Distribution of Patients with Resistant Plantar Fasciitis And Their Response to Percutaneous Partial Plantar Fascia Release under Tibial Nerve Block

Abstract

Backgrounds and objectives:  Plantar fasciitis is considered to be the most popular cause of heel pain. The corticosteroid injection is the second line treatment for these patients whose fail in conservative management of the plantar fasciitis. Surgery is the last line in treatment, that varies into many approaches. This is a clinical trial to assess the benefit of one of these approaches (partial percutaneous plantar fascia release)that would be done under tibial nerve block in various patients with plantar fasciitis that resistant to the previous treatments. Methods: After local medical ethics committee approve a total of 126 patients diagnosed with resistant plantar fasciitis were collected, classified according to different items and treated on by partial percutaneous plantar fascia release under tibial nerve block by ultrasound guidance. The participants were continuously checked up for possible complications during one year. Results:  The average age of the patients were participated in this study was 44.97 ± 7.3 years. The majority of the patients were females (almost 78%). The majority of the patients had functional problem at work or home (approximately 80%). This study detected that around 54.0% of the patients had right side plantar fasciitis, about 30% had left side and almost 16% had bilateral. 122 of 126 patients received three times steroid injections for treatment. The patients satisfaction for the percutaneous fasciotomy outcomes were approximately (94%) of the patients. Conclusion: This study showed that partial percutaneous plantar fascia release for plantar fasciitis patients under tibial nerve block is a safe medical surgery with considerable healing ability for them