If I have a bone spur on my heel, does it have be cut off to get rid of the pain?

Heel spur. No. Heel spurs are caused by plantar fasciitis. And should not be removed. If the plantar fasciitis is treated it will alleviate the heel pain.
Likely. Unless you can figure out a way to keep pressure off the area.
It depends. A bone spur on your heel would need surgery. However, if you are referring to a heel spur, that likely will not require surgery, and can be treated with antiinflammatory meds, steroids, shoe inserts, etc.

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