How do you fix plantar fasciitis - Heel Spur?

First and foremost are the plethora of conservative care - non surgical options for plantar fasciitis and heel spur pain. About 70% of the patients in our office will have immediate relief with injection therapy and then permanent relief from both heel and arch pain with Custom Molded Orthotics. One that note, make sure that the casting technique and foot specialist has been trained in biomechanics of the lower extremity. The material of the orthotic is also important. Thermo-molded polypropylene, fiberglass, and other flexible materials are tolerated better and can be used for both work and exercise.

Injection therapy is most common the first visit utilizing cortisone to decrease the morning pain or 'pain with the first steps out of bed'.
Other 'healing' injections like PRP and the new human amnionic cellular implants can be used also.
Make no mistake though, rest is the most effective treatment and top athletes will use crutches for a severe case or injury. And that is what plantar fasciitis, especially the chronic form, is - an overuse syndrome or injury, arch strain, sprain, etc.

Rest, ice, and also very important is stretching. Stretching the plantar fascia with one leg back and the knee straight in the morning (30 seconds each leg) and before bedtime is now the standard treatment as well as for treating nocturnal 'night cramping'.
Longer periods of stretching can be achieved with night splints that can be ordered online, and a removable cam walker at times can minimize both the amount of stress on the foot and propulsion portion during a normal walking gait.

On the more aggressive side, many new treatments have sprung up over the last 20 years. High intensity sound waves, radiofrequency, and deep tissue manipulation are options before surgery and have a decent success rate. Surgical procedures have a high success rate, but this varies of course with the surgeon and variety of minimal invasive vs. 'open' procedures. The good news is that they are usually performed in a small procedure room or out patient surgical center under a light anesthesia. The procedures are relatively short and post operative period averages 1-2 weeks with partial weight bearing with or without a cam walker - post operative shoe.