The heel is considered the chief exit point for the vertical forces moving through your body. Every time you walk, run or jump, the heel absorbs the shock of the bodyweight above as well as the ground forces below. Thus, it is clear to see why so many people suffer from chronic heel pain. Plantar fasciitis with or without the presence of a heel spur is the most common cause of heel pain. Plantar fasciitis is caused by the pulling of a thick band of tissue connecting your heel to your forefoot.
As your heels absorb shocks, the arch of your foot tends to flatten with each step and that causes this band of tissue to stretch. As it gets stretched, plantar fascia tugs on the heel bone (calcaneous) leading to the formation of a heel spur. When it comes to heel spur treatment, conservative options are successful in relieving symptoms in most patients. But some might need surgery. Contact us to learn more.
While in the past a much more invasive procedure was needed to remove the spur, now we have various minimal incision surgical options. These are known as percutaneous heel spur surgery. Heel spurs are usually tender when you walk or when you stand for a prolonged time and in the morning after rest. Dr. Solomon, a trusted NYC podiatrist initially treats your heel spur with regular non-invasive treatments such as stretching exercises, cortisone injections, Shoe Modifications, athletic taping of foot and heel for added support, Orthotics, Physical therapy, and many others.
If your heel pain hasn’t responded positively to non-invasive treatments, your New York podiatric doctor may recommend surgery. Nowadays, your heel pain can be treated effectively through a quick minimally invasive procedure called endoscopic surgery. Endoscopic surgery uses a camera to enhance the visualization of anatomy while making tiny incisions for inserting the camera. Contact us to know more.
Dr. Solomon utilizes this technique for treating heel pain by releasing the plantar fascia. Comprehensive understanding of the pain related to heel spurs and advanced surgical methods come with superior results with shorter recovery times. Many improvements have taken place in endoscopic surgery, along with image quality and breadth of surgical applications. Dr. Solomon will offer a minimally invasive surgical solution for heel spur.
The type of anesthesia involved will be decided depending on medical history and the requirements of the foot doctor and anesthesiologist. The endoscopic heel spur process should be performed by an experienced podiatric surgeon in collaboration with an anesthesiologist or a nurse anesthetist. After the heel surgery, the doctor may place your foot in a boot and give crutches for the first 1-2 weeks. Then partial weight-bearing can start if you are cleared by your foot surgeon.
In certain cases, weight can be placed on the foot immediately following surgery. Post-operative care varies from patient to patient and this must be consulted with your surgeon. Usually, podiatrists encourage patients to walk soon after the heel spur surgery is done. But the activity should increase along with elevating the foot while resting. Contact us to book a consultation.
The sutures generally will be removed at 2nd or 3rd week. Soon after, the transition into normal sneakers will start. Depending on what your podiatrist suggests, you may have a cast applied after surgery, requiring crutches until it gets removed. Roughly after a month, you start feeling the effects of the surgery while some patients may require more time to heal.