Conclusion
chronic plantar fasciitis, contracture, pain
After 6 years, patients with chronic plantar fasciitis in combination with an isolated gastrocnemius contracture treated with proximal medial gastrocnemius recession and stretching have less pain and better function than patients treated with stretching alone. No differences in Achilles complex performance can be seen between the intervention and the control group. This supports the conclusion that PMGR is a safe procedure, with good long-term results, that can be recommended to patients with chronic plantar fasciitis with a concomitant gastrocnemius contracture resistant to nonoperative treatment.