The authors report a retrospective study involving 25 feet in 21 @entity1 who underwent percutaneous drilling for chronic @entity158 . @entity1 with increased activity of the heel were considered for surgical treatment if there was increased uptake on the delayed bone scans. The average follow-up was 21 months (range, 6 to 30 months). All @entity1 were treated in day surgery with local anesthesia. Three small holes were bored in the medial cortex of the calcaneus. Clinical evaluation of the parameters of @entity158 , walking distance, fascial @entity925 , paresthesias, and ankle and @entity2720 were evaluated preoperatively and at final follow-up. In 7 @entity1 , repeat bone scans were performed and 6 @entity1 had resolution of the abnormal uptake. In 81% of feet treated, there was a favorable outcome based on a subjective scoring scale. Using a visual analog @entity158 scale, the @entity158 level was 8.8 (range, 4 to 10), and at latest follow-up, it was 2.4 (range, 0 to 10). These results are comparable to other available surgical methods for the treatment of recalcitrant @entity158 . Less predictable results were seen in @entity1 with rheumatic and systemic pathologies and in those diagnosed with @entity85 . This technique appears to be effective in the relief of intraosseous congestion and bone-marrow @entity4 .

Percutaneous drilling for chronic XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity158 :: ('MESH:D010146', 'Disease') :: ['heel pain', 'pain', 'preoperative pain'] @entity2720 :: ('MESH:D007592', 'Disease') :: ['subtalar joint motion'] @entity85 :: ('MESH:D009140', 'Disease') :: ['Haglund deformity'] @entity925 :: ('MESH:D063806', 'Disease') :: ['tenderness']
@entity158 :: (MESH:D010146,Disease) :: ['heel pain']
