Failure to diagnose 10+ years chronic heel pain right foot

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32 year-old M 5'11 168lbs, athletic (18% BMI), no history of illness, (pain limits mobility and causes gait/stride issues that now affect knee and left lower back)

1. Where does it hurt?
Bottom of Right Heel slightly medial of center. There is a palpable thickening of the ligament or fascia attachment (dime sized).

2. How long has it hurt for?
Approx. 13 years (Since 2003)

3. How bad is the pain (Scale 1-10)?
At rest it can be a 4-6. After a few minutes of standing or walking it can get up to a 8 where it is cognitively impairing ( I can't focus on anything else). In extreme cases its nausea inducing to continue to stand or walk as it feels like I'm standing on a foreign object in a very sensitive portion of my foot.

4. What where you doing when it started?
Closest I can attribute to is repetitive stress and severe ankle sprains during my time as a US Marine. I served during the age of 17-21. Operational tempo was high so I had little downtime between injuries.

5. What have you done for it so far?
At an almost 1-1.5 year interval since 2003 I have seen military then VA doctors. It wasn't until 3 years ago that I began to seek sub-specialized doctors with my private insurance.
I have tried:
- Maintain a consistent low-inflammation diet.
- 20+ varied types of off the shelf, semi-custom, full custom (1/4 to full length) orthotics
- Capsaicin cream
- Oral serotonin supplements
- Neuropathic medicine (Gabapentin)
- 1 cortisone injection (ultrasound guided) as I feared fatpad atrophy
- 1 Hydrodisection (Saline and Lidocaine injectant)
- 5x X-rays to rule out bone spurs
- 1x admittedly very low quality and non-valuable VA Healthcare MRI
- 1x diagnostic ultrasound
- 3X EMG tests with varied results from extremely abnormal (50% less nerve induction in the Plantar compared to baseline) to normal.
- diagnostic lidocaine at either the peroneal or calcaneal nerve (successfully determined it wasn't centralized sensationalization as pain went off like light switch when injecting at ankle.)

6. Anything relieve it?
Simply staying off the right foot and massage.

7. What have you been told about it so far?
- A plastic surgeon assessed with low confidence that I might have an entrapped nerve although he could not corroborate that with the small dime sized thickening in the area of typical plantar fasciitis fissures. He offered to move the branch or terminus area of the surrounding nerve and implant it into a different portion of my foot or leg.
- An orthopedic that performed the hydrodisection didn't think the thickening shown on the ultrasound could be a cyst or fibrosis and thought it was more likely to be some kind of nerve or vein compartmentalization. (Pain subsided for about 16 hours after procedure)
- Aside from this, individual healthcare providers that weren't interested in my history assumed plantar fasciitis.

8. Is it affecting your ability to work or play sport?
Affecting my ability to simply walk around the house. I can no longer "tough it out" at this age and the recovery period from walking around the grocery store with my wife is days and no longer hours. I can mountain bike with minimal weight bearing thus minimal pain, but I have to carefully choose what I hike, lift, or how I train in the gym.

9. Do you have any other sorts of symptoms?
No radiating or shooting pain from foot. No foot drop symptoms. Mild to severe sciatica.

10. What country you are in (different countries have different health systems; different scopes of practice of different disciplines; access to care might be different)
USA. I have access to any and all doctors. I am able and willing to see any specialist out of pocket or w/ insurance.