Chronic pain on the bottom of the heel is usually a plantar fasciitis that has not responded to 6 months or more of conservative care.

Before considering a surgical procedure, an excellent care choice is "Extra Corporeal Shock Wave" treatment.

This non-surgical care is done under a local anesthetic block to the foot in an outpatient surgical care facility, plus an optional light sedative.

The device is the same that is used to break up Kidney Stones.

It requires 20 minutes of pulsed energy, emitted from a large gel pad, in contact with the heel from the skin surface. It is not a surgery and the skin is not cut.

Most patients report significant and immediate relief and return to work in one day.