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- W1999263012 abstract "Chronic plantar fasciitis, or fasciopathy, is the most common debilitating foot complaint, affecting approximately 10% of the population and accounting for over one million office visits annually. Many cases are refractory to nonoperative intervention, and recurrence is common. Consequently, safe and effective definitive treatments are desirable. The purpose of this presentation is to discuss our initial experience with percutaneous ultrasonic fasciotomy in the treatment of chronic, refractory plantar fasciitis. Chronic plantar fasciopathy is a degenerative condition characterized histologically by disorganized collagen fibers, increased ground substance, hypercellularity, and neovascularity in the absence of inflammatory cells. The clinical diagnosis is based on the palpable plantar heel pain over the plantar fascia origin with ultrasound correlation demonstrating thickening, hypoechogenicity, and heterogeneity of the plantar fascia. The differential diagnosis may include: calcaneal stress fracture, fat pad atrophy, and regional neuropathy. Using ultrasound guidance, a percutaneous ultrasonic fasciotomy was performed with the TX1 device (Tenex Health), which when activated, the hollow 18g needle tip emulsifies tissue using high frequency, low amplitude motions. Tissue is extracted via a fluid inflow-outflow pump. We treated 65 patients at our IR pain clinic between August 2013 until the present with chronic, refractory, plantar fasciopathy using ultrasonic fasciotomy. All patients had failed medications, activity modification, physical therapy, and arch supports. Foot and Ankle Disability Index (FADI) score were collected pre-procedure, and 2 weeks, 6 weeks, and 6 months post-procedure. Average Treatment time with the TX1 was 99 sec, with standardized post procedure rehabilitation. FADI scores demonstrated greater than 90% improvement in symptoms at two weeks and were maintained at 6 months (p < 0.0001). The patients were extremely satisfied with no procedure related complications. Percutaneous ultrasonic fasciotomy is safe and highly effective at intermediate term follow up to treat chronic plantar fasciopathy. Long-term outcome studies are in progress." @default.
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- W1999263012 date "2015-02-01" @default.
- W1999263012 modified "2023-09-26" @default.
- W1999263012 title "Percutaneous ultrasonic fasciotomy: a novel approach to treat chronic plantar fasciitis" @default.
- W1999263012 doi "https://doi.org/10.1016/j.jvir.2014.12.113" @default.
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