Orthopedist Questions Orthopedist

When should you have plantar fasciitis surgery?

I am a 36 year old male and I have plantar fasciitis. When should you have plantar fasciitis surgery?

4 Answers

You should consider surgery if all options have been exhausted. Initial treatment consists of stretching, using nonsteroidal anti-inflammatory‘s such as Motrin, heel cushions and warm soaks. A night brace is very helpful and needs to be prescribed by your specialist. Physical therapy can also be very helpful. Beyond that we usually try injections with corticosteroids or platelet rich plasma before recommending surgery.
Most surgeons would recommend trying conservative treatment first and only resorting to surgery as a last option. First line treatments including icing, stretching, physical therapy, and activity modification. Only discuss surgery if you have failed months of conservative management.
Plantar fasciitis surgery is not always successful. Therefore, I recommend at least a 6- to 9-month course of treatment which includes stretching, anti-inflammatory medication, immobilization in a walking boot or night splints and a couple of corticosteroid injections. This treatment will be successful at 99% of people. If and only if you fail the above, then should
you have any surgery.

Hope it helps!!

Dr. Bose
You should definitely try all other forms of treatment (conservative treatment) you can find before having surgery for plantar fasciitis. These types of surgeries only work for about half of the patients with the condition so even with surgery it is not a guarantee that it will resolve.