For many heel spur sufferers, surgery is the last resort and is usually only considered after other treatment options have been tried unsuccessfully. However, if surgery does prove necessary, it is usually successful.
As with any surgical procedure, heel spur surgery carries risks. For example, nerve tissue could be damaged during the procedure, resulting in numb areas around the heel. In rare cases, heel pain persists after surgery, though this usually disappears after a week or two.
Heel spur surgery can be done in different ways. In endoscopic plantar fasciotomy, for example, the plantar fascia ligament is detached from the heel bone, relieving stress and pain and allowing new fascia tissue to develop. With this procedure, the tension that created plantar fasciitis or heel spurs is removed.
In other procedures, only a part of the ligament is detached from the heel bone, though expert opinion varies on the effectiveness of this. In some cases, the surgeon may also decide to remove the spur itself. This can significantly reduce pain in the heel as it prevents the tissue around the heel from being damaged further by the bone fragment.