Good luck and I hope you do really well!!
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First when you say that you have heel spurs then in ( ) say plantar fasciitis, have you been given a specific diagnosis? A heel spur is easily seen on an xray. Have you had one and if so were you definitely told it was a spur. I have been very fortunate to help people with heel spurs almost as successful with plantar. Plantar is a little trickier because if you've had it for an extended period, say a couple of years, then the sensivity of the plantar facia may be so extreme that surgery may be your last option. If you have plantar I would be happy to give you my opinion as to what I would recommend and you might consider it before making the decision for surgery. If you have a heel spur then this is something that can be worked on that will improve your quality of life possibly without the need for surgery. The fact that you state that orthotics do not work suggests to me that you might have an extended case of plantar. Although we make orthotics, I have OT arch supports that I have had more success with than custom made orthotics. My only caveat to you is to keep in mind that once you have the cut made there is no turning back. In my years of doing this I have seen a very mixed bag of people who ultimately come to me after their surgery. The vast majority say they wish they had not made the decision to do the surgery. I also have a few who swear by theirs. Like most things, it probably turns on the quality of the person doing the cutting.

Let me know if you would like to have more information on this matter. Right now with the information that you've provided I would need to have more info.

good luck
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I just saw this treatment yeaterday…put your foot on your opposite knee(barefooted)grab your toes and gently pull you toes back toward your heel over the top of you foot. Do both feet for ten repetitions at least three time a day.
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The cause of plantar fasciitis is unclear and may be multifactorial. Because of the high incidence in runners, it is best postulated to be caused by repetitive microtrauma. Possible risk factors include obesity, occupations requiring prolonged standing, heel spurs, pes planus (excessive pronation of the foot), and reduced dorsiflexion of the ankle.

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No single treatment works best for everyone with plantar fasciitis. But there are many things you can try to help your foot get better:

Give your feet a rest. Cut back on activities that make your foot hurt. Try not to walk or run on hard surfaces.
To reduce pain and swelling, try putting ice on your heel. Or take an over-the-counter pain reliever like ibuprofen (such as Advil or Motrin), naproxen (such as Aleve), or aspirin.
Do calf stretches and towel stretches several times a day, especially when you first get up in the morning.
Get a new pair of shoes. Pick shoes with good arch support and a cushioned sole. Or try heel cups or shoe inserts (orthotics). Use them in both shoes, even if only one foot hurts.
If these treatments do not help, your doctor may give you splints that you wear at night, shots of steroid medicine in your heel, or other treatments. You probably will not need surgery. Doctors only suggest it for people who still have pain after trying other treatments for 6 to 12 months.
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