Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
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Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Planta Fascia Release
Plantar fascia release surgery is performed to relieve tension in the plantar fascia, either by partially cutting the ligament or by detaching it completely from the heel bone. Reducing this tension decreases friction within the ligament, which in turn helps reduce inflammation and foot pain.
Plantar Fascia Release Indications
Plantar fascia release surgery is performed when conservative management for plantar fasciitis, including medication and physiotherapy, has failed to provide relief.
Other indications for plantar fascia release include:
- Persistent pain despite conservative treatment
- Chronic inflammation of the plantar fascia
- Heel spurs causing ongoing discomfort
- Restricted foot function affecting daily activities or sports
- Nerve entrapment associated with plantar fascia tightness
If plantar fasciitis is associated with a bony spur on the heel bone, visible on X-ray, surgery may be performed to remove the spur. Plantar fascia release surgery is generally recommended only as a last resort, as all surgical procedures carry potential risks and complications.
Plantar Fascia Release Procedure
Plantar fascia release is typically performed using an endoscopic technique, although some surgeons may still opt for the traditional open surgery method.
The plantar fascia release procedure typically involves the following stages:
- Preparation and anaesthesia: The patient is positioned, and local or general anaesthesia is administered.
- Incision: A small incision is made, either endoscopically or via open surgery, to access the plantar fascia.
- Release of the fascia: A portion of the plantar fascia is cut or detached from the heel bone to relieve tension.
- Removal of bony spur (if present): Any heel spur contributing to pain may be excised.
- Closure: The incision is closed with sutures, and a sterile dressing is applied.
- Post-operative care: The foot is supported, and initial rehabilitation instructions are provided.
Following plantar fascia release surgery, physiotherapy is essential to help you safely and effectively return to your previous level of function and sporting activity.
The Benefits Post-Surgery
Plantar fascia release surgery can provide a number of benefits, including:
- Reduction in heel and foot pain during daily activities and exercise.
- Improved mobility and range of movement in the foot.
- Faster return to normal walking and sporting activities.
- Decreased inflammation of the plantar fascia.
- Correction of biomechanical issues contributing to plantar fasciitis.
- Enhanced overall quality of life by restoring comfort and function.
A successful plantar fascia release can significantly improve your quality of life and independence, particularly when physiotherapy is followed diligently after surgery.
Physiotherapy Rehabilitation Post Surgery
Physiotherapy rehabilitation is vital to ensure you gain the maximum benefit from plantar fascia release surgery. Your ability to bear weight will vary slightly depending on whether you have undergone open surgery or endoscopic surgery.
- Open surgery: Weight-bearing may be limited initially, with gradual progression guided by your physiotherapist.
- Endoscopic surgery: Early partial weight-bearing is often possible, with faster progression to full weight-bearing under physiotherapy supervision.
- Pain and swelling management: Ice therapy, elevation, and gentle movement exercises.
- Restoration of range of motion: Stretching and mobilization exercises for the foot and ankle.
- Strengthening exercises: Focus on the foot, ankle, and lower leg muscles to support recovery.
- Functional training: Gradual return to walking, balance activities, and sport-specific movements.
Physiotherapy rehabilitation involves a combination of treatment methods, progressed as the soft tissues repair.
Physiotherapy involves:
- Pain management: Techniques such as ice therapy (cryotherapy), gentle massage, and positioning to reduce discomfort.
- Range of motion exercises: Gradual mobilization of the foot and ankle to restore flexibility.
- Strengthening exercises: Targeting the foot, ankle, and lower leg muscles to improve stability and support.
- Balance and proprioception training: Exercises to enhance coordination and prevent reinjury.
- Gait retraining: Correcting walking patterns to reduce strain on the plantar fascia.
- Functional rehabilitation: Gradual return to daily activities and sport-specific movements.
- Scar care and soft tissue management: Techniques to promote healing and prevent adhesions.
Summary
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The Benefits Post-Surgery