Table 3.

Pearls and Pitfalls

Pearls

•When placing incision site, find the junction of glabrous skin and normal skin. •If performing in an office setting, patient selection and thorough pre-procedure discussion are critical. Adequate time must be allowed between anesthetic administration and procedure. •Ensure complete release of the plantar fascia from medial to lateral and from dorsal to plantar margins of fascia. •Release should be done under direct endoscopic visualization to ensure there is no nerve involvement.

Pitfalls

•Inserting the scope dorsal to the plantar fascia and overaggressive release can risk injury to lateral plantar nerve. •Poor portal placement is possible, given limitations of 0∗ needle scope.