Name:
Percutaneous Plantar Fascia Release for Planter Fasciitis (Heel Pain Gone in 5 Minutes)
Description:
Percutaneous Plantar Fascia Release for Planter Fasciitis (Heel Pain Gone in 5 Minutes)
Thumbnail URL:
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Duration:
T00H05M00S
Embed URL:
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Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/069c5622-ae56-4530-a4d0-4979ec439a48/Percutaneous Plantar fascia release for Planter Fasciitis (.mp4?sv=2019-02-02&sr=c&sig=Gt5BsWh8%2B8jF8yve1rZPvkYhtUDxKC1z%2BrmcNKY3LnY%3D&st=2024-11-21T17%3A37%3A59Z&se=2024-11-21T19%3A42%3A59Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
So today, surgical technique for percutaneous plantar fascia release for plantar fasciitis. Plantar fasciitis is extremely common in India as a lot of patients in rural areas walk bare feet. We try to treat them with various non-surgical techniques. However, when they have tried non-surgical techniques and they have tried steroid. And even then there it's not getting better.
Percutaneous plantar fasciitis release is extremely useful operation in alleviating pain in more than 80% to 90% of the patients at around six weeks. So so we're doing release on the right leg today. And if you see the plantar fascia originates here and if I dorsiflex the toe, you can see the medial border of plantar fascia. So all we are going to do is to release this medial side.
So you place your incision on the non articular side. You don't want to place it here because patients will start radiating. It can cause pain. So I place my incision in non articular in this arch in the non articular areas. All you need is just around here will be fine. So when you dorsiflex you can feel plantar fasciitis, but all you need is a small stab hole.
So we're just going to put some local. Just be slow and gentle.
You can do this procedure. You just don't need that much. You can do this procedure, even as an outpatient clinic. Relax for a few minutes then I'll come back to you. So should be ready. Now, we have waited a few minutes for the local anesthetic to act, and then we take a 15 blade.
And in the area where we had initially marked, we're just going to put a stab hole. Just rotate the knife, and you will feel the medial band. You cannot hear. But I can feel the fascia giving way. And you will feel the fascia. You can cut the fascia through the same hole.
Just angle the blade slightly. It's more a tactile sensation that you will feel. You won't be able to see anything, but you can feel that the fascia is completely cut on the medial line and you don't want to take it too laterally because then that will cause loss of arch.
And it's better to use 15 blade because if you use 11 blade, it's very sharp and it can damage the neurovascular structures. So now you can see the same medial band which was tight is now absolutely loose and that is the end of the operation. So all you need to do now is to put a dressing on top. And the patient can walk pretty much straight, straight away. And you can see, there is hardly any blood, so you don't need any tourniquet.
It just loses a little bit of blood. Not a lot. But the advantage is that you do it as a day care procedure. The patient can walk pretty much straight away. It's almost noninvasive. And for it to take pain away completely, it can take up to 4 to 6 weeks. So don't worry if the patient is still having some pain for a while.
So it takes around six weeks for it to show its full effect. So once we have released it, I just supply a little bit of betadine. It's just JJ's on top. Let's have a band and a pressure dressing. So that patient can start walking.
