Endoscopic Debridement, Ostectomy, Release, and Radiofrequency: A Fully Endoscopic Technique for Treating Recalcitrant Plantar Fasciitis.

Plantar fasciitis (PF), a common cause of heel pain, primarily results from inflammation of the plantar fascia due to excessive strain. Its complex pathophysiology, influenced by various biomechanical factors, has led to the development of diverse surgical techniques. Most of these techniques, when used in isolation, have shown benefits in treating refractory PF. We propose the debridement, ostectomy, release, and radiofrequency procedure, a minimally invasive approach combining (1) debridement of the suprafascial plane, (2) ostectomy of the calcaneal spur, (3) partial release of the medial plantar fascia, and (4) direct radiofrequency microtenotomy of the plantar fascia. For patients with gastrocnemius muscle tightness, the procedure may also include a medial endoscopic gastrocnemius release. The described procedure addresses the multifaceted pathology of PF in a single intervention. This comprehensive approach aims to improve patient satisfaction and functional outcomes.