Plantar Fasciitis Surgery: EPF vs. EGR
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Plantar fasciitis surgery is something most patients never need, but for the 10% of people whose heel pain doesn’t respond to conservative treatment, surgical options can provide lasting relief. At Brighton Foot & Ankle, Dr. Castelein offers two minimally invasive plantar fasciitis surgery procedures depending on each patient’s specific situation.
What Is Plantar Fasciitis Surgery?
Before considering plantar fasciitis surgery, Dr. Castelein works through a three-step conservative approach that resolves symptoms in about 90% of patients: calf stretching exercises, supportive orthotics, and anti-inflammatory medication. Formal physical therapy is also used when needed. For the remaining 10% who still have pain, surgery is the next step.
Both surgical procedures are outpatient, take 10 to 17 minutes, and allow patients to walk home the same day in a boot.
EPF: Endoscopic Plantar Fasciotomy
The endoscopic plantar fasciotomy (EPF) uses a small camera passed through the bottom of the foot to visualize and release the inside portion of the plantar fascia. This relieves the tension and pain caused by the tight band of tissue. Most patients report less pain the day after surgery than the day before. Recovery requires wearing a boot for 2 to 3 weeks.
EGR: Endoscopic Gastrocnemius Recession
The endoscopic gastrocnemius recession (EGR) takes a different approach by addressing the root cause of plantar fasciitis in many patients: tight calf muscles. A small camera is used to lengthen the gastrocnemius muscle where it meets the Achilles tendon, allowing the foot to move more freely and reducing strain on the plantar fascia. This procedure takes about 15 to 17 minutes and requires 4 weeks in a boot. It’s particularly effective for patients who also have pain in the ball of the foot.
Which Procedure Is Right for You?
Dr. Castelein tailors the plantar fasciitis surgery recommendation to each patient based on where their pain is located, how long they’ve had symptoms, and their activity goals. If you’ve been dealing with persistent heel pain that hasn’t improved with conservative care, contact Brighton Foot & Ankle to schedule a consultation.
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