Bipolar Radiofrequency Microtenotomy: Can It Be An Effective Alternative For Plantar Fasciosis?

Author(s): 
Bora Rhim, DPM

In Conclusion

This minimally invasive technique is a viable surgical treatment option for patients with recalcitrant plantar fasciosis who have failed conservative care. However, proper patient selection is key with this surgical treatment option. While this technique offers a surgical alternative to conventional surgery, one should avoid using this technique on inflammatory conditions.    There is still a need for further study to investigate the long-term outcomes of the procedure in the treatment of recalcitrant plantar fasciosis. I still believe that the future of plantar fasciosis treatment is in stimulating treatments that allow the body to heal itself without sacrificing the plantar fascia.    Dr. Rhim is an Assistant Professor at the College of Podiatric Medicine, Surgery, and Biomechanics at the Western University of Health Sciences, Pomona, Ca.
 

References:

1. Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int 2004; 25(5):303.
2. Kwong PK, Kay D, Voner PT, White MW. Plantar fasciitis: mechanics and pathomechanics of treatment. Clin Sports Med. 1988; 7(1):119–126.
3. Lemont H, Ammirati KM, Usen N. Plantar fasciitis: a degenerative process (fasciosis) without inflammation. JAPMA 2003; 93(3):234-237.
4. Neufeld SK, Cerrato R. Plantar fasciitis: evaluation and treatment. J Am Acad Orthop Surg 2008; 16(6):338-346.
5. Thomas JL, et al. The diagnosis and treatment of heel pain: a clinical practice guideline revision. J Foot Ankle Surg 2010; 49(3):S1-S19.
6. Lui E. Systemic causes of heel pain. Clin Pod Med Surg 2010; 27(3):431-441.
7. Riddle DL, Pulisic M, Pidcoe P, et al. Risk factors for plantar fasciitis: a matched case-control study. J Bone Joint Surg Am 2003; 85(5):872-877.
8. Irving DB, Cook JL, Young MA, et al. Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matches case-control study. BMC Musculoskelet Disord 2007; 8:41.
9. Tasto JP. The use of bipolar radiofrequency microtenotomy in the treatment of chronic tendinosis of the foot and ankle. Tech Foot Ankle 2006; 5(2):110-116.
10. Sean NY, Singh I, Wai CK. Radiofrequency microtenotomy for the treatment of plantar fasciitis shows good early results. Foot Ankle Surg 2010; 16(4):174-7.
11. Weil L, Glover JP, Weil LS. A new minimally invasive technique for treating plantar fasciosis using bipolar radiofrequency: a prospective analysis. Foot Ankle Spec 2008; 1(1):13-18.
12. Silver WP, Creighton RA, Karas SG. Thermal microdebridement does not affect time zero biochemical properties of human patellar tendons. Am J Sports Medicine. 2004; 32(8):1946-1932.
13. Kaplan L, Uribe JW. The acute effects of radiofrequency energy in articular cartilage: an in vivo study. Arthroscopy 2000; 16(1):2-5.

 

 

 

 

 

Add new comment