Distal tarsal tunnel release with XXXX for chronic heel pain: an outcome analysis.

@entity1 @entity1411 @entity158 @entity616
This study evaluated the effectiveness of distal tarsal tunnel release with a @entity1411 for chronic @entity158 in @entity1 who failed nonoperative management through a retrospective review of all @entity1 undergoing this procedure between 1994 and 1999. Distal tarsal tunnel release and a @entity1411 were offered only to those @entity1 with disabling @entity158 and were performed under general anesthesia or @entity616 . Seventy-five @entity1 (80 heels), averaging 20 months of nonoperative treatment, were identified (group I). Postoperative outcome questionnaires (SF-36 and Foot Function Index [FFI]) were sent to these @entity1 and 44 (46 heels) responded (group II). In group I, 88% of @entity1 had a good to excellent result. Many continued with mild to moderate residual symptoms, which typically did not limit their activity. In group II, 91% of @entity1 were somewhat to very satisfied with their outcome. Visual analogue scale scores for @entity158 were reduced by a mean of 55. SF-36 scores, matched against a control group of @entity1 receiving just nonoperative treatment, showed a statistically significant improvement in all @entity158 and functioning subcategories. We conclude that a distal tarsal tunnel release with a @entity1411 may successfully increase function and decrease @entity158 in @entity1 who fail nonoperative treatment.
