What is the reason for pain following a plantar fascia release surgery?

Question

Hi doctor,

I had plantar fascia release surgery three months ago and my doctor released me to work even though I was supposed to get one more x-ray. After getting the second X-ray, he said the X-ray looks good. But, still, I am in a lot of pain. Also, the pain has spread to the outside of my foot along with the area of all the joints, especially over the last three. Should I get a second opinion?

Answer 1

Hi,

Welcome to icliniq.com.

No, you do not need a second opinion. The surgery is done, but you still have some tenosynovitis of the other tendons, which has to come down. Also, it is very likely that you have a flat foot due to the tenosynovitis of the posterior tibialis tendon. So, I suggest the following treatment. Consult your specialist doctor, discuss with him or her, and take the treatment with consent.

Tablet Ibuprofen 400 mg twice daily in the morning and night after food for 10 days.
Tablet Rabeprazole 20 mg twice daily in the morning and night after food for 10 days.
Tablet Shelcal CT (Calcium) 500 mg, one tablet at night before food for 30 days.
Wear total plantar arch support for flat feet.
Use a crepe bandage 6 inches throughout the day from the toes to the mid-leg area.
You need to do wobble board exercises, once the pain settles down, and also sand walking exercises.
Calf stretching exercises need to start twice daily for 15 minutes each.
Use silicon heels or buy arch support with silicon heels, which will reduce the pain and swelling of the heel.
Dip your feet in cold water twice daily.
Use Dolonex ointment (Piroxicam) for local application twice daily.

These measures will help you reduce the pain and tenosynovitis. You will get better with this treatment. Revert back after 10 days to an orthopaedician and traumatologist.