Plantar fasciopathy is a common cause of heel pain. Endoscopic plantar fasciotomy has the advantage
of less surgical trauma and rapid recovery. The aim of the present prospective study was to delineate
the results of endoscopic plantar fascia release through 2 medial portals. The present study included 2
groups. The first group included 27 feet in 25 patients that had undergone endoscopic plantar fascia release
followed up for 19.7 (range 12 to 33) months. The second group, the control group, included 20 feet in
16 patients treated conservatively and followed up for 16.4 (range 12 to 24) months. The results of endoscopic
plantar fascia release were superior to the conservative methods. The surgically treated group
experienced significantly less pain, activity limitations, and gait abnormality. The presence of a calcaneal
spur had no effect on the final postoperative score. In conclusion, endoscopic plantar fascia release
through 2 medial portals is an effective procedure for treatment of resistant plantar fasciopathy that fails
to respond to conservative management options.