A: No. A heel spur sometimes occurs with a condition called plantar fasciitis, but we know from the research that it is actually NOT the spur that is causing the pain. The spur results from the plantar fascia structure pulling on the heel bone over time, but is sometimes even seen on the x-rays of people who have never had heel pain at any point in their life. Similarly, people can have heel pain but not actually have a heel spur. Treatment for heel pain is directed at the cause, which is commonly but not always plantar fasciitis. The overwhelming majority of people with plantar fasciitis have a total resolution of their pain without any invasive procedure or surgery, as there are many excellent treatment options available for this condition.