Home The Book Dr Articles Products Message Boards Journal Articles Search Our Surveys Surgery ESWT Dr Messages Find Good Drs video

Do I need surgery to remove heel spurs?

Posted by Peggy M on 6/18/02 at 22:51 (087973)

I recently discovered that I have a medium to large heel spur on my left foot. My MD referred me to a specialist. My doctor felt that I was an immediate candidate for surgery to remove the spur. She also feels there is a spur on my right foot. I have had heel pain for about 10 years, I had not had a foot X-Ray until recently. I believe there was a mix up, as this specialist I was referred to, does not do surgery. He said surgery would not correct the problem and the spur would just return. He reccommended about a years worth of physical therapy. He said I had a 'muscle imbalance'. I am all for some physical threapy. However, I prefer to have the surgery first, while my insurance deductible has already been met for the year. Then follow up with therapy. Is this doctor being straight with me? Would it hurt or help to have the surgery first?

Re: Do I need surgery to remove heel spurs?

Valerie S on 6/18/02 at 22:55 (087975)

Peggy,

I am not a doctor, but I am up late too... surgery is a last resort for heel spurs. You should exhaust all other options first. The first thing I would do is read the heel pain book. It is located here at this site. If the words heel pain book are not blue here, just follow the link at the bottom of this page. After you read that (it's long, but you will learn A LOT!!), come back and ask more questions. The info and support I have received here have helped me beyond my wildest dreams. You have come to the right place.

Again, I am no doctor, but I am a fellow sufferer of heel pain, and I'm sorry to hear that you've been going through this for so long. Good luck to you, and let us know how we can be of help.

Welcome to the board, Val.

Re: Do I need surgery to remove heel spurs?

Dr. John Cozzarelli on 6/19/02 at 08:53 (087987)

Hi Valerie:

The spur can removed with a small puncture on the bottom of the heel. This is a minimally invassive technique. There is one stitch and the spur is out. The muscular imblanace he is referring to is most likely a fasciitis. The fasciitis is usually the cause of the pain. The spur sometimes can hurt on direct plantar palpation. Are you having pain on palpation of the spur?

Dr. John Cozzarelli

Re: Do I need surgery to remove heel spurs?

Peggy M on 6/19/02 at 20:10 (088059)

Yes, I do have pain on palpation. The heel is very tender.

Re: Do I need surgery to remove heel spurs?

Dr. John Cozzarelli on 6/20/02 at 05:31 (088085)

Hi Peggy:

It there ispain directly on palpation of the heel on the bottom (plantar) of the heel bone I would consider removal of the spur done MIS with fluoroscopic guidance. The prcocedure is less invassive yielding less scar tissue. Best of luck.

Dr. John Cozzarelli

Re: Do I need surgery to remove heel spurs?

Valerie S on 6/18/02 at 22:55 (087975)

Peggy,

I am not a doctor, but I am up late too... surgery is a last resort for heel spurs. You should exhaust all other options first. The first thing I would do is read the heel pain book. It is located here at this site. If the words heel pain book are not blue here, just follow the link at the bottom of this page. After you read that (it's long, but you will learn A LOT!!), come back and ask more questions. The info and support I have received here have helped me beyond my wildest dreams. You have come to the right place.

Again, I am no doctor, but I am a fellow sufferer of heel pain, and I'm sorry to hear that you've been going through this for so long. Good luck to you, and let us know how we can be of help.

Welcome to the board, Val.

Re: Do I need surgery to remove heel spurs?

Dr. John Cozzarelli on 6/19/02 at 08:53 (087987)

Hi Valerie:

The spur can removed with a small puncture on the bottom of the heel. This is a minimally invassive technique. There is one stitch and the spur is out. The muscular imblanace he is referring to is most likely a fasciitis. The fasciitis is usually the cause of the pain. The spur sometimes can hurt on direct plantar palpation. Are you having pain on palpation of the spur?

Dr. John Cozzarelli

Re: Do I need surgery to remove heel spurs?

Peggy M on 6/19/02 at 20:10 (088059)

Yes, I do have pain on palpation. The heel is very tender.

Re: Do I need surgery to remove heel spurs?

Dr. John Cozzarelli on 6/20/02 at 05:31 (088085)

Hi Peggy:

It there ispain directly on palpation of the heel on the bottom (plantar) of the heel bone I would consider removal of the spur done MIS with fluoroscopic guidance. The prcocedure is less invassive yielding less scar tissue. Best of luck.

Dr. John Cozzarelli