Surgical therapy for calcaneal spur is very rarely indicated.
An indication for surgery should take into account that satisfactory pain relief can be achieved in 90% to 95% of patients within 12 months by combined conservative therapy measures.
2nd order
- Plantar complete or partial fasciotomy/surgical procedure to relieve pressure on muscle ligaments by unraveling the corresponding fascia (called “release”; here: Plantar fascia release) The procedure can be performed openly surgically or endoscopically. It results in direct release of the fascia in the attachment area. The results are considered similar.
- Transverse notching of the muscle fascia leading to release of the shortened gastrocnemius (“two-bellied calf muscle”; twin calf muscle) muscle (= gastrocnemius release).The procedure leads to indirect relief of the plantar fascia.
