Anesthesiologist Questions Heel Spur

I have a heel spur. Does the treatment involve anesthesia?

I have a painful heel spur that needs to be treated. Does the treatment involve general anesthesia? If so, why? Can I just have a local for this foot procedure?

6 Answers

Yes. Treatment includes injection of a cocktail of anesthetic and steroid into the soft tissue at the heel spur location
Most of the time, you require monitored anesthesia care with a local nerve block. In a majority of cases, you require the partial release of plantar fascia; plantar heel spurs do not need to be treated.
The type of surgery depends on your podiatrist's choice. Minimally invasive surgery can be done with just local anesthesia; deeper, more lengthy and invasive surgery may require an ankle block or general anesthesia.
Heel spurs are typically appreciated at two sites - on the inferior or bottom of the heel and posteriorly or back of the heel. Both are intimately related to the attachment of soft tissue with the insertion of the plantar fascia on the bottom and the Achilles tendon at the back. The development of bone prominences represents repetitive strain and microtrauma at these
attachment points resulting in acute micro bleeding with secondary calcification and ossification of the soft tissue. Over time these prominences enlarge and can be appreciated on plain film radiographs and clinically with visible and palpable presentation when discussing those of the back of the heel. Commonly these spurs are can be managed conservatively without surgical intervention. Particularly bone spurs associated with the plantar fascia. In both cases, it is believed the pain generator is not the bone spur, but the acutely or chronically inflamed or degenerated connective tissue. Most cases of plantar fascia/heel spur pain resolve with good conservative care of appropriate footwear, arch support or heel cushion, program of stretching and judicious use of anti-inflammatory medication. When surgery is indicated, the bone spur is frequently not addressed and it is simply the plantar fascia that may be partially released or selectively debrided with ultrasound guidance. Posterior heel spurs are a little more challenging and may require removal if they become large enough to interfere with footwear and the counter of the shoe rubbing on the back of the heel. In both cases, anesthesia is frequently afforded with plantar fascia procedure requiring at a minimum local anesthetic to the area and potentially IV sedation. The posterior heel spur being more invasive frequently requires sedation with a regional block or general anesthetic.
It depends, and yes. But sometimes, the surgeons put a tourniquet on your leg and that’s hard to tolerate without sedation or general anesthesia
You don’t need general anesthesia for a bone spur. You may have local anesthesia, ankle nerve blocks or a pipliteal nerve block to numb up the surgical site.