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Minimally Invasive Plantar Fasciotomy
Chronic heel pain got you at your wits’ end? If you’ve battled plantar fasciitis for ages and nothing has fully cured it, there is a definitive solution: a plantar fasciotomy, which surgically releases the tight plantar fascia. Our clinic offers a Minimally Invasive Plantar Fasciotomy—tiny incisions, minimal downtime, and a 95%+ success rate—to finally free you from persistent heel pain and get you back to active living.
When Is Plantar Fasciotomy Considered?
Most cases improve with conservative care (rest, therapy, orthotics, injections). Surgery is considered for the stubborn 5–10% with pain lasting 6–12+ months despite comprehensive treatment, or when pain severely limits work, sport, and daily life.
- Goal: Release a portion of the fascia to reduce tension at the heel and allow durable healing.
- Modern approach: Small side incisions—no large cut on the sole; faster healing and less wound pain.
- Outcomes: Studies show ~95% satisfaction with minimally invasive techniques and fewer complications than open surgery.
Minimally Invasive Plantar Fasciotomy: How We Do It
- Pre-op & Anesthesia: Outpatient in our mini-surgical suite. Local ankle block; optional light oral anti-anxiety medication.
- Tiny Incisions: One to three 1–2 mm portals along the inner heel—often one stitch or adhesive strips.
- Precise Release: We release ~30–50% of the medial plantar fascia band under protection to safeguard nearby nerves—enough to stop the painful tug without compromising arch support.
- Optional Spur Smoothing: If a symptomatic spur is accessible, we can gently contour it through a micro-incision.
- Closure & Protection: Tiny sutures/tape, small dressing, and typically a walking boot for short-term support.
Why partial (not full) release? It relieves tension while maintaining the structural integrity of your arch.
Why Minimal Is Maximal (Benefits)
- Tiny incisions off the weight-bearing area → faster healing, less wound pain.
- High success, low complications in experienced hands.
- Quick recovery: Often weight-bearing in a boot right away; supportive shoes within weeks.
- No cast (usually): A boot or sturdy shoe is often sufficient.
- Tiny scars and minimal internal scarring.
Trust Your Heels to an Expert
Dr. Patish treats plantar fasciitis from conservative through surgical care and recommends fasciotomy only when truly needed. We prioritize clarity, comfort, and modern minimally invasive technique—so a “minor snip” delivers a major improvement in your quality of life.
After the Procedure: Healing & Results
0–2 Weeks
- Soreness at incision site; elevate and use meds as directed.
- Keep bandage dry; ankle ROM (point/flex/circles).
- Weight-bearing in boot per plan (often immediate, heel/flat-foot).
~3 Weeks
- Suture removal (if not dissolvable); transition toward supportive sneaker.
- Begin gentle calf stretches as tolerated.
3–6 Weeks
- Increase activity; often in regular shoe by ~4–6 weeks.
- Start plantar fascia stretches; consider PT for mobility and strength.
2–3 Months
- Most activities resumed; runners ramp gradually at 8–12 weeks.
- Supportive insoles/orthotics may help long-term comfort.
Most patients report a life-changing reduction of “first-step” heel pain with durable relief once healing completes.
Take a Step Toward Relief – Contact Us
If months of treatment haven’t solved your heel pain, it may be time to discuss a minimally invasive plantar fasciotomy. We’ll review your history, examine your foot, and go over success rates, recovery, and all your questions—so you can move forward with confidence.