How should you repair this patient’s heel pain?

This 59-year-old presents with heel pain. Diagnosis is obvious on water-weighted sagittal MRI, but how do you repair this?

 

It’s an obvious plantar fasciitis with a tear. As for how to repair it, that’s a trick question. You put the patient in a boot and manage their pain. The surgical treatment for plantar fasciitis is cutting the fascia, so-called plantar fascial release. But this patient did it themselves “without the surgeon.” “Patient, heal thyself.” For more case review, check out MRI Online.

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