Endoscopic plantar fasciotomy is a procedure to cut or release a band of thick tissue on the bottom of your foot (plantar fascia). The plantar fascia connects your heel bone to the base of your toes. You can have heel pain if the fascia swells or becomes irritated (plantar fasciitis).
You may need this procedure if you have heel pain from plantar fasciitis and other treatments have not helped. This procedure involves placing a thin, lighted device (endoscope) through a small incision in your skin. The surgeon can see the fascia and perform the procedure through this device.
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○ A medicine to numb the area (local anesthetic).
○ A medicine to make you fall asleep (general anesthetic).
○ A medicine that is injected into an area of your body to numb everything below the injection site (regional anesthetic).
• A small incision will be made on the side of your heel. The endoscope will be inserted through the incision. The endoscope will allow the surgeon to see the inside of your foot on a video screen. This will give the surgeon a good view of the plantar fascia.
• Tools will be inserted through the endoscope to cut the layers of fascia.
• The endoscope will be removed, and the incision will be closed with stitches (sutures).
• A bandage (dressing) will be placed over the bottom of your foot.
The procedure may vary among health care providers and hospitals.
AFTER THE PROCEDURE
• Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored often until the medicines you were given have worn off.
• You will be given pain medicine as needed.
• You may be given a boot or protective shoe to wear while your foot heals. You may also be given crutches to keep weight off your