EPF
in New Orleans, LA
in New Orleans, LA
Plantar fasciitis is the #1 reason patients come to us for heel pain, and while most cases improve with conservative treatments, a small percentage—about 20%—require surgery. Endoscopic Plantar Fasciotomy (EPF) tendon release can provide long-term relief by releasing tension in the plantar fascia through a minimally invasive technique. At New Orleans Podiatry, Dr. Edward Lang combines over 30 years of surgical expertise with advanced technology to perform EPF with precision, shorter recovery times, and lasting results. Feel confident on your path to healing with our concierge-level care—direct access to your surgeon, same-day scheduling, and thorough post-operative support.
EPF (Endoscopic Plantar Fasciotomy or Endoscopic Plantar Fascia Release) is a minimally invasive surgery used to relieve persistent heel pain caused by chronic plantar fasciitis. It works by releasing a small portion of the plantar fascia, reducing tension and inflammation while preserving foot function.
We consider this surgical technique only after exhausting non-surgical treatments such as custom-made orthotics, oral or topical therapies, night splints, physical therapy, ultrasound-guided cortisone injection therapy, and regenerative treatments like radial shockwave therapy, PRP, and A2M regenerative injections, or amnio allograft. This approach ensures surgery is used only when it offers the highest likelihood of lasting relief.
On the day of surgery, you’ll receive local anesthesia, sometimes combined with sedation for comfort. Dr. Lang makes a tiny incision on the inside of the heel and inserts an endoscope (a small camera) to visualize the plantar fascia. Using specialized instruments, he releases the targeted portion of the fascia while preserving healthy tissue. Because EPF involves less disruption to surrounding structures, patients typically experience minimal postoperative pain compared to traditional heel surgery, and leave the clinic the same day wearing a protective shoe, with detailed at-home care instructions provided.
EPF is designed for patients whose chronic inflammation from plantar fasciitis has become more than just a daily annoyance, affecting their ability to walk, stand, or do the things they love. This minimally invasive procedure uses direct endoscopic visualization to specifically target the source of discomfort when conservative measures aren’t enough. At NOPA, we recommend EPF only when it’s the right fit for your condition, often after exploring and documenting all non-surgical options.
EPF primarily addresses the plantar fascia in the heel and arch of the foot, but relieving this tension can also improve related discomfort in the ankle, calf, and knee caused by altered walking patterns.
The true value of EPF lies in its ability to deliver long-term heel pain relief with minimal disruption to your life. Because it’s minimally invasive, most patients enjoy a shorter recovery, smaller incision, less postoperative pain, and faster return to normal activity compared to traditional surgery. At New Orleans Podiatry, the benefits extend beyond the operating room, thanks to our concierge follow-up and tailored prevention strategies.
EPF may be recommended if you have had persistent plantar fasciitis pain for six months or more despite treatments like stretching, orthotics, and regenerative therapy. Candidates are generally in good health, committed to following post-operative instructions, and looking for a minimally invasive surgical option.
EPF recovery involves less pain and a quicker recovery compared to other surgical alternatives. Most patients can walk in a protective shoe immediately after EPF. You’ll be advised to limit high-impact activities for a few weeks while the plantar fascia heals. Our concierge team will check in regularly to monitor your progress, adjust your recovery plan, and ensure you regain mobility quickly.
Many patients experience significant improvement in heel pain within weeks, with continued relief as the foot heals fully. When combined with preventive measures—like supportive footwear, stretching routines, and maintaining a healthy weight—EPF results can be long-lasting.
Most patients experience only mild discomfort after the procedure, easily managed with over-the-counter medication.
You can usually walk in a protective shoe the same day as surgery, though strenuous activities should be avoided until cleared by your doctor.
EPF uses an endoscope and smaller incisions, resulting in less tissue disruption, faster healing, and minimal scarring compared to traditional open surgery.
While no procedure can guarantee prevention, EPF significantly reduces recurrence when paired with ongoing preventive care.
Many insurance plans cover EPF when it’s medically necessary. Our team can confirm coverage and discuss self-pay options if needed.
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