In most cases, plantar fasciitis can be managed effectively with physical therapy, but there are times when more aggressive treatment options, including surgery, may be considered. This final article will discuss when surgery is appropriate and explore alternative treatments for persistent plantar fasciitis.
When is Surgery Necessary?
Surgery is usually considered a last resort after conservative treatments like physical therapy, rest, and medication have failed.
Surgery may be an option if:
- Symptoms persist for 6 to 12 months despite conservative treatment.
- There is severe, debilitating pain that interferes with daily activities.
- Diagnostic imaging shows significant damage to the fascia.
Types of Surgery for Plantar Fasciitis
- Plantar Fascia Release: In this procedure, part of the plantar fascia is cut to release tension and allow healing. It can be performed as open surgery or endoscopically (minimally invasive).
- Fat Pad Augmentation: In some cases, the fatty tissue cushion under the heel may be diminished, and fat pad augmentation may be performed to improve cushioning and reduce pain.
Alternative Treatments for Plantar Fasciitis
- Shockwave Therapy: High-energy sound waves are used to promote healing in the fascia.
- Steroid Injections: Corticosteroid injections can reduce inflammation and pain, but they are typically used only for short-term relief.
- Platelet-Rich Plasma (PRP): PRP injections use the body’s platelets to promote healing in damaged tissues.
Surgery is typically the last resort when conservative treatments fail, but there are many alternative treatments and physical therapy techniques that can provide relief and promote healing.
Contact us today at Lifestyle Physical Therapy with any questions!