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anyone with endoscopic plantar fasciotomy complications?

Posted by Bill on 4/19/04 at 22:26 (149170)

I had endoscopic plantar fasciotomy perfomed one year ago this month. Although the surgery stopped the heel pain, I suffered either a snipped nerve or tendon (per my first doctor and a second opinion) and now have a toe that will not stay straight. It looks like a hammertoe due to the loss of its ability to stay straight. Worse than that, I suffer daily from my whole foot hurting, especially when first getting up in the morning. After walking for a while it gets better, but after a year it still hurts the same everyday as if the foot is extremely sore. Now I don't know which was worse - the heel pain or the complete sore foot! Has anyone out there suffered problems after having EPF where their foot is seriously sore each morning, to the point you almost cannot walk for a while? I have to hobble around for a while every morning just to work the soreness out and make the foot work right again. I often feel I now have a completely bad foot instead of just heel pain. I am just curious if I am the only one out here that had epf and had new complications come up after the surgery.

Any feedback would be helpful to me.

Re: anyone with endoscopic plantar fasciotomy complications?

Ed Davis, DPM on 4/19/04 at 23:51 (149180)

Bill:
Use the search feature here. Lots of complications exist -- that is why we have largely stopped plantar fascial release surgery and replaced it with ESWT in most cases.
Ed

Re: anyone with endoscopic plantar fasciotomy complications?

april l on 4/20/04 at 15:11 (149234)

Yes, I had a sore foot for a long time. I had my surgery last august. Now my foot barely hurts anymore, and I finally have no first morning pain after suffering for 7 years. The soreness, which seemed to be all over or in spots where I never felt pain before the surgery, has gone away just in the last couple of weeks. I think what has helped me is that I have forced myself to walk on it despite the pain, therefore stretching out the fascia as well as getting my foot used to walking differently. Because of the plantar fasciitis, over the years I was walking incorrectly to avoid the heel pain, and I didn't even realize it. So to me it makes sense that different parts of my foot would kind of become inactive. My big toe was rigid from years of limping. Anyway, this is just my experience and I feel the walking thru the pain was what helped me most. I am a waitress, and I had to keep going even though I was nearly in tears from pain. Slowly the pain lessened and now I am not feeling pain.

Re: anyone with endoscopic plantar fasciotomy complications?

jennifer on 5/10/04 at 20:35 (150372)

i had EPF surgery in march 2003, it felt better for about6months after surgery, then i damaged the tendon on the side of my foot and had it in a cast for 2 months. now i went back to my doctor and he wants to cut the heel open and take the bone spur out and clean the scar tissue out, my foot hurts more now then before EPF! the whole foot hurts worse! anyone out there thinks i should get the bone spur removed? the doctor said i would be out of work for about 6months! please any advice would help!

thank you

Re: anyone with endoscopic plantar fasciotomy complications?

Pauline on 5/11/04 at 13:16 (150405)

Jennifer,
I'm not a doctor but can honestly say you don't want to get into having snowballing surgeries meaning one following another without first stopping and getting a second opinion and if need be even a third.

Remember your doctor worked on you the first time and you are now seeing and experienceing the results of his work. Doesn't it make sense to check out his current treatment plan with another physician before heading back to the O.R.?

My suggestion is that you be seen by an Orthopedic Surgeon M.D. who specializes in Foot and Ankle surgery. It may take time for you to get in to see this type of specialist, but the wait may be well worth it.

When all is said and done you want the best treatment and the best physician to perform that treatment. Finding this combination will be your responsibility and it can be done through research and getting the opinions of other physicians.

Never rush back to the Operating Room for an elective surgery without first doing your homework.

Re: anyone with endoscopic plantar fasciotomy complications?

adam c on 5/26/04 at 10:12 (151284)

you recommend an orthopedic doctor?

i am curious if you truly know the training that an orthopedic doctor has when he specializes in foot and ankle surgery?

probably not! as most do not ....one year of foot and ankle surgery training....where a board certified foot and ankle podiatrist can have three to four years of surgical training in the foot ..

MD is not the whole story...as you wouldnt go have your teeth fixed by your primary care doctor

Re: anyone with endoscopic plantar fasciotomy complications?

Steve on 6/09/04 at 20:11 (152598)

I'm only 3 weeks post op as of yet, but still having pain as of yet. My podiatrist informed me that I need to walk through the pain, as to make sure the ligament doesn't grow back to its prior tension state. I've been told that I'm a rare case because I wasn't walkng around free of pain after three days. When I press on the inside of my ankle, I experience a tingling that shoots all the way to my toes. After reading several articles I've read that a nerve can become entrapt after the cutting of the plantar facia which would cause this sensation. I'll find out for sure in another two weeks on my next follow up visit.

Re: anyone with endoscopic plantar fasciotomy complications?

Pauline on 6/09/04 at 21:14 (152606)

Steve,
You are smart to continue reading the surgery posts. I think that you will find that you are NOT a rare case for not walking around pain free after three days.

Continue doing your research and don't rush into any additional surgery. Chances are that it will only cause you more problems. You might want to read about Tarsel Tunnel Syndrome on this site too. It sometimes follows Plantar Fascia release surgery and that's another whole ballgame.

Three weeks post op you could still be experiencing swelling inside that is putting extra pressure on the nerve. It might go away by itself.
Take your time on this one and if you don't see any improvement get a second opinion.

From my reading the TTS site here there doesn't appear to be a lot of success from surgery for this condition. Read and research lots prior to being talked into more surgery.