are focussed on the growing concerns that burn patients are being over- or under fluid-resuscitated, often with indistinct and inappropriate end-point targets. The aim of this article is to review [more...]

Date: 2010-09-30 22:49:05

Lower Extremity Review Magazine » Heel pain revisited: New ...

Perhaps surgery is appropriate for hallux limitus or an extremely unstable flatfoot deformity, but I fail to see the indication for a plantar fasciotomy, no matter how many ways you can think of to do it.” Thomas agreed that roughly 95% of patients get better without surgery. “In the algorithms we recommend exhaustive nonoperative care for a minimum of six months,” he said. “Surgery is really the end stage, only if you’ve failed nonoperative approaches. But it is very worthwhile for folks who have gotten to that point and has a high success rate, approaching 90%.” However, Clough [more...]

Date: 2010-07-01 02:48:38

Under Pressure: Absence makes the heart grow...

Fonder?  Nah, I've just been too busy to post.  Luckily, a lot of that busy comes from getting back into running.  I am fresh off my first 30 mile week, including 30 miles in two days last weekend.  Yes, folks, I'm almost like a real live runner again.  I successfully pulled off 15 on Saturday, followed by a half marathon on Sunday where I paced a dear friend through her very first half marathon. Granted, both of those runs were incredibly slow, but I'm grateful to have survived with no symptoms and to be running this week without any residual pain. So how did I get here?  As those [more...]

Date: 2010-10-07 23:09:00

Plantar Fasciitis Surgery like Plantar Fasciotomy is probably not ...

Plantar Fasciitis Surgery Cutting your foot probably won't help you. In my professional opinion, like all surgery for tendonitis, Plantar Fasciitis Surgery is a bad idea. This of course includes surgery on the Plantar Fascia).I only say that because you can actually heal yourself, with the RIGHT activities and information.And, looking at it purely from a structural point of view, weakening or removing the pillars of a bridge just doesn't make the bridge stronger. Same goes for partially or completely severing the supportive structures (plantar fascia) of your foot. You have Plantar [more...]

Date: 2010-01-19 08:00:00

New Techniques Update: Coblation for the Treatment of Plantar ...

The results supported the hypotheses that “A Plantar Fasciotomy sparing procedure, the TOPAZ Microfasciotomy, is as effective as “open” plantar fasciotomy in the treatment of chronic plantar fasciitis”. All subjects had treated, chronic plantar fasciitis for more than 6 months and pain scales of 6/10 upon first steps in the morning. Phase 2 is ongoing with the hypotheses “Percutaneous K-Wire Puncture followed by multiple RF TOPAZ COBLATION (Arthrocare) was as effective as Percutaneous Plantar Fasciotomy and Resulted in Less Pain and Disability”. The results of this study should be [more...]

Date: 2008-01-19 00:36:15

Compartment Release Fasciotomy: Meeting with the Surgeon

A: The closer that you fit the textbook signs and symptoms of Compartment Syndrome, the better the chances are that you will experience a successful surgery.  I believe that you will be pain free after recovery. Q: What is the recovery period like? A: You will crutch walk for 1-2 weeks.  Some people are off crutches in a week and some take up to two weeks, and it all depends on your individual experience.  You should be back to power-walking and going to the gym in 4-6 weeks. Q: Will I need any additional appointments? A: You will need to come back 2 weeks after your surgery to have your [more...]

Date: 2010-06-04 01:50:04

Twelve High School Football Players Suffer Rhabdomyolysis; Three ...

In a baffling development, twelve Oregon high school football players from McMinnville High School at immersion summer training camp suffered rhabdomyolysis andthree required fasciotomy for compartment syndrome (swollen [more...]

Date: 2010-08-22 03:32:29

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