Your doctor may suggest EPF if medication and devices to control foot movement have not reduced your symptoms.
EPF (Endoscopic Plantar Fasciotomy) is one of the surgeries used to treat severe strain of the plantar fascia. If this ligament-like band that runs along the bottom of your foot is strained, you’re likely to have pain on the inside of your foot, where the arch and heel meet Walking and even standing may hurt. Your doctor may suggest EPF if medication and devices to control foot movement have not reduced your symptoms.
Your Physical Exam During the exam, your doctor feels for damaged ligaments, inflamed tendons, and displaced bones. An x-ray may be taken to rule out a stress fracture of the heel bone. If surgery is likely, your doctor will want to know about any medications you take. He or she also needs to know about any allergies or chronic illnesses, such as diabetes or heart disease.
You may be able to walk right after EPF, but don’t overdo it. Your doctor may want you to rest and recover at home for a few days. If a compression dressing is used to control swelling, you may need to wear a special surgical shoe. The dressing is likely to be removed at the first post-op visit.
Recovering at Home Expect your foot to feel numb right after the surgery. Then, as the local anesthesia wears off, you’ll probably feel some pain. To limit pain and swelling, ice the foot for 10-15 minutes times a day. Also, raise the foot above heart level as often as you can. If you’ve been given pain medications, take them as directed.
Your First Post-Op Visit Your doctor may want to see you the first week after surgery. During this post-op visit, your incisions will be checked to make sure they are healing. The compression dressing may be replaced with a smaller surgical dressing. If this occurs, you can probably begin wearing tennis shoes.
You may be able to walk right after EPF, but don’t overdo it.