Functional outcome of open calcaneal spur resection and its association with plantar fascitis

Abstract

Background: Plantar heel pain is a common clinical condition in orthopedic practice, affecting approximately 10% of the population. It has several etiologies, including plantar fasciitis and calcaneal spur. However, assessment of the relationship between plantar fasciitis and calcaneal spur has produced divergent results. Herein, we aimed to assess the outcomes in patients undergoing calcaneal spur resection and its association with plantar fasciitis. Methods: Twenty-five patients with heel pain who were treated conservatively for at least 12 months between November 2022 and October 2023 were included in the study. The American Orthopaedic Foot and Ankle Score (AOFAS) and Visual analogue scale (VAS) for pain, Roles and Maudsley score were calculated preoperatively and postoperatively, which were then compared.
Results: A calcaneal spur was a potential pathological factor contributing to plantar fasciitis. The AOFAS, VAS, and Roles and Maudsley scores significantly improved postoperatively. Furthermore, there was no recurrence of calcaneal spurs.
CONCLUSION: Surgical excision of calcaneal spurs appears to offer definitive pain relief and is highly effective in managing cases of refractory plantar fasciitis.