What is the most common surgical treatment for chronic plantar fasciitis?

• A. Surgical release of the plantar fascia
• B. Injection therapy
• C. Physical therapy
• D. Arthroscopy

Answer: (A)

The most common surgical treatment for chronic plantar fasciitis is the surgical release of the plantar fascia. This procedure involves cutting a portion of the plantar fascia to alleviate tension and reduce pain. For individuals who have not responded to conservative treatment methods such as physical therapy, anti-inflammatory medications, and injection therapies over a significant period (usually at least six to twelve months), surgical intervention can be considered.

The rationale for opting for surgical release is primarily based on its effectiveness in providing relief from the persistent pain and disability that can accompany chronic plantar fasciitis. This surgery aims to relieve strain on the plantar fascia and allow for improved function.

Other treatment options listed don't typically involve surgical intervention. Injection therapy can provide temporary relief by reducing inflammation, but it's not a surgical treatment. Physical therapy is essential for the management of plantar fasciitis and may include stretching, strengthening, and mobilization techniques, but it is also not a surgical option. Lastly, arthroscopy is a less common approach for this condition and is typically reserved for more complex cases or associated conditions, not the primary treatment for chronic plantar fasciitis itself.

Therefore, surgical release of the plantar fascia stands out as the most recognized and frequently performed surgical option for those with chronic symptoms unresponsive to