Endoscopic Plantar Fasciotomy Can Fix Stubborn Heel Pain

You've done everything they told you to: the stretching, the icing, the night splints. You've tried custom orthotics, injections, and physical therapy. Yet, that sharp, debilitating heel pain from chronic plantar fasciitis remains, dictating your every step.

Advanced Feet & Ankle Care has heard this story many times before. When conservative treatments have been exhausted, it's time to consider a different approach: Endoscopic Plantar Fasciotomy (EPF).

The Problem: When the Plantar Fascia Won't Give Up

In chronic cases of plantar fasciitis, the thick band of tissue on the bottom of your foot (the plantar fascia) can become incredibly tight and scarred.

·       It's like a rope being pulled too taut, causing constant strain and inflammation at its insertion point on the heel bone.

·       At this stage, the tissue has often stopped responding to treatments that only aim to reduce inflammation.

·       The underlying mechanical problem—the tightness—needs to be addressed directly.

The Solution: What is Endoscopic Plantar Fasciotomy (EPF)?

Think of EPF as a targeted, precise release of that tension. It is a minimally invasive surgical procedure designed to relieve the strain on the plantar fascia.

·       How it works: Through one or two tiny incisions, often smaller than a buttonhole, a specialized camera (an endoscope) and a tiny blade are inserted.

·       The perks: This procedure allows your podiatric surgeon to view the plantar fascia directly on a screen and make a precise, partial cut to release the tightest portion of the ligament. This release immediately reduces the tension causing chronic pain.

The EPF Advantage: Why It's a Game-Changer

For patients who are candidates, EPF offers significant benefits over ‘open’ surgery:

  • Minimally Invasive: The small incisions mean less trauma to the surrounding tissue.

  • Faster Recovery: Because the procedure is less invasive, patients typically experience a much quicker recovery and can often walk in a protective boot shortly after the procedure.

  • High Success Rate: EPF has a proven track record of providing lasting relief for chronic plantar fasciitis.

  • Immediate Mechanical Fix: The procedure directly addresses the root cause of the pain—the excessive tension on the plantar fascia.

Is EPF Right For You?

This procedure is not a first-line treatment. It is specifically for those who have already tried and failed to find relief with conservative care.

You might be a candidate if:

  • You have had a confirmed diagnosis of plantar fasciitis for more than six months.

  • You have diligently tried multiple non-surgical treatments (orthotics, stretching, injections, shockwave therapy) without success.

  • Your heel pain significantly impacts your quality of life.

  • You are looking for a definitive solution to get back to your activities.

When conservative treatments have reached their limit, Endoscopic Plantar Fasciotomy offers a powerful, effective, and minimally invasive path to lasting relief. If you’re thinking it might meet your needs, get in touch to schedule an appointment today.

Dr. Jason Grossman, Dr. Yaakov Tropper, and Dr. Paul A. Osemene are ready to help at our comfortable, convenient Advanced Feet and Ankle Care offices in Old Bridge, Sayreville, and Freehold. Call (732) 679-4330 to schedule your appointment, or contact us online.

Plantar FasciitisAdvanced Feet and Ankle CareHeel Pain, Chronic Heel Pain, EPF, Endoscopic Plantar Fasciotomy, Minimally Invasive, Fast Recovery, Biomechanics