Endoscopic Plantar Fasciotomy (EPF)

When non-surgical methods for treating plantar fasciitis fail, endoscopic plantar fasciotomy (EPF) is the preferred procedure. EPF is a minimally invasive, endoscopic technique used to release extreme tension of the plantar fascia. An endoscope provides clear visualization of the inferior surface of the plantar fascia, allowing the surgeon to release tension in the medial band. Following the procedure, a sterile dressing is worn for approximately 3-5 days, then the patient is generally allowed to wear comfortable shoes as tolerated.  If treatments, such as stretching, taping, orthotic devices, anti-inflammatory medications, and physical therapy, fail and minimally invasive foot surgery is indicated, the endoscopic approach to treating plantar fasciitis is superior to conventional open procedures as it significantly minimizes surgical trauma, resulting in an earlier return to regular activities and few complications.

Most people are eligible to have minimally invasive surgery, however it is not for everyone. Some deformities are too large to be corrected using minimally invasive techniques. A consultation with Dr. Cramer will allow you to discuss this in detail and decide which method of foot correction is appropriate for you.

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