Endoscopic Gastroc/ plantar fascial release Endoscopic Gastroc/ plantar fascial release

Endoscopic Gastroc/ plantar fascial release

Ankle Equinus is a condition that is known to create many conditions and deformities of the foot and ankle.

Endoscopic Gastroc/ plantar fascial release

Someone with equinus lacks the flexibility to bring the top of the foot toward the front of the leg. People with equinus develop ways to compensate for their limited ankle motion, and this often leads to other foot, leg or back problems.

There are several possible causes for the limited range of ankle motion. Often, it is due to tightness in the Achilles tendon or calf muscles (the soleus muscle and/or gastrocnemius muscle). In some patients, this tightness is congenital (present at birth), and sometimes it is an inherited trait. Other patients acquire the tightness from being in a cast, being on crutches or frequently wearing high-heeled shoes. In addition, diabetes can affect the fibers of the Achilles tendon and cause tightness. Sometimes equinus is related to a bone blocking the ankle motion.

Depending on how a patient compensates for the inability to bend properly at the ankle, a variety of foot conditions can develop, including:

  • Plantar fasciitis (arch/heel pain)
  • Calf cramping
  • Tendonitis (inflammation in the Achilles tendon)
  • Metatarsalgia (pain on the ball of the foot)
  • Flatfoot
  • Arthritis of the midfoot (middle area of the foot)
  • Foot Ulcers
  • Bunions and hammertoes
  • Ankle pain
  • Shin splints
Various surgical procedures have been described for correction of gastrocnemius equinus. Some procedures have consisted of proximal release of the muscular heads of the gastrocnemius and distal recession of the gastrocnemius aponeurosis. The distal gastrocnemius recession should be performed for correction of nonspastic gastrocnemius equinus. There are many companies that offer minimally invasive options with small incisions. These procedures improve the range of motion back to a normal limit with immediate weightbearing and driving.

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