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Heel spurs and plantar fasciitis are not the same although both may occur at the same time. While most people with plantar fasciitis have heel spurs, it is the plantar fasciitis and not the heel spurs that cause the pain. While 1 out of 10 people has heel spurs only 1 out of 20 with heel spurs will experience pain. Pain associated with plantar fasciitis is successfully treated without removal of the heel spur and treatment usually involves a series of exercises focusing on stretching and mobility, weight management, activity modificiation, rest and ice. Shoe inserts are often recommended especially for patients with a high arch.