Percutaneous tenotomy is a minimally invasive surgical procedure used in podiatry to treat various tendon-related conditions. This technique involves making a small incision through the skin to access and release a portion of a tendon, providing significant relief from pain and restoring functionality.
In podiatry, percutaneous tenotomy is primarily used to address conditions such as chronic tendinitis and plantar fasciitis that have not responded to conservative treatments like physical therapy, orthotics, or anti-inflammatory medications. The procedure is performed using local anesthesia to ensure patient comfort.
During a percutaneous tenotomy, the podiatrist uses a specialized needle or a small scalpel to create a tiny incision over the affected tendon. Guided by ultrasound imaging, the podiatrist carefully cuts or releases the targeted section of the tendon. This precise approach minimizes trauma to the surrounding tissues.
The minimally invasive nature of percutaneous tenotomy reduces the risk of complications and promotes quicker healing compared to traditional open surgery. Patients typically experience a faster recovery time, with most individuals resuming normal activities within a few weeks, depending on the extent of the procedure and their adherence to post-operative care instructions. The procedure offers substantial pain relief and helps restore the normal function of the affected tendon, enabling patients to engage in physical activities and maintain an active lifestyle. Additionally, percutaneous tenotomy is typically performed on an outpatient basis, allowing patients to go home the same day.
Conditions treated with percutaneous tenotomy include chronic tendinitis, plantar fasciitis, and other tendon pathologies. The procedure addresses persistent inflammation and pain in tendons such as the Achilles tendon, peroneal tendons, and posterior tibial tendon. It also effectively treats inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot, causing heel pain.
Percutaneous tenotomy represents a significant advancement in the treatment of tendon disorders within podiatry. Its minimally invasive nature, quick recovery, and effective pain relief make it an attractive option for patients suffering from chronic tendon conditions. If you are experiencing persistent tendon pain, consult with a podiatrist to determine if percutaneous tenotomy is the right treatment for you.
