الفهرس 
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Abstract
Plantar fasciitis is one of the most common causes of heel pain syndrome in the field of foot and ankle surgery. It occurs in up to 10% of the population predominantly in patients over 40 years of age and the exact etiology of plantar fasciitis is still uncertain. The majority of patients show significant improvement when treated with conservative measures which includes; physiotherapy, non-steroidal anti-inflammatory drugs (NSAID), local corticosteroid injection, night splint, rigidly soled shoe, or case immobilization. Though conservative treatment is usually successful in 90% of patients, surgery may be necessary in resistant cases where all conservative measures failed to improve pain. (119)
In this study, we aimed to compare the clinical and functional outcomes obtained from Modified Baxter’s Nerve Release (MBNR) with those obtained from combined (MBNR) and proximal release of medial head gastrocnemius.
Thirty patients (23 females and 7 males) with 30 feet of symptomatic plantar fasciitis of mean age 42 years and mean duration of symptoms prior to surgery 2.5 years were treated with either MBNR (18 feet) or combined procedure (12 feet) in order to compare outcome of both techniques.
The overall results of this study showed that; group-2 was superior to group-1 in terms of function and faster recovery period. Only 3 patients in group-1 developed superficial wound infection, heel numbness and foot edema respectively and 2 patients in group-2 developed superficial wound infection and tender scar respectively.
As a result of this study, we were able to determine that both techniques, PMGR and MBNR, were reliable for the treatment of CPF. But, addition of PMGR to MBNR is better than isolated MBNR in terms of function & faster recovery at the 6 months follow-up.
Our recommendations, better to combine PMGR to MBNR in resistant cases as we found better results than either procedure alone. Also, better to do nerve release in cases complaining for more than 1 year because LPN entrapment usually occurs with long periods of plantar fasciitis (lengthy periods of symptoms usually associated with thickening of LPN and tightness of gastrocnemius).