Percutaneous partial plantar fascia release for plantar fasciitis under local anesthesia

Abstract

Backgrounds: Plantar fasciitis is the most common cause of heel pain in adults. Treatment of plantar fasciitis is primarily conservative and the surgical treatment can be used in resistant cases. Objectives: The aim of study is to evaluate the role of percutaneous partial plantar fascia release in patients with plantar fasciitis that failed to respond to conservative treatment. Patients and Methods: The prospective comparison study was done at Erbil teaching hospital from January 2019 to November 2020 on 133 individuals. Patients ranged in age from 35 to 65. Patients with plantar fasciitis, including 6 with bilateral plantar fasciitis, were conservatively treated and followed for 9 months. 43 patients, including those with bilateral fasciitis, improved, while 90 patients did not improve and were divided into two groups based on surgery acceptance.40 conservative patients (group A) were compared to 50 surgical patients (group B) who received percutaneous partial plantar fascia release. VAS scores for heel pain and functional result were monitored for one year in groups A and B. Results: Group (A) had a mean VAS score of 8.8 before conservative treatment and (2.3) after one year, while group (B) had a mean of 8.9 pre-operatively and (0.5) one-year post-surgery, with significant differences (p-value