Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
What to Expect After Achilles Bone Spur Surgery
Achilles Bone Spur Surgery Recovery Time 6-8 Weeks Best Treatment
Achilles bone spur surgery recovery time can usually take at least 6-8 weeks until you walk without a cast or boot. You can start moving in a supportive shoe with a lace-up ankle brace.
Recover Stronger: A Clear Look at Your Healing Timeline
Achilles bone spur surgery can significantly relieve chronic heel pain and improve mobility—but recovery takes time and care. Most patients can expect an initial healing period of 6–8 weeks, followed by physical therapy and a gradual return to full activity over the next few months. With proper post-op support, your recovery can be smooth and successful. Let’s break down what the process really looks like and how you can optimize your outcome.
How Long Does It Take to Recover From Achilles Bone Spur Surgery?<span style
Recovery time after Achilles bone spur surgery typically ranges from 3 to 6 months, depending on the severity of the spur and whether the Achilles tendon was detached during surgery. The first few weeks usually involve non-weight-bearing rest with a cast or walking boot. Physical therapy often starts between 4–6 weeks post-op to gradually restore strength and flexibility. Complete healing—including returning to sports or high-impact activity—can take up to a full year in some cases. Following your podiatrist’s post-op plan is key to avoiding complications and ensuring a successful return to pain-free movement.
Considering Surgery or Need Post-Op Support?
Schedule an evaluation at Balance Foot & Ankle Specialist in Bloomfield Hills today.
Dr. Tom Biernacki and his experienced team specialize in surgical recovery and will guide you through every stage of your healing—from pre-op preparation to your final steps toward full recovery. Don’t take chances with your Achilles—get expert care from a trusted podiatrist.
Call now or book an appointment online—your peace of mind starts here.
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Achilles Bone Spur Causes
- An Achilles bone spur is caused by a chronic condition called Achilles tendinitis.
- The Achilles tendon rips away from the bone just a little bit every day. This takes many years for the spur to form. But every single day.
- This tendon then bleeds, and that blood turns into bone.
- As many years go by. This begins to look like a spark.
- That is how an Achilles tendon-bone spur is cost.
Achilles tendon-bone spur is at the back of the heel where the Achilles tendon inserts.
Achilles Bone Spur Symptoms
Symptoms of an Achilles bone spur are:
- Bone formation at the back of the heel.
- Pain in the Achilles tendon. About 2 to 6 cm above the heel bone.
- Difficulty standing for a very long time.
- Deep aching pain just above the heel bone.
- Rubbing of the heel bone against the back of the shoe.
- Difficulty standing barefoot.
Suppose left unchecked for many years. This can develop into a large painful back of the heel spur.
Achilles Bone Spur Surgery Goals:
- If the Achilles bone spur is large and prominent, the goal is to smooth the bone down and softer.
- If there is Achilles tendon damage, then that may need to be fixed as well with surgery.
- The primary objective is to have a smooth back of the heel.
What signs that you may need Achilles Bone Spur Surgery?
Some signs that you may need Achilles bone spur surgery are the following:
- Pain.
- Difficulty walking
- Achilles tendon pain and possible damage.
- Degeneration of the Achilles tendon.
- Not getting better with good shoes.
- Not getting better with a good brace.
When Should You Avoid Achilles Bone Spur Surgery
Achilles bone spur surgery should be avoided if you you are not a surgical candidate. If you have health problems, the focus should be more on non-surgical therapy.
Achilles bone spur surgery may not be for you if:
- You have not tried better shoes.
- You have not tried a brace.
- If you are a smoker.
- If you have a systemic illness such as diabetes.
- If you cannot tolerate 6-8 weeks off of your feet.
- If you cannot tolerate being in a cast or a boot.
Achilles Bone Spur Surgery Recovery Time Specifics:
Day of surgery:
- You will be placed in a splint for 1 week. This is a non-weight-bearing splint.
1-week appointment:
- You will be placed in a cast for 2 weeks.
3rd-week appointment:
- You will transition into a walking boot with a lift for the next 4-6 weeks.
- Your stitches will be removed at this point.
7-8th week appointment:
- We will look at how you are doing in the boot.
- We will start physical therapy.
What Are Heel Spurs?
- Heel spurs are bony outgrowths in the heel that most frequently occur on both the heel’s bottom and back.
- The Achilles tendon inserts on the back of the heel.
- The plantar fascia inserts into the bottom of the heel.
Causes of Heel Spurs:
- Spurs usually develop on the heel bone where a tendon or a ligament attaches to the heel bone.
- The heel spurs on the back of the heel are associated with the Achilles tendon, which is described as an Achilles tendon insertional bone spur.
- The spurs that happened at the bottom of the foot are called plantar fasciitis-associated bone spurs.
- Both the Achilles tendon and the plantar fascia can cause what is considered a heel spur.
- As the ligament pulls out of the bone, this can lead to bleeding. This blood then hardens to the bone.
- As the years go by, this cycle leads to a spur.
1. The plantar fasciitis bone spur:
- Bone spurs on the bottom of the heel bone are formed by the tearing out the plantar fascia from the heel bone. The plantar fascia is a thick ligamentous structure that supports the arch. It prevents your foot from essentially breaking off from the heel bone. Usually, the first step of this is called plantar fasciitis. This is when the ligament becomes inflamed and painful and then becomes thick and scarred. The plantar fascia eventually starts to tear out of the heel bone, and as the body starts to heal it, it can form some extra bone in the form of a spur.
- A lot of studies have been done about the bottom of the foot heel spur.
- This is something that can cause you a lot of pain.
- In many cases, you developed microscopic tearing of the plantar fascia ligament, and as you bleed out of the bone, this blood can turn into the bone.
- As you can see on x-rays, the spur does not point straight down into the ground, but it points toward the toes, where the heel bone rips away from the plantar fascia.
- Treatment of plantar fascia heel spurs involves resting, letting the microtears heal, arch stabilizing orthotics, anti-inflammatory medications, icing, and stretching programs.
- Physical therapy is also useful for plantar fasciitis. Steroid injections are also used to decrease plantar fasciitis pain rapidly. You can use steroid injections for the bottom of the foot, but this is a bad idea for the Achilles tendon inserting into the heel. However, there are some questions regarding this. For example, the studies are not always strong.
- Most cases of plantar fasciitis will resolve within a few months of treatment. Still, if this is something that continues for a long time for you, it may benefit from heel spur debridement or plantar fasciitis surgery. The most common way to treat this is to lengthen the plantar fascia ligament partially. When a heel spur is present, it can sometimes be removed at the same time, although the studies are mixed regarding this.
- The recovery time for this generally can involve staying off it for 4 to 6 weeks in a boot or a cast. Followed by physical therapy.
The Achilles tendon insertional bone spur:
- The Achilles tendon is the largest and the most powerful in the body! It is formed from two strong leg muscles, the gastrocnemius, and the soleus. These two muscles come together to form the Achilles tendon, and they insert into the back of the heel. This is different than the bottom of the heel where the plantar fascia inserts. This is the main tendon responsible for your foot pushing downward and pushing off with your toes.
- The Achilles tendon-bone spur mostly occurs in a direction pointing straight up in the direction of the Achilles tendon. This is where the edge of the shoe usually meets the heel bone. Therefore you have a lot of pain in this heel bone.
- There are many reasons why someone can develop an Achilles tendon-bone spur, but most commonly, it is due to overuse, prior injury, and a combination of weight gain. These bone spurs could be small, or they can be enormous, depending on your medical condition.
- In most cases, the bone spurs will develop within the tendon, not outside the tendon.
- The size of the bone spur has been studied well and doesn’t always correlate with the pain. Large bone spurs can be completely pain-free, whereas small ones can be 10 out of 10 pain that can cause crying and the inability to perform even the most basic tasks.
- The first line of treatment for Achilles bone spur is to see exactly why you are having this problem!
- Achilles bone spur treatment can be achieved by stretching your shoes, lifting your heel so that the back of the spur is not running in the shoe. In some cases, simply lifting a heel within the same office visit can completely relieve the pain 100%.
- It is generally not the best idea to inject steroids into this heel spur, as there is a risk of damaging your Achilles tendon. But it is useful to take advantage of physical therapy, icing, anti-inflammatories, and ultrasound to live to alleviate the pain.
- Achilles bone spur surgery can be performed to remove the heel bone spur. For a lot of people, this can be a very effective procedure. The simple smaller bone spur can be excised without completely detaching the Achilles tendon. A bone spur that is very large and takes up most of the tendon can often require removing a large portion of the Achilles tendon. In some cases, you may even need to perform a tendon transfer to improve the repair.
- In our clinic, you do need to be in a cast for approximately 4 to 6 weeks. This is then followed by up to four weeks in a boot, followed by an issue with the heel left. At this point, you will need physical therapy to get your Achilles tendon moving again. As you can see, this is a very long healing time!
- But if you have a spur that is not getting better, if a year has gone by and you are still in crippling pain, if you are gaining weight and becoming in worse and worse shape than whether you have!
Find ways to take pressure off of the Achilles Tendon:
- The best way to do this is to find great shoes.
- Great shoes are then best combined with great orthotics.
- Sometimes a lace-up ankle brace may be needed if the first two options don’t work for your Achilles pain. Usually, with these three things, you can take an amazing amount of pressure off them.
- The key is actually to wear them. Wearing these devices during dinner and walking barefoot for the other 23hrs of the day won’t fix the problem.
- For some people, if the pain is bad, they may need a cast or boot for at least a few weeks.
- See your podiatrist and get an x-ray of your heel if you think something might be broken. Even a pair of your Achilles tendon may need an ultrasound or an MRI.
Stabilize the Heel With Orthotics:
- Whether the tendon is too tight or not is not the problem; it’s how compressed the Achilles tendon gets against the back of the heel.
- You have to find a way to keep the heel bone from tilting up so much and pressing the Achilles tendon against the back of the heel bump.
- When it’s loaded, the calcaneus gets turned up and out.
- This twisting is when the bone rubs against the Achilles tendon the most.
Full-Length Orthotics Stabilize Your Heel the Best:
- These are our favorite full-length orthotics.
- These will support your heel much better than a 3/4″ length orthotic.
- The main downside is the tighter fit, so get your shoe 1/2 a size bigger.
These are the best non-lace shoe orthotics:
- These work best if your shoe is really tight and you still need a good fit!
Fix the underlying problems:
These are Too much pressure and too little flexibility.
- If this truly is a life-altering condition that you have a hard time fixing, make some of the tough choices.
- For example, I can guarantee you if you were a computer programmer and weighed 100 pounds, there is almost no chance that you would have Achilles tendinitis.
- But if you weigh 300 pounds and work on a factory floor 16 hours a day, there’s about a 95% chance that you will have knee arthritis, Achilles tendonitis, hip and back pain. One of these is guaranteed.
Why does Achilles tendonitis persist long term?
2 short answers: Too much pressure and too little flexibility.
- I’m not saying you must meet all these tough criteria listed above.
- Even losing 5 to 10 pounds can take a significant amount of pressure off your feet.
- Even stretching 1 minute every morning can make a huge difference!
- Because the important thing is once you heal this problem, you don’t want it ever to come back.
- There is no doubt about it. Achilles tendonitis takes forever to get better, so give it a chance for a few weeks or months to cool down, as in step 1.
- Then correct the reasons that cause that to happen in the first place, and it will stay away forever.
Stretching Does Help (Even if it doesn’t fix it alone):
- Even if it doesn’t fix the problem completely alone, this is a great modality to reduce Achilles tendinitis.
- Once you understand this concept, you will understand why it happens. Think about it as a rope going along the tree and you pulling against that rope.
- We have to find a way to get that bone to stop rubbing against the Achilles tendon. A lot of the time, it’s by lifting the heel bone or getting rid of that top of the bone spur.
- An orthotic and shoe is a good way to do this long-term, not stretching. But this only works if the tendon cools down from swelling first.
Our favorite static stretching devices:
- These devices mean that they do the stretching for you.
- You could wear these while watching TV for 15-30 minutes at a time.
- Studies show you will gain significant ankle flexibility after 1 month of daily wearing.
Retrocalcaneal Heel Spur Surgery:
- Retrocalcaneal Heel Spur Surgery is just another way of saying Achilles Bone Spur Surgery.
- The recovery time is still in the 6-8week range.
Retrocalcaneal heel spur surgery is also known as Achilles bone spur surgery:
- Further treatment options for Achilles Heel Spurs.
- See Dr. Tom Biernacki (Tomasz Biernacki), who is a specialist at performing this procedure.