Did you know that about 10% of people experience heel spurs in their lifetime? While not everyone feels pain, effective treatment can make a big difference for those who do. Exploring surgery or conservative treatments is key to finding relief.
At Martin Foot & Ankle, we provide expert care to South Central PA residents. Our team treats a range of foot and ankle issues, including heel spurs, helping you regain comfort and confidence. Whether you’re exploring non-surgical options or surgery, we’ll guide you with personalized care and advanced treatments. Contact us today to schedule an appointment and take the first step toward relief.
Read on to learn about surgical and non-surgical treatments for heel spurs and find the best option for you.
What Heel Spur Surgery Involves and When It's Necessary
Heel spur surgery, also known as posterior heel spur resection, is performed to remove the bony growth, or bone spur, that causes heel pain. This condition is often associated with plantar fasciitis or spur formation in the heel bone. During the procedure, a small incision is made to access the affected area, and the bone spur is carefully removed. Sometimes, damaged tissue in the plantar fascia ligament or surrounding areas is treated as well.
It’s important to note that heel spurs on the bottom of the heel are not the source of pain; plantar fasciitis is the true cause. Bottom heel spurs are not removed, as plantar fascia surgery focuses on the soft tissue. However, heel spurs on the back of the heel, often linked to Achilles tendonitis, can cause pain and may require removal.
Depending on the case, open surgery or minimally invasive procedures, such as endoscopic surgery using a tiny camera, may be performed. The surgery is typically an outpatient procedure, done under local or general anesthesia. The goal is to reduce pain and restore mobility when nonsurgical treatments like custom orthotics, stretching exercises, or anti-inflammatory medications fail.
These treatments are effective for many cases but may not address severe bone spur formation or chronic pain. Recovery involves rest, use of a walking boot, gradual return to weight bearing, and eventual activity, supported by physical therapy.
When Surgery Is Necessary:
Chronic pain persists despite months of nonsurgical treatments, such as shoe inserts, therapy, or medication.
The heel spurs develop to a point where they limit mobility or daily activities.
Plantar fasciitispain worsens, or complications arise.
A healthcare provider confirms that surgical options are the best course of action after evaluating imaging and symptoms.
- Non-invasive measures no longer help to manage pain or improve the condition
Heel Spur Surgery Recovery Time and What to Expect:
The recovery period typically lasts up to six weeks, but returning to full activity may take up to three months, depending on the type of surgery and individual factors.
Recovery Process and What to Expect:
- Swelling and Postoperative Pain: Common in the first few weeks; managed with pain medication.
- Limited Walking: A walking boot or crutches are used to prevent strain on the surgical site.
- Physical Therapy: Incorporates motion exercises and strengthening to regain mobility in the affected area. Therapy helps stretch the calf muscles and Achilles tendon to support healing.
- Wound Care: Follow your surgeon’s detailed instructions to care for the surgical site and minimize the risk of infection.
- Return to Normal Activities: Most patients can resume light activity in up to six weeks, with more intensive exercise possible in up to three months, depending on the healing process.
Factors Supporting a Successful Recovery:
- Follow-Up Appointments: Regular check-ins ensure progress and address any concerns.
- Patient Compliance: Performing motion exercises, using custom orthotics, and adhering to post-op instructions are critical.
- Overall Health: Healthier patients often experience less postoperative pain and faster recovery.
- Avoiding Hard Surfaces: Stick to soft, well-fitting shoes during recovery to avoid aggravating the surgical site.
Non-Surgical Options for Treating Heel Spurs
- Custom Orthotics and Shoe Inserts: Reduce pressure on the heel bone and provide support.
- Stretching Exercises: Target the calf muscles and Achilles tendon to alleviate tension on the heel.
- Lifestyle Changes: Weight management and wearing well-fitting shoes help reduce strain on the affected area.
- Anti-Inflammatory Medications: Help to manage pain and reduce swelling associated with plantar fascia ligament irritation.
These treatments are effective for many cases but may not address severe bone spur formation or chronic pain. It’s important to note that heel spurs on the bottom of the heel do not cause pain—plantar fasciitis is the true source.
Heel spurs on the bottom are not removed, as plantar fascia surgery is a soft tissue procedure. However, heel spurs on the back of the heel, often linked to Achilles tendonitis, can cause pain and may require removal.
Pros and Cons of Each Treatment Approach
Surgical Treatment
- Benefits: Long-term relief from plantar fasciitis pain and spur formation; addresses the root cause.
- Risks: Includes common complications like infection, nerve damage, or delayed healing process.
Non-Surgical Options
- Advantages: No surgical downtime or invasive recovery; quicker return to activities.
- Limitations: May not resolve severe cases or chronic pain; requires consistent effort and ongoing care.
Recovery Expectations and Success Rates
Recovery from heel spur removal is gradual and requires patient commitment. Most patients see significant improvement, but results vary based on treatment type and compliance.
Expected Outcomes:
- Surgical Approach: High success rates for alleviating pain and restoring function. Full recovery can take up to three months, depending on the procedure and patient health.
- Non-Surgical Approach: Effective for managing moderate symptoms but requires ongoing effort and adaptations, like motion exercises and custom orthotics, for sustained results.
Important Considerations:
- Risk Factors: Age, weight, and overall health can impact recovery and outcomes.
- Compliance: Following post-op care, including wound care, therapy, and follow-up appointments, is essential for success.
Choosing the Right Treatment for You
Deciding between surgery and nonsurgical treatments depends on your condition’s severity and response to initial care. For many, nonsurgical treatments, such as therapy, shoe inserts, and medication, are the first step to help relieve pain. However, surgery may be necessary, including options like bone spur surgery or minimally invasive surgery, for severe cases of plantar fasciitis or when pain disrupts daily life.
If an Achilles bone issue is involved, a healthcare provider may also recommend surgery or plantar fasciitis surgery to address the problem. Consult a healthcare provider near York, PA, to assess your needs and develop a personalized treatment plan. Seeking care early can ease pain, improve mobility, and enhance quality of life.
Move Forward on Your Journey to Heel Spur Treatment
Heel spurs can disrupt daily life, but the right treatment can bring relief. Trust Martin Foot & Ankle specialists for personalized care tailored to you.
Don't wait to get back on your feet—schedule an appointment with Martin Foot & Ankle today! Our experienced team in York, PA, is here to help you find effective solutions for heel spur and get you moving comfortably again.
