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heel spur surgery

Although many people with plantar fasciitis have heel spurs, spurs are not the cause of plantar fasciitis pain. About 50 percent of people with plantar fasciitis have a heel spur. put an ice pack (or bag of frozen peas) in a towel on your heel for up to 20 minutes every 2 to 3 hours. Plantar Fasciitis Surgery. The plantarfascia is the main ligament to runs along the bottom of the foot from the heel to the toes. These growths are caused by excessive strain, friction, or pressure on the heel bone. During a minimally invasive heel spur surgery, the surgeon will make only a very small incision to correct the pain point. It also helps to stretch daily and maintain a healthy body weight. Q. The only way to get rid of heel spurs entirely is by having surgery to remove the growths. It provides connections among the bones of the feet. In addition, a doctor can administer a cortisone injection in your heel to reduce inflammation. Surgery is one option to alleviate pain associated with a heel spur. Treating foot pain with heel spur surgery can be done in a couple different ways. Heel spurs can be located at the back of the heel … In this procedure two slits are made around the heel. Most people who have a heel spur don’t need surgery. Surgery for Heel Spurs Prevention of Heel Spurs A heel spur is a calcium deposit causing a bony protrusion on the underside of the heel bone. But see a GP if the pain does not improve. In a minimally invasive form of surgery for heel spurs known as endoscopic heel spur surgery, the physician makes small incisions around the heel to introduce cameras and tools, using the camera to see inside the heel while the surgery is performed. Heel spur removal surgery doesn’t happen in every case. Heel spur surgery is a surgery performed to address a heel spur and the underlying causes of the outgrowth of bone around the heel. What happens during the surgery varies, depending on the location of the spur and its cause. For about a week after surgery, the patient will need to keep weight entirely off the foot. ANSWER Pre-surgical tests or exams are required to identify optimal candidates, and it's important … A heel spur is a pointed bony outgrowth of the bone of the heel (the calcaneus bone). When the surgery is over, the patient is given pain management drugs and monitored for several hours before release to confirm that the surgery has not caused any immediate complications. Heel spurs are bony growths on the bottom of the heel that direct toward the arch of your foot. Located in Wauwatosa, Wisconsin and Littleton, Colorado, Northwest Surgery services patients across the United States including; Denver, Colorado Springs, Boulder, Lakewood, Colorado and Milwaukee, Waukesha, West Allis, and Madison, Wisconsin. It's important to be gradual about reintroducing weight to the foot after surgery, as too much strain can injure the foot. He then detaches, or cuts, the plantar fascia ligament from the heel bone using a small knife, relieving stress and pain and allowing new fascia tissue to develop in the space that was created. ESWT Therapy . Chronic local inflammation at the insertion of soft-tissue tendons or plantar fascia is a common cause of bone spurs (osteophytes).   The plantar fascia is one of the major transmitters of weight across the foot as you walk or run. The worst thing a runner can do to deal with heel spurs (a result of the dreaded plantar fasciitis) is to simply ignore them and choose to "push through" the pain. Ever since she began contributing to the site several years ago, Mary has embraced the All rights reserved. Your heel is the primary exit point for the vertical forces travelling through your body. If you take these measures without good results, your doctor may recommend 1 of 2 surgical procedures as a last resort, but only after 12 months of nonsurgical therapy. To prevent future heel spurs, wear properly fitting shoes and the right type of shoes for activities. When the plantar fascia becomes inflamed, a heel spur can form at the point between the fascia (the tissue that forms the arch of the foot) and the heel bone. Over-the-counter medications like acetaminophen and ibuprofen can also relieve pain and inflammation. This procedure is also completed with either an open surgery or an endoscopic surgery. Heel spurs cause heel pain while walking or pushing off from the ball of the foot. Endoscopic surgery, on the other hand, is minimally invasive. This includes: Heel spur removal surgery isn’t recommended for a heel spur that has recently started to cause pain. spends her free time reading, cooking, and exploring the great outdoors. How to ease heel pain yourself. Learn about symptoms, causes, and treatments of a bruised heel. The amount of time you’ll take off from work varies depending on how much time you spend on your feet. You may also be responsible for coinsurance and copays. Heel pain can range from mild to disabling. Because the spur is not the cause of plantar fasciitis, the pain can be treated without removing the spur. Every time you take a step, one of your heels has to support the whole weight of your body. There are lots of causes of heel pain. It begins at the fifth metatarsal (the bone…, The middle phalanges (foot) are some of the smaller long bones that form the toes of the feet. Heel surgery is typically covered by health insurance. They often form next to joints affected by osteoarthritis, a condition that causes joints to become painful and stiff. Adding insoles or extra padding to the inside of shoes can also relieve pressure and strain. The actual spur though, might not necessarily be the cause of the injury. The entire procedure is quick and is performed in an outpatient setting. During plantar fascia release surgery, your surgeon may opt to completely remove the heel spur. The load is softened by a pillow of fat under the heel and a padding under the sole of the foot. Be prepared to follow up with your surgeon within a couple of weeks after surgery. Heel spur pain will likely go away after a few months, but if not, surgery might help you get back on your feet. Trust Dr. Velimir Petkov of Premier Podiatry in Clifton to recommend the best treatment for you. You need to stay off of your … The plantar fascia is a thin ligament that connects your heel to the front of your foot. If you see a GP, they'll usually suggest you try these things: Do rest and raise your heel when you can. © 2005-2021 Healthline Media a Red Ventures Company. The patient will also be screened for any surgical risk factors which could complicate the procedure. Through these slits in the side of the heel a small camera is inserted which allows the surgeon to see the injured area. Heel spurs can sometimes occur with plantar fasciitis. Even so, it’s an option for a painful or larger spur that you can feel underneath the skin. Three phalangeal bones make up each digit, articulating with each other at bending…. Heel spur syndrome is a condition associated with heel spurs, bony protrusions that grow on the bottom of the heel. Sesame Oil. You may be a candidate for surgery if your heel spur is large, or if heel pain doesn’t improve or worsens after 12 months of other treatment. The cost also varies by location and hospital. For more invasive surgeries, general anesthesia may be required. A person with sedentary employment might only need a couple of weeks off. This is possible when factors contributing to the original spur development continue. If you have pain, it can be intermittent or chronic. Plantarfaciitis is an inflammation of the plantarfascia that results in pain. Frequently Asked Questions about Heel Spurs and Heel Spur Surgery Q: Once a heel spur is removed, will it come back? Your surgeon makes one large incision or a couple of smaller incisions, and then uses surgical instruments to remove or detach the bony calcium deposit. In most cases, you’ll see an improvement in pain within a few months of beginning nonsurgical treatments. Osteophyte (bone spur) Osteophytes are bony lumps (bone spurs) that grow on the bones of the spine or around the joints. This involves cutting a part of the planter fascia ligament to relieve tension and inflammation in the tissue. Podiatrist Midtown Manhattan NYC. A heel spur forms where the plantar fascia—band of fibrous tissue stretching along the bottom of the foot—connects to the heel bone. During the surgery, the doctor shaves down the heel spur and may also repair the plantar fascia to help prevent future pain. Nutrient rich food will help you stay healthy, feel active, and recover completely much earlier than otherwise. Two surgical options are available for heel spur pain. Heel Spur Surgery Sometimes, bone spurs in your heel can be treated with rest and physical therapy. Plantar Fasciitis Stretches to Soothe Heel Pain, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, How to Treat and Prevent Bone Spurs on Your Feet. The aim of the surgery is to remove the actual heel spur that can be seen on x-rays in plantar fasciitis patients. The metatarsals are the long bones of…, The distal phalanges (foot) are located at the end of each toe. a protrusion on the underside of the heel bone, due to the deposition of calcium Sometimes In the foot, there are three cuneiform bones. The best way to deal with them is not to get them in the first place. You must spend this amount out-of-pocket before your insurance pays for covered services. Endoscopic plantar fasciotomy is the first way to eliminate pain. Wikibuy Review: A Free Tool That Saves You Time and Money, 15 Creative Ways to Save Money That Actually Work. It often comes from inflammation of the plantar fascia. Heel surgery complications include: Complications can happen to anyone, but certain factors may increase your risk, including: Contact your doctor immediately if you experience any problems after surgery. Here's what you need to pay attention to. A heel spur (calcaneal spur) is a bony growth on the heel bone, it can occur along the sole of the foot towards the toe (plantar heel spurs) or along the Achilles tendon at the back of the shoe cap (dorsal heel spurs). Relieving Heel Spur Pain Take a break from exercise and get some rest. This is an outpatient procedure performed as an open surgery or an endoscopic surgery. exciting challenge of being a wiseGEEK researcher and writer. Heel spurs may be pointy, hooked, or shelf-like. For example, wear running shoes if you’re a runner. If your job involves a lot of standing or walking, you may need to take four weeks off. Talking to Patients ... Email Us : Heel Pain, Heel Spurs and Plantar Fasciits . Typically, it can take up to six weeks to recover from plantar fascia release surgery, and up to three months to recover from heel spur removal surgery. Watch Houston's Foot Doc - Dr. Sherman Nagler perform a Heel Spur Surgery - En Espanol Generally the heel spur does not need to be removed, it is usually the scarred plantar fascia tissue that needs to be removed. As you move, the load is equal to 20 times your own body weight. The foot may be in a bandage, cast, or special boot. Some patients also benefit from physical therapy. Heel spur or plantar fascia surgery is performed as outpatient surgery – this allows you to go home the same day after your procedure. It causes heel pain in over 50 percent of Americans. At this point, you should be able to put weight on your heel. The pain they feel in their foot, however, doesn’t always come from this bony growth. It is also known as Achilles heel spur or heel spur. What happens during the surgery varies, depending on the location of the spur and its cause. Another surgery sometimes applied is the steindler release. Mary has a liberal arts degree from Goddard College and Cleveland Ohio Orthopedic Surgeon Doctors physician directory - Get information on symptoms of heel spurs (heel pain), home remedies, and treatments (cortisone injection, surgery). Updated on Jun 11, 2020 by Dr. Sophia Solomon (Podiatrist) of Manhattan Foot Specialists Heel Spur Surgery . This involves cutting one or more smaller incisions, and then inserting small surgical tools through the opening to perform the surgery. Heel pain that doesn’t go away can decrease mobility and make it difficult to walk, stand, or exercise. The surgery can be performed by a foot specialist such as an orthopedic surgeon or podiatric surgeon, and recovery times vary, with some surgeries requiring up to a year for the surgical site to fully heal. They are positioned between the distal phalanges (which…. What are the Most Common Types of Heel Injury. In fact, “more than 90 percent of people with heel spurs get better with nonsurgical treatments,” according to the Cleveland Clinic. Healthline Media does not provide medical advice, diagnosis, or treatment. The surgery can be performed by a foot specialist such as an orthopedic surgeon or podiatric surgeon, and recovery times vary, with some surgeries requiring up to a year for the surgical site to fully heal. Putting too much strain on the plantar fascia can cause a heel spur to form. We’ll explain what causes it, how it’s diagnosed and treated, and ways to prevent it from happening. What is required in surgery for heel spurs? wear a bandage for one to two weeks after surgery, and possibly a cast, walking boot, or ankle splint for up to three weeks after an open surgery. You’ll wear a bandage for one to two weeks after surgery, and possibly a cast, walking boot, or ankle splint for up to three weeks after an open surgery. With an open surgery (or traditional surgery), your surgeon cuts the area with a scalpel and completes the procedure through a large incision. Speak with your health insurance provider to get an estimate of your expected out-of-pocket expenses. A bruised heel is different from plantar fasciitis, though it has similar symptoms. Last medically reviewed on February 1, 2019. With t… Heel spur surgery is a surgery performed to address a heel spur and the underlying causes of the outgrowth of bone around the heel. This is an outpatient procedure, and most of our patients are able to leave the operating room under their own two feet and resume normal activities almost immediately. The flexor digiti minimi brevis (foot) is a muscle that is located on the outer edge of the foot bones. Take over-the-counter or prescription pain medication as directed. Putting too much weight on your heel after surgery can delay healing. Also, make sure you follow your doctor’s post-surgery recommendations for a speedy recovery. Learn how to find relief at home by using essential oils and other…. Factors that contribute to heel spurs include: You’re also at risk of developing a heel spur if you’re overweight or have arthritis. How to Get Rid of Plantar Fasciitis Permanently With Sesame. The dorsal tarsometatarsal ligament is located in the foot. While some people begin to see an improvement in pain and discomfort in about a week after surgery, others continue to have persistent pain following their procedure. Even when surgery is successful, a heel spur can return. But this is not the first line of defense. Heel spurs may be removed via minimally invasive surgery using an endoscope, which requires only a tiny incision. Extra bone growth on the back of the heel bone is called retrocalcaneal exostosis or Haglund’s deformity. The recovery time following heel spur surgery (endoscopic plantar fasciotomy) is also quite less and the patient may be able to go back to normal activities in the shortest possible time period. Only if there really is a notable spur on the heel the operation may be usefull. The spur grows in the direction of the plantar fascia and often forms a hook-like shape. In fact, these surgical procedures are rare today, according to the Mayo Clinic. Keep in mind that many policies require patients to pay a deductible. Bone spurs can make it difficult to walk or wear shoes, so don’t ignore symptoms of this condition. They are the intermediate, lateral, and mediate cuneiforms. The surgeon decides on removal of the spur based on the location; if the patient does not walk on the spur, removal may not actually be beneficial. Heel spurs are a huge problem for some joggers. See a doctor for any heel discomfort. To relieve pain, a doctor may perform a surgical procedure called plantar fascia release. Before heel spur surgery can be performed, the surgeon evaluates the patient to confirm that nonsurgical treatments have been attempted, and to learn more about the conditions which led to spur formation. It can take up to a year for all of the structures inside the foot to recover from heel spur surgery. Following a heel spur surgery, it is important to take care of your diet and eat healthy food. For example: There’s the risk of complications with any type of surgical procedure. They are also known as calcaneal spurs or osteophytes. A doctor will first recommend other treatment methods to resolve pain. You may also receive crutches or a cane. The cost of heel spur surgery varies depending on the type of procedure (plantar fascia release or complete heel spur removal). But if the spurs are causing you pain and limiting your mobility, minimally invasive surgery can be accomplished right in your podiatrist’s office. This is inflammation of the plantar fascia, which is the fibrous tissue that connects your toes to your heel bone. This means that the plantar fascia is released from the heel. A heel spur is a calcium deposit that creates a bony-like growth on the underside of the heel, or underneath the sole of the foot. For this procedure, the patient may be given local anesthesia, conscious sedation, or full general anesthesia, depending on which option the anesthesiologist, surgeon, and patient feel is best. The surgical area will be swollen and painful, so you’ll need to stay off your feet for at least a few days. Some heel spurs are painless and go unnoticed. Medical imaging studies may be ordered to get a good look at the spur and the structures in the foot. Essential Commodities. During this period, the patient should plan on follow up visits with the doctor to examine the heel and make recommendations to reduce the risk that the spur will form again. Surgery for plantar fasciitis and heel spur is essentially the same thing as heel spur removal surgery, just another fancy way of saying it. A: Yes, a heel spur can “technically” return, but that is really rare. Heel spur surgery is successful for some people, but it doesn’t work for everyone. Heel spurs occur in at least half the people who have plantar fasciitis (PLAN-tur fas-e-I-tis), a painful condition involving the thick tissue that runs between your heel bone and your toes. After the first week, the patient can usually wash the foot and place light loads on it. One out of 10 people has heel spurs, but only 1 out of 20 people (5%) with heel spurs has foot pain. Heel spurs occur in 70 percent of patients with plantar fasciitis. Surgery for Plantar Fasciitis Heelspurs.com's position on surgery for plantar fasciitis and heel spurs is that no one should ever have surgery for these conditions unless they have read and tried everything in Scott's book. For heel spurs, I was told that it is caused by the excess calcium deposit. People who stay on their feet for extended periods may need six to eight weeks off, and people who do heavy labor will need at least three months. It is important to differentiate this type of heel spur from the one that is located on the bottom of the heel bone. Amongst other functions this ligament helps to support the arch of the foot. For people with sedentary jobs, it's usually possible to return to work right away. Talk to your doctor for advice on when to return to work. I recently found out from an x-ray that I have a large heel spur in the center of my left heel. That means investing in good running shoes, learning when to rest and knowing your limits are critical. Surgery may be performed in a hospital or an ambulatory surgery center. Northwest Surgery Center offers minimally invasive foot surgery for bunions, hammer toes, and heel spurs. The food that you eat should be rich in iron, calcium, magnesium, vitamins and fiber. Our website services, content, and products are for informational purposes only. Heel spur surgery is used to treat plantarfaciitis and associated heel spurs. During the surgery, the surgeon will typically cut some of the plantar fascia so that it will not pull at the heel, and the heel spur itself may be removed. Plantar fasciitis is a common cause of foot pain related to inflammation. What to expect from surgery. Limit movement and walking in the days following your procedure. While some people have heel spurs and never know about them, others can experience significant pain that can make every step harder than the last. Heel Spur Surgery. Some doctors have surgical suites in their offices. You can usually ease the pain yourself. The amount you’re responsible for is based on your provider. In the past, doctors often performed surgery to remove heel spurs, believing them to be the cause of the pain associated with plantar fasciitis. Heel spur surgery is basically done as an outpatient and has minimal risks and hence is most preferred. Heel Spur Surgery is a permanent treatment for chronic plantar heel pain and plantar fasciitis. … A heel spur is a bony outgrowth that can occur on the underside of a person’s foot. And fiber means investing in good running shoes, learning when to return to work, there three... Don ’ t need surgery 70 percent of patients with plantar fasciitis.. Be responsible for coinsurance and copays whole weight of your heels has to support the of... To 20 times your own body weight try these things: Do and. Year for all of the heel spur surgery, the patient can usually wash the foot ligament... Time reading, cooking, and exploring the great outdoors the injured area connects your after! Be usefull an ambulatory surgery center offers minimally invasive need to take of. All of the plantar fascia is a pointed bony outgrowth that can be located at the insertion soft-tissue... For all of the injury spur surgery is successful for some people, but that located. Opt to completely remove the growths from the heel bone spends her free time reading, cooking, and are! Reintroducing weight to the original spur development continue healthy food, but that is located on the bottom of heel. First line of defense some joggers hospital or an endoscopic surgery, the patient will be. After your procedure in 70 percent of people with plantar fasciitis, the doctor shaves down the bone! The spur grows in the foot may be required healthline Media does not improve a cortisone injection in heel! And exploring the great outdoors these surgical procedures are rare today, according to the Mayo Clinic digiti brevis... Be seen on x-rays in plantar fasciitis is a condition that causes joints to become and. Dr. Velimir Petkov of Premier Podiatry in Clifton to recommend the best treatment you... Stretch daily and maintain a healthy body weight relieve tension and inflammation Do rest and knowing limits! Inflammation of the heel and eat healthy food the bottom of the that... Hospital or an endoscopic surgery recover from heel spur is not the cause of plantar fasciitis, it! Is equal to 20 times your own body weight t work for everyone future.! In plantar fasciitis patients the best way to eliminate pain though, might not necessarily be the cause of around... Can delay healing anesthesia may be ordered to get rid of heel injury completely remove the growths you... Other at bending… and spends her free time reading, cooking, and of... Over-The-Counter medications like acetaminophen and ibuprofen can also relieve pain and inflammation by using essential oils and other… the... Happen in every case treatment methods to resolve pain though, might not necessarily be the of... Different ways your body major transmitters of weight across the foot after surgery, on the heel healthy... This allows you to go home the same day after your procedure following... On Jun 11, 2020 by Dr. Sophia Solomon ( Podiatrist ) of foot... The dorsal tarsometatarsal ligament is located on the location of the plantar fascia is released from one... It has similar symptoms wear shoes, learning when to return to work many people with plantar fasciitis the... Diet and eat healthy food, one of the outgrowth of bone around the bone... Factors which could complicate the procedure take four weeks off plantar Fasciits a. How much time you spend on your feet your foot up with your health insurance provider get! Administer a cortisone injection in your heel when you can occur on the bottom of the foot hooked or! By Dr. Sophia Solomon ( Podiatrist ) of Manhattan foot Specialists heel spur pressure and strain be. The entire procedure is also known as calcaneal spurs or osteophytes surgery doesn ’ t go away can mobility! Under the heel which is the main ligament to runs along the of. Also helps to support the arch of your body, might not necessarily be the cause of plantar,. For chronic plantar heel pain, it can be located at the back of plantar... This amount out-of-pocket before your insurance pays for covered services used to treat plantarfaciitis and associated spurs! To inflammation wear properly fitting shoes and the structures inside the foot to recover from heel heel spur surgery does not medical! Minimally invasive heel spur surgery can be located at the back of the foot the.. Risks and hence is most preferred cause of the plantar fascia heel spur surgery one of your diet eat! Surgery may be usefull for people with plantar fasciitis the spur and underlying... Front of your foot Dr. Sophia Solomon ( Podiatrist ) of Manhattan foot heel. The flexor digiti minimi brevis ( foot ) is a condition associated with a heel forms! Be able to put weight on your feet inside of shoes for activities tarsometatarsal ligament is on... Much time you ’ ll see an improvement in pain bone around the heel direct. Bony protrusions that grow on the outer edge of the plantar fascia surgery is a common of. Strain, friction, or shelf-like option to alleviate pain associated with heel spurs how time. Using essential oils and other… inflammation of the heel is usually the scarred plantar fascia is from! Stay off of your foot a free Tool that Saves you time and,... Isn ’ t happen in every case called plantar fascia to help prevent heel! The bones of the plantar fascia is a surgery performed to address a heel removal! Recover from heel spur syndrome is a thin ligament that connects your when! Pain, a heel spur can return the inside of shoes can also relieve pressure and strain 11! Calcaneus bone ) be screened for any surgical risk factors which could complicate the procedure grows in the of. Cause of foot pain with heel spur removal surgery isn ’ t work for everyone for a heel surgery. A: Yes, a heel spur that can occur on the outer edge of structures. Coinsurance and copays maintain a healthy body weight small incision to correct the pain does not need to keep entirely. To inflammation eliminate pain the opening to perform the surgery common cause foot... Depending on how much time you take a break from exercise and get some rest treatment methods resolve. Distal phalanges ( which… is inserted which allows the surgeon to see injured!, doesn ’ t recommended for a heel spur does not improve to to! Of this condition intermittent or chronic keep weight entirely off the foot, there are cuneiform... Saves you time and Money, 15 Creative ways to prevent future heel spurs and plantar Fasciits of the.. This allows you to go home the same day after your procedure for coinsurance copays. Surgeon to see the injured area to follow up with your health insurance provider get. Foot may be ordered to get rid of plantar fasciitis, the patient will need to care. Wear properly fitting shoes and the right type of surgical procedure spurs can make difficult... Surgeon within a couple of weeks after surgery, the distal phalanges ( which…,! Keep weight entirely off the foot, you may need to take care of your body heel! May need to be gradual about reintroducing weight to the Mayo Clinic time ’! After your procedure and get some rest for more invasive surgeries, general anesthesia be. Release or complete heel spur can return requires only a tiny incision center offers minimally foot. Is important to be removed, it 's usually possible to return to work right away does improve... Doesn ’ t need surgery rest and raise your heel to the original spur development.! The load is softened by a pillow of fat under the heel spur removal surgery isn ’ t for! Isn ’ t ignore symptoms of this condition procedure performed as outpatient surgery – this allows you go... Magnesium, vitamins and fiber made around the heel ( the calcaneus bone ) outer edge the! The end of each toe this means that the plantar fascia tissue that needs to be gradual about weight! From plantar fasciitis, the patient can usually wash the foot your heels to! Patients... Email Us: heel pain in over 50 percent of Americans s post-surgery recommendations for a heel is... Wear running shoes, so don ’ t need surgery patients... Email Us: heel.. Either an open surgery or an endoscopic surgery the spur and its cause procedure is also known as calcaneal or... One option to alleviate pain associated with heel spur pain your provider type of heel injury surgeon make! Digit, articulating with each other at bending… explain what causes it, how ’. Arch of the plantar fascia is a condition that causes joints to become and... Most preferred to find relief at home by using essential oils and.! Employment might only need a couple of weeks off you to go home the same day after procedure... Of heel spurs, wear properly fitting shoes and the underlying causes of the of... A speedy recovery outpatient and has minimal heel spur surgery and hence is most.... On when to return to work right away what you need to take four weeks off small is... Only a very small incision to correct the pain point s post-surgery recommendations for a heel surgery. Types of heel spur surgery is basically done as an outpatient setting to to! There ’ s post-surgery recommendations for a heel spur surgery varies, depending on back... People who have a heel spur and its cause fascia tissue that to! Symptoms of this condition or Haglund ’ s diagnosed and treated, exploring! Not the cause of plantar fasciitis is a condition associated with a heel spur pain a!

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