Category: Uncategorised

Instep fasciotomy (plantar fasciitis surgery)

Posted on March 29, 2023 by - Hindfoot, I, Surgical, Uncategorised

An instep plantar fasciotomy is a surgical procedure that involves cutting a portion of the plantar fascia ligament in the foot to relieve tension and pain. The plantar fascia is a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes. When this tissue becomes inflamed or irritated, it can cause a condition called plantar fasciitis, which is characterized by pain and stiffness in the heel and sole of the foot.

During an instep plantar fasciotomy, the surgeon makes a small incision on the top of the foot, near the base of the toes, and cuts a portion of the plantar fascia ligament. This reduces tension on the ligament and relieves pressure on the affected area. The incision is typically closed with stitches, and the foot is immobilized in a cast or boot for several weeks to allow for proper healing.

While instep plantar fasciotomy can be an effective treatment for plantar fasciitis, it is typically reserved for cases that have not responded to non-surgical treatments, such as rest, stretching, and physical therapy. As with any surgical procedure, there are risks and potential complications associated with instep plantar fasciotomy, and it is important to discuss these with a qualified healthcare professional before undergoing the procedure.

Gastrocnemius recession (calf release)

Posted on March 29, 2023 by - G, Lower leg, Surgical, Uncategorised

A gastrocnemius recession, also known as gastrocnemius lengthening or calf muscle release, is a surgical procedure in which the gastrocnemius muscle is partially cut to relieve tension and tightness in the calf. This procedure is typically performed to treat a condition called equinus deformity, which is characterized by limited ankle dorsiflexion (the ability to pull the foot upward toward the shin).

During the procedure, a small incision is made in the skin over the gastrocnemius muscle, and the muscle is partially cut or released from its attachment to the heel bone (calcaneus). This allows the muscle to stretch more easily and reduces tension on the Achilles tendon and plantar fascia.

Gastrocnemius recession is often performed in combination with other procedures, such as Achilles tendon lengthening or plantar fascia release, to address the underlying cause of equinus deformity. Recovery from the procedure typically involves a period of immobilization and physical therapy to regain strength and flexibility in the affected leg. As with any surgery, there are risks and potential complications associated with gastrocnemius recession, and it is important to discuss these with a qualified healthcare professional before undergoing the procedure.

Polymetatarsia

Posted on March 15, 2023 by - Accessory bones, P, Uncategorised

Polymetatarsia is a rare condition in which there are more than five metatarsal bones in the forefoot. The most common type of polymetatarsia involves an additional metatarsal bone between the fourth and fifth metatarsals, which is called a “supernumerary metatarsal.” This extra bone can cause pain, discomfort, and difficulty with shoe fitting.

Polymetatarsia may be congenital (present at birth) or acquired (due to injury or disease). It can be diagnosed through physical examination, X-rays, and other imaging studies. Treatment options include wearing custom orthotics or padding to relieve pressure on the foot, modifying shoes to accommodate the extra bone, or surgical removal of the supernumerary metatarsal. The best treatment option depends on the individual’s symptoms and the severity of the condition.