There is no question, at least to me, that Doug waited to have this procedure to see if the time off would allow his plantar to heal. Many times that is all it takes is rest and then strengthening exersices. Now, he has probably been working hard to get into "basketball legs" shape and, unfortunately, it flared up again.
I have been fighting the same thing, off and on, for several months. Just when I think I have licked it, my work has me on my feet for extended periods of time, and it flares up again. I now have a doctor telling my employer that I must be off my feet for awhile. Hopefully, that will work. I do not want to have the procedure, if I can help it.
The weight that I carry around exacerbates the problem (although I have lost 20 lbs since April), and I cannot imagine what it must be like for Doug to run, jump, and pound the bottom of his feet. He had trouble with this last year. Sounds like the rest just wasn't enough.