Patients with heel spurs often complain of a sharp, piercing morning-time pain when their foot first hits floor. Generally speaking, this is caused by the excessive pull of a ligament (plantar fascia) across the arch of the foot. When walking, running or dancing, the foot rolls inward and flattens, lengthening the arch and putting added tension on the plantar fascia. Over time, this can cause severe inflammation. In most cases, the heel pain can be treated conservatively (without foot surgery) using anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. However there are instances where non-surgical treatment of heel pain may fail and surgery may be indicated to relieve the pressure.
A popular term used to refer to pain caused by inflammation on the bottom of the foot is “heel spur syndrome”. As the heel bone tries to mend itself, spurs can form in response to the activities that are causing excessive stress, to pressure from being overweight or from wearing poorly fitting shoes. Not all, but some patients with plantar fasciitis will demonstrate a heel spur on an x-ray. In the past, many surgeries simply targeted the removal of the bone spur. As the cause of the pain has been better understood, both open and endoscopic approaches have been developed to accomplish plantar facial release. The podiatrist performing the procedure will determine whether the bone spur should be removed at the time of the plantar fascia surgery.
NOTE: At the completion of plantar fascia release surgery, a gauze dressing is applied and the patient placed in a post-operative shoe or cast. Most patients can walk on their foot immediately but activities should be very limited for the first week.
If you suffer with recurrent foot pain, you can request an appointment online by submitting the form on this page or call Coastal Podiatry & Wound Care at (904) 265-0470 to learn more about conservative and surgical treatments for heel spur syndrome.
DISCLAIMER: The information provided on this website is an educational resource. It is not intended to serve as a recommendation for the treatment or management of any medical condition. All decisions involving medical procedures or surgery should be made in conjunction with your physician or orthopedic surgeon.