Foot Problems Clinic

[Jon_sparky]

Hi,
For two years now I have had back of the heel pain. I went through physical therapy, sims, ultra sound, custom inserts, Topaz treatment; which uses radio frequency to break up the scar tissue.

That made it worse! The xray shows both heels have a hole in the back to the heel, with a 1 cm spur, on the back of the heel, below the tenon. The next step would be to cut the tenon, remove it from the heel, grind down the bone, and lengthen the tenon, with a 1- 1 1/2 year healing time.

Any other options?

Has anyone heard of a procedure called Endoscopic Calcaneoplasty? This is a endoscopic removal of the spur. I am in Los Angeles, bu can not find any info on this procedure.

Thanks,
Jon

[Woottons]

Hi

I believe this procedure uses a smaller incision and obviously a camera, to remove the excess bone, from articles I have found they do state this is successful. But you have to take into consideration the spur can reoccur and it is a big operation, whether its endoscopic or an open procedure.

Have you tried adapting your footwear, to allow for the bump?

Sam
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http://www.thefootandanklepractice.com/

[mayday]

Endoscopic calcaneoplasty offers access to the retrocalcaneal space, thereby making it possible to remove inflamed retrocalcaneal bursa as well as the posterosuperior part of the calcaneus in applicable cases of painful hindfoot. In this study, endoscopic calcaneoplasty was performed in 21 procedures in 20 patients. All of the patients had typical complaints of inflammation of the retrocalcaneal bursa that were unresponsive to nonoperative treatment for more than 6 months. In all patients a superior calcaneal angle of more than 75° and positive parallel pitch lines were present on the lateral calcaneal radiograph. The mean follow-up was 3.9 years (range, 2 to 6.5). There were no surgical complications and no postoperative infections. One patient had a fair result, 4 patients had good results, and the remaining 15 patients had excellent results. Whether this operation is performed by endoscopic or open technique, enough bone must be removed to prevent impingement of the bursa between the calcaneus and Achilles tendon. Endoscopic calcaneoplasty is a minimally invasive technique performed in an outpatient setting and combined with a functional rehabilitation program. The procedure has low morbidity. Patients have a short recovery time and quickly resume work and sports
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