Re: PF Surgery Technique
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Posted by John Holy on April 24, 1998 at 16:30:14:
had about a 30 minute visit with my surgeon today. he is an orthopedic surgeon with a fellowship in foot and ankle surgery. he studied under an apparently well known orthopedic surgeon in houston(dr. baxter) who developed the procedure i am about to describe. he has operated on well known folks like carl lewis the world class runner. the procedure is not real new and is probably used by many orthopedic surgeons. the surgeon makes a conventional incision (not thu a scope) and removes a wedge of the fascia just forward of the heel. the fascia is not released. at this point on the heel there is a small nerve called (baxters nerve) that runs across the bottom of the foot just forward of the heel.the surgeon removes any tissue that may be pressing on this nerve and the fascia that was removed cannot press on the nerve. apparently many or most orthopedic surgeons think the pain coming from PF is caused by entrapment of this nerve and not inflamed fascia as most poditrist think. he advised he has had about a 90% success rate with this procedure. the foot integrity is maintained as the fascia is not released. recovery is three weeks with on pressure on the foot and then into walking shoe for three weeks with minimal pressure. after all of my reading this is the procedure i will go with unless i have some miracle healing withing the next few weeks.
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