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A gastrocnemius recession involves lengthening of the muscle in order to reduce the contracture. A large percentage of people with chronic plantar fascial pain have limited range of motion of the ankle. This limited range of motion often results in compensation via flattening of the arch, which leads to strain on the plantar fascia. The post operative course requires a walking boot for about three weeks followed by a transition into proper shoe gear. The most common procedure for recalcitrant plantar fasciitis is a plantar fasciotomy. This procedure involves lengthening a section of the fascia. The idea is to reduce mechanical workload in the fascia thereby providing resolution of symptoms. This procedure takes about 15 minutes and usually requires a period of non-weightbearing for about three weeks and an additional two to three weeks of protected weightbearing. For more information, please visit www.WashingtonHeelPain.com