Heel and hindfoot arthritis is due to two differing problems. The first is due to acute sprain due to trauma to the rear foot which results in a dislocation or fracture of the rear foot . This in some case requires surgery. The second cause is degeneration of cartilage due to abnormal wear and tear or chronic abnormal motion of the rear foot.
Conservative therapy includes: physical therapy, injection, orthotic and bracing. In most cases patients have a period of pain relief with conservative therapy. However, the arthritic process will continue to get worse and, in most cases, surgical correction is often required. In cases of arthritic spurs, the spurs can be removed, the recovery time is rapid. In cases of severe arthritis, a fusion of the arthritic joint(s) is required to relieve pain. Most patients do well after after surgical fusions of the rearfoot.