Early ambulation after minimal incision surgery for calcaneal spurs.

We feel that surgical intervention for heel spurs must be used with caution after a strong program of conservative measures is tried. We have learned that it is helpful to inform patients of the complexity of heel pain and that, even with surgery, their discomfort may continue for some time. We also have always advised patients that being overweight increases their pain. In light of this study, we will probably make stronger statements on the importance of losing excess weight. When people can maintain a desirable weight, heel spur syndrome surgery can produce uniformly good results. The key is in the careful selection of cases.