Chronic plantar fasciopathy, a condition marked by persistent heel pain, affects a significant portion of the population (learn more about plantar fasciitis here).

Understanding Minimally Invasive Fasciotomy

A minimally invasive fasciotomy is a procedure that employs ultrasound guidance and the Tenex device to cut, debride and remove diseased tissue from the plantar fascia while preserving healthy tissue. The method involves a tiny 3-mm incision, performed under local or regional anesthesia, making it significantly less invasive than traditional surgeries.

Key Findings from a Recent Study

A prospective study led by Dr. Ryan Kruse and Elena Volfson evaluated the long-term efficacy and safety of ultrasonic fasciotomy in patients with chronic plantar fasciitis unresponsive to standard treatments. Over 67 participants were included and results followed for a year. The novel procedure using Tenex resulted in:

• Significant Pain Relief: Patients reported an average pain reduction of 5.87 points on the Visual Analog Scale (VAS) by the end of 52 weeks.
• High Satisfaction Rates: 94% of patients expressed satisfaction with their outcomes at both 12 and 52 weeks post-procedure.
• Improved Functionality: Measures like the Foot and Ankle Ability Measure (FAAM) and the PROMIS Physical Function scores showed significant improvements post-treatment.
• Safety and Recovery: No complications were reported, and the minimally invasive approach allowed for quicker recovery times compared to traditional surgery.

How Does It Compare to Traditional Surgery?

Unlike open or endoscopic fasciotomies, a fasciotomy using ultrasound guidance avoids complications such as prolonged recovery, altered gait, or arch height changes. Moreover, its minimally invasive nature reduces the risk of postoperative pain and infection.

Implications for Chronic Heel Pain Patients

This study underscores the potential of ultrasonic fasciotomy as a preferred option for patients who have exhausted conservative treatments. By offering effective pain relief, functional improvement, and a shorter recovery period, this innovative technique is reshaping how chronic plantar fasciopathy is managed.

Conclusion

A fasciotomy using ultrasound guidance and the Tenex device represents a new option for patients struggling with persistent heel pain.

If you or someone you know is dealing with chronic plantar fasciitis contact Boston Sports & Biologics to learn more.

Reference

Kruse RC, Volfson E. Ultrasonic Fasciotomy for the Treatment of Chronic Plantar Fasciopathy: A Prospective Study. Clin J Sport Med. 2024 Jul 1;34(4):335-340.

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