Chronic or recalcitrant plantar fasciitis is a cause of persistent plantar pain. These cases are usually resistant to conventional treatments consisting of exercises, orthoses, shock waves and infiltrations and require a surgical approach. Proximal medial gastrocnemius release is a surgical option that provides satisfactory results, but is not free of complications, which include injuries and nerve entrapment. We report the first published case of symptomatic medial gastrocnemius branch entrapment in the post-surgical scar of a tenotomy for the treatment of recalcitrant plantar fasciitis. We propose ultrasound-guided hydrodissection with local anesthetic as a treatment with promising results.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.rh.2020.04.006DOI Listing

Publication Analysis

Top Keywords

ultrasound-guided hydrodissection
8
recalcitrant plantar
8
plantar fasciitis
8
medial gastrocnemius
8
[selective ultrasound-guided
4
hydrodissection gastrocnemius
4
gastrocnemius nerve
4
nerve branch
4
branch post-surgical
4
post-surgical entrapment
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!