Heel Spur Surgery Recovery Time: Home Treatment Tips!

Heel spur surgery recovery time? Is Heel Spur Surgery even worth it? It can greatly depend on how your procedure was done. If it was performed in the minimally invasive fashion, you should be up and walking within about 6 weeks. Sometimes it can be a little shorter or a little bit longer.


Causes of a Heel Spur:


  • A heel spur is caused by condition as time goes by that bone essentially breaks and stretches out of the heel due to the plantar fascia.
  • This is how all spurs happen throughout the body.
  • This is not specific to only the plantar fascia.
  • This means that there is too much biomechanical stress on that ligament and it is pulling out of the bone.
  • The real key to fixing this is to remove the stress off the spur.


Heel Spur Home Treatment and Home Remedy
This is a picture of a fairly large calcaneus heel spur. It is very difficult to get rid of these heel spurs without doing surgery. It is very possible to relieve the pain without surgery, but the spur bone go away with some of the home remedies you read online. Don’t fall for the fluff!


Symptoms of a Heel Spur:


Symptoms can include:

  • Numbness, burning and tingling.
  • Pain can be worse than the morning, especially when you’re first getting out of bed.
  • The pain can get worse after a long day, this will cause more pain at night and more pain when you wake up in the morning.
  • It can feel better while wearing good supportive shoes. Next paragraph can feel better while wearing a good supportive orthotic.

Heel Spur Surgery Recovery Time Healing Time
Heel spur surgery recovery time can definitely take a long time of protecting your foot. It can take roughly one month to two months in a walking boot, or even addressing the surgical shoe. At that point want to do about 4 to 6 weeks in a protective ankle brace to protect it even further.


Is Heel Spur Surgery worth it?


Heel bone spur surgery is WORTH it when:


  • You are having severe pain.
  • You do not have other major health issues slowing you down.
  • You are not doing it for just cosmetic reasons.
  • That is truly the only only thing causing you pain.
  • You have tried plantar fasciitis exercises and stretching and they did not work.
  • When you don’t have an urgent meeting or event to get back to within the next 4-6 weeks that requires you to be on your feet.



Calcaneus Bone Spur Bottom of the heel spur
This is a bone spur at the bottom of the heel. This is caused by a condition called plantar fasciitis.
Achilles tendon bone spur is at the back of the heel were the Achilles tendon inserts.


Heel bone spur surgery is NOT WORTH it when:


  • There is something else causing you pain beyond your heel spur.
  • If you goal is to wear high heel shoes or flip flops. Your pain will only eventually start all over again and cause you severe pain in the future in other areas.
  • If you have gained a very large amount of weight quickly, this is not a solution for severe weight gain.
  • If you have not tried orthotics.
  • If you have not switched to sensible shoes.
  • If you have not tried plantar fasciitis exercises or stretching.
  • If you have not had a long talk with your podiatrist about other options.




Non-Surgical Heel Spur Treatment:


  • Nonsurgical treatment for heel spurs focuses on biomechanical support.
  • Treatment includes great shoes, great orthotics, and increasing flexibility.
  • The best way to get rid of this pain is to decrease the stress on your feet through support, and decreasing the pressure through reducing body weight.
  • This comprehensive treatment video will show you everything you need to know about fixing your plantar fascia conservatively at all.
  • It is a long video, but we promise it will be worth watching!




Surgery for Plantar Fasciitis and Heel Spur Removal:


  • Surgery for plantar fasciitis and heel spur is essentially the same thing as heel spur removal surgery, just another fancy way of saying it.
  • Generally the heel spur does not need to be removed, it is usually the scarred plantar fascia tissue that needs to be removed.
  • Heel spur removal surgery has proven to not really be as necessary as simply lengthening the fascia.



Pros and Cons of Heel Spur Removal Surgery:


See one of our podiatrists to see the pros and cons of heel spur removal surgery.

We prefer the endoscopic plantar fascia release technique.

With the endoscopic plantar fascia release technique, the incision site is minimal, the risks are less and the overall results are much better overall.

Most patients generally do not require very long healing time after the endoscopic approach.


Achilles tendonitis insertional heel spur surgery recovery time
This patient has both a large plantar heel spur and posterior heel spur. This is definitely a large lump felt through the skin!


Pros of heel surgery for plantar fasciitis:


  • Very reliable procedure.
  • This procedure has been studied extensively over the decades with constant improvements and publications.
  • This is not the new and fancy procedure touting stem cells or PRP injections, but it is a proven effective treatment.
  • Is usually minimally invasive or performed through a scope for fastest possible healing results.
  • Good evidence backing up its effectiveness. There are many studies and many people that have had this done proving its effectiveness, it is not the new flavor of the month procedure.
  • Walking in a boot for up 6 weeks, then transitioning into a good supportive shoe.
  • If you are lighter and are in more of a sit down job the healing time could be much less!


Heel fat pad cushion atrophy and heel spur formation
This is an example of heel fat pad atrophy. There is a lack of cushion on the bottom of the heel and this spur is pushing against the ground. This can cause a large amount of heel pain while walking!
Cons of heel surgery for plantar fasciitis:


  • Surgery is usually only recommended when shoes and orthotics fail.
  • Surgery carries risk factors, although these are generally low.
  • In a boot for up to 6 weeks.
  • If you are very heavy and plan on walking on hard surfaces for 12 hours a day, odds are something new will start hurting even if is not your plantar fascia.
  • You will have an incision site, although this is small, it is something that can get irritated and potentially scarred.
  • You still need to wear good shoes and orthotics going into the future to get really good results.
  • Surgery needs to be in the hospital and is usually expensive.



Heel Spur Surgery Recovery Time Protocol:

This is the rough guideline for most people:


Day 1: Heel Spur Surgery Day:

  • The actually surgery takes well under an hour, and your foot is usually numbed up for the rest of the day.
  • You have pain medication for a few days depending on your pain level.
  • Some people don’t need any pain medication at all.
  • A dressing is applied along with a surgery boot that you can walk in.
  • Most physically able people do not need crutches or a walker unless they have other health issues.
  • Usually there are about 2 sutures in the foot.


Day 7: Heel Spur Surgery Postoperative Visit #1:

  • Within about a week, we have the first postoperative visit.
  • You have your first dressing change at this time.
  • With this dressing change some antibiotic ointment is applied, we make sure you are not having any problems at this time.

Day 14-21: Heel Spur Surgery Postoperative Visit #2:

  • This can fluctuate depending your overall health needs, physical fitness and life needs.
  • If you are able to rest more, weight less and are really healthy, sutures can usually come out at 2 weeks.
  • If you swell more and are more tender, they can stay in a little bit longer.
  • At this point your incision site should be healed.


Plantar fasciitis verse heel fat pad atrophy
Plantar fasciitis is horizontal strain of the plantar fascia ligament. Fat fad heel atrophy is the loss of fatty tissue on the heel. Most people under 75 years old have plantar fasciitis, as you get older it is possible to get heel pad atrophy. This can contribute to a heel spur.


What Can Speed Up Healing Time in Heel Spur Surgery?


There are many things that can make you heal much quicker.


A)How much do you weigh?


  • A 400lbs person may have a slightly harder time walking on his plantar fascia site than a 100lbs person.
  • Generally the smaller someone is, all things being considered equal, they can walk much quicker with better relief of pain.
  • The more athletic and strong you are in the rest of your body, generally the better you can keep weight off the heel while it improves.


B)How much walking do you need to do after a surgery?:


  • Someone who is a computer programmer clearly needs to stand or walk less than a nurse at a hospital for example.
  • If you have kids and need to check on them every 5 minutes, odds are you will be more sore after the surgery than someone who can sit and watch netflix all week.
  • The bottom line is, the less you walk on your feet, the faster they will heal immediately after the surgery.
  • This can sometimes make a 50% healing time difference based on our experience.


C)How healthy and physically fit are you?


  • People who can barely walk before surgery, generally have a hard time walking after surgery.
  • This means if you can’t support yourself on crutches or a knee scooter, you may be unable to walk after surgery without causing constant irritation to the foot.
  • Someone who is lighter, more physically fit will heal faster.