Background: Calcaneal spur is a cartilaginous outgrowth at the joint margins of calcaneum, which later gets ossified. A calcaneal spur is one of the most typical causes of heel pain. Pain may aggravate on physical activities. In Ayurveda, the calcaneal spur can be correlated to vatakantaka, where vata gets accumulated in the joints of the feet producing pain. This condition can be effectively treated by agnikarma procedure. Bindu dagdha is one type of agnikarma based on akruti where therapeutic heat is applied in dot or pointed form. A 47-year-old female patient suffering from calcaneal spur in the right heel was treated with three sittings of bindu dagdha type of agnikarma. In the first sitting, she had partial relief of the symptoms like reduction in difficulty in walking, tenderness and swelling. At the end of the third sitting, she could walk without difficulty. Result & conclusion: In para-surgical procedures, agnikarma is considered superior as the disease does not re-occur. Agnikarma removes the srotovarodha and pacifies the vitiated doshas causing a reduction in pain. In the present case study, the bindu dagdha type of agnikarma has therapeutically given promising results in the pain management of calcaneal spur.