Minimally Invasive Ultrasound Guided Percutaneous Plantar Fasciotomy

Minimally Invasive Ultrasound-Guided Percutaneous Plantar Fasciotomy, also known by the brand name “TenJet®,” is a modern surgical technique used to treat plantar fasciitis—a condition characterized by inflammation and pain in the plantar fascia, a thick band of tissue that runs along the bottom of the foot and connects the heel bone to the toes.

The traditional treatment for plantar fasciitis includes conservative measures such as rest, stretching exercises, orthotics, and physical therapy. However, in cases where conservative treatments have not provided sufficient relief, minimally invasive procedures like the TenJet® technique may be considered.

The TenJet® procedure involves the following steps:

1. Anesthesia: The patient is usually given local anesthesia to numb the foot and make the procedure comfortable and pain-free.
2. Ultrasound guidance: A high-resolution ultrasound is used to precisely visualize the plantar fascia, ensuring accurate targeting of the treatment area.
3. Percutaneous plantar fasciotomy: A specialized device, the TenJet® system, is inserted through a small incision in the skin and directed toward the plantar fascia. The device uses a combination of fluid jet technology and mechanical debridement to remove damaged tissue and stimulate healing in the affected area.
4. Closure: After the procedure, the incision is typically small and requires minimal closure, such as adhesive strips or a small bandage.

The benefits of the TenJet® procedure include minimal disruption to surrounding tissues, reduced post-operative pain, faster recovery, and the avoidance of more extensive open surgery. It is an outpatient procedure, meaning patients can typically return home the same day after the surgery.

As with any surgical procedure, there are potential risks and complications associated with TenJet® treatment, including infection, nerve injury, and incomplete resolution of symptoms. The decision to undergo this procedure is made after a thorough evaluation and discussion with a foot and ankle specialist, who will assess the individual’s specific condition, medical history, and overall health to determine if TenJet® is the appropriate treatment option for plantar fasciitis.

It’s important to note that medical technology and procedures may evolve over time, and it is always best to consult with a qualified healthcare professional for the most up-to-date information on any surgical technique or treatment.