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Chronic heel/ankle pain-which surgery do I choose?

Posted by Darlene on 12/19/01 at 10:55 (067395)

For plantar fasciitis and ankle tendonitis and now chronic ankle pain for which we can't seem to find a cause:
I have been almost the full route now- podiatrist, the xrays, exercises, orthotics, heel pads, change in shoes, cortisone shots, oral anti-inflammatories, orthopedic surgeon, more cortisone shots, fracture boot, change in shoes, cat scan. Depending on what the cat scan shows, my OS may send me to a specialist to try and help me with the pain.
If comes down to surgery, is endoscopic better than open for the plantar fasciitis and do I want to have the PF cut away from the heel or little snips cut in the PF in a couple of places to allow it to stretch more without pulling at the heel? I read about that somewhere recently. I don't know what will happen with the ankle yet. I go back in 2 days.

Re: Chronic heel/ankle pain-which surgery do I choose?

Dr. Reid on 12/19/01 at 18:05 (067422)

I would bet that 70% of your problems would go away if you had arthroscopic surgery on the ankle. SO many symptoms present when people have chronic ankle problems. It may not directly help the PF, but that is what I would start with first. We do a lot of ankle arthroscopy and we used an advanced technique that gives superior results and within a few weeks, so many symptoms disappear that often nothing else needs to be done.

Re: Chronic heel/ankle pain-which surgery do I choose?

Dr. Reid on 12/19/01 at 18:05 (067422)

I would bet that 70% of your problems would go away if you had arthroscopic surgery on the ankle. SO many symptoms present when people have chronic ankle problems. It may not directly help the PF, but that is what I would start with first. We do a lot of ankle arthroscopy and we used an advanced technique that gives superior results and within a few weeks, so many symptoms disappear that often nothing else needs to be done.