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Endoscopic Plantar
Fasciotomy
(EPF)
What is Endoscopic Plantar
Fasciotomy?
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 Endoscopic
Plantar Fasciotomy (EPF) is a surgery used to treat severe strain of
the plantar fascia. The plantar fascia is a ligament-like band that
runs along the bottom of your foot. If this band is strained, you
may have pain on the inside of your foot where the arch and heel
meet. Walking and even standing may hurt. Your doctor may suggest
EPF if your symptoms are not reduced by medication and orthotic
devices to control foot movement. | ![]()
The
Procedure
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EPF is an outpatient procedure that may be performed at a
hospital or same-day surgical facility. It takes about an hour to
perform. After the procedure, you will be taken to a recovery area
where you will be watched until you can sit up and drink liquids.
Although you may feel fine when you are discharged, it is best to
have someone drive you home.
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During the procedure the physician makes a small
incision,
less than 1/4 an inch long, on each side of your heel. A special
scope and camera are then slipped under the fascia to allow the
physician to watch on a nearby monitor. The physician will then cut
the fascia near the heel bone. If you are awake, you may hear people
talking, and feel pressure, but you should not feel pain.
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As with any surgery, there are
certain risks and complications including infection, slow healing,
nerve entrapment, an ache on the outside of the foot, and a return
of symptoms. If necessary, your surgeon may change to a more
traditional surgery that requires a larger
incision. | ![]()
After the
Procedure
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You may be able to walk right after surgery, but don't overdo
it. Your physician may want you to rest and recover at home for a
few days. If a compression dressing is used to control swelling, you
may need to wear a special shoe. The dressing will probably be
removed at your first postoperative visit to the doctor.
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Expect your foot to feel numb
immediately after the surgery. As the local anesthetic wears off,
you will probably feel a little pain. To control the pain and
swelling, put ice on the foot for 10-15 minutes at a time, several
times a day. Also, elevate the foot above the level of the heart. If
you've been given pain medication, take it exactly as
directed.
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As your foot
heals, new tissue fills in the gap where the fascia was cut. This
lengthens the fascia, and reduces strain during foot movement. For
best results, see your physician as directed. Physical therapy or
stretching exercises are often prescribed to improve
recovery.
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Wearing the
right shoes can reduce the amount of strain placed on the plantar
fascia. Choose lace up walking or jogging type shoes. Shoes that support
the heel and arch are good choices. Your doctor may also prescribe
orthotic devices (custom-made shoe inserts) to help control your
foot movement. |
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