Gastroc recession cured 93.6% of chronic plantar fasciitis

NewsBot · Jun 15, 2026

Proximal Medial Gastrocnemius Release versus Open Plantar ‎Fasciotomy in Recalcitrant Plantar Fasciitis: A Multicenter Prospective ‎Cohort Study
Assem Bastawisy Ahmed. Aly Tarek Aly, Hussein A. Hussein
Source

Background:

Recalcitrant plantar fasciitis may require surgical intervention when symptoms persist despite adequate conservative treatment. Open ‎plantar fasciotomy (OPF) and proximal medial gastrocnemius release (PMGR) are commonly used surgical options.‎

Methods:

This multicenter prospective cohort study included patients with unilateral recalcitrant plantar fasciitis who failed ‎conservative treatment. Patients underwent either OPF or PMGR. ‎Pain was assessed using the Visual Analogue Scale (VAS, 0–100 mm), and function was assessed using the American Orthopaedic ‎Foot and Ankle Society (AOFAS) score. Health-related quality of life was evaluated using the SF-36 questionnaire. Outcomes were ‎assessed preoperatively and at 1, 3, 6, and 12 months postoperatively. Patient satisfaction, opioid consumption, complications, and time ‎to return to full activity were also recorded.‎

Results:

45 patients were included in the final analysis: 22 in the OPF group and 23 in the PMGR group. Both procedures improved pain and function at 12 months. ‎PMGR showed a significantly greater reduction in VAS score compared with OPF (55.0 vs. 40.0; p = 0.009). Time to return to full ‎activity was significantly shorter after PMGR than after OPF (5 vs. 10 weeks; p < 0.001). Final AOFAS scores, AOFAS ‎improvement, postoperative SF-36 domains, patient satisfaction, opioid consumption, and complication rates were comparable between ‎groups.‎

Conclusion

Both OPF and PMGR were effective for recalcitrant plantar fasciitis. PMGR was associated with greater pain reduction ‎and faster return to activity, while final outcomes and safety profiles were comparable between procedures. PMGR may ‎be preferred in patients with gastrocnemius tightness when faster recovery is needed.
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NewsBot · Jun 19, 2026

Retrospective study investigating the effect of isolated proximal medial gastrocnemius release for recalcitrant plantar fasciitis
Romaan Akichjev et al
Foot and Ankle Surgery 14 May 2026

Background
Plantar fasciitis (PF) is a well-known cause of inferior heel pain. Gastrocnemius tightness plays an important role in the pathophysiology. PF is mainly treated conservatively, but in a limited number of patients further surgery is needed. We investigated whether proximal medial gastrocnemius release (PMGR) as an isolated procedure is a successful treatment with low complication rates.
Methods
This retrospective follow up included patients who underwent PMGR between August 2020 and December 2024 for recalcitrant PF. Diagnosis of PF was confirmed clinically and radiologically. A minimum of 6 months conservative treatment together with a positive Silfverskiöld’s test was indicative for surgery. Pain and functional assessment were measured preoperatively, at 2 weeks and 2 years postoperatively using the European Foot and Ankle Society (EFAS) questionnaire and the Visual Analog Scale (VAS).
Results
A total of 24 patients (34 feet) were included. The mean preoperative EFAS score improved from 1.79 ± 3.362–12.46 ± 7.14 at 2 weeks (P < 0.001) and to 22.08 ± 4.31 at 2 years postoperative (P < 0.001). The mean preoperative VAS score declined from 8.17 ± 1.05–4.67 ± 2.48 2 weeks postoperatively (P < 0.001) to 1.17 ± 2.51 2 years postoperatively (P < 0.001). There was 1 case of deep venous thrombosis with associated pulmonary embolism, no other complications were noted.
Conclusions
PMGR provides good results for patients with recalcitrant plantar fasciitis with a high satisfaction and low complication rate.
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Gastroc recession cured 93.6% of chronic plantar fasciitis

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Gastroc recession cured 93.6% of chronic plantar fasciitis

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Gastroc recession surgeons-Boston

Gastroc recession

Gastrocnemius Recession

Gastrocnemius recession and subtalar joint arthroereisis

Gastrocnemius Recession: A Panacea for What Ails the Foot and Ankle

Gastrocnemius recession surgery

Gastrocnemius Recession

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