Usually the procedure is done through a small incision on the inside edge of the foot, although some surgeons now perform this type of surgery using an endoscope An endoscope is a tiny TV camera that can be inserted into a joint or under the skin to allow the surgeon to see the structures involved in the surgery. By using the endoscope, a surgeon can complete the surgery with a smaller incision and presumably less damage to normal tissues. It is unclear whether an endoscopic procedure for this condition is better than the traditional small incision. When a person who has this ailment sits for a while or is in bed for the night and then takes that first step when they put their weight on their feet again the pain escalates to almost unbearable for the first few steps. The podiatrist advised me that surgery is the last thing he wants to do to remove the bony growth. Although this is where he makes the big bucks he only does it as a last resort because I would have to remain off of my feet for three months following the procedure. I just don't know if I could do that. If you have heel spurs there are a number of treatments available. Your doctor, in fact, will likely have you use a combination of them. You will be told to rest and avoid jogging and exercising on your feet for a few days. You may be asked to ice the area to control the pain and reduce inflammation as the heel spur heals. You may also do specific exercises and stretches designed to relax the tissues that surround your heel bone. There are also medications you can take, these are anti-inflammatory medications that help decrease the inflammation and control the pain of heel spurs Plantar fasciitis is related to "heel spur syndrome", but they are not the same. The heel spurs to which this web site refers are on the front and bottom of the heel, not the back of the heel. But many of the ideas presented here may be helpful for dealing with other types of heel spurs and heel pain. Heel spurs are not spike-shaped, but flat and shelf-like. They appear like spikes because x-rays are taken from the side looking down along the edge of the shelf. Pain probably rarely if ever results from heel spurs poking into tissue. Causes and treatments for the two conditions are the same. Heel spur pain can be near unbearable at times, I know. As a former long time foot pain victim I have a very true understanding of how bad it can be to wake up with it, deal with it, then not be able to fall asleep because of it. I've spent a lot of time on my feet all though my life. Having run 2-8 miles a day for wrestling in my late teens and early 20's, then later through the police academy my poor feet have not had any easy life. I bet yours haven't either.