Do you have heel pain upon arising? It might be the common plantar fasciitis. It affects middle aged persons and or athletes of any age after their teens. Sometimes it's confused with the stone bruise you might have had as a child, which you'd expect would go away in a month or two. When it doesn't, pills, ice, walking different, stretching, taping, and cortisone shots may all be tried. A lot of the time, the pain resolves. You can't have multiple cortisone shots or your fat pad may atrophy. Sometimes. "nerve" shots to are used.
An end stage procedure for recalcitrant plantar fasciitis is microfasciotomy. This can be done with a one hole endoscopic portal, to release some of the tight fibers. In my hands this has worked best using a cast after the treatment for 3-4 weeks. A variation of the microfasiotomy is multiple perforations done with or without an incision. The former has a slight risk of adding stress to the lateral side of the foot. The latter is about 80 % successful with the jury still being out on the long term results.
For more information, please contact our office.
