Chronic stress contributes to the development of a bony arrowhead-like outgrowth at the insertion of the plantar fascia into the heel bone (calcaneus). Excessive weight or exaggerated foot architecture can speed up the process.
Intense pain comes with first steps in the morning or after a period of rest, subsiding in a while. The heel spur doesn’t hurt. If it does, it means that the adjacent soft tissues are damaged.
The most efficient non-surgical therapy combines local corticoanesthetic infiltrations reducing inflammation with orthotic insoles restabilising the hindfoot and relaxing the fascia.
If conservative methods fail, surgery should be considered. An up-to-date minimal incision technique provides access to the bone calcification and the fascia through a 3-mm heel cut performed under local anesthesia. Patients may return home walking immediately after the operation. They will have to attend weekly medical examinations during the whole recovery period, which can take 3-6 weeks depending on the patient.