Helical piles, while advantageous in many construction scenarios, come with some drawbacks. They can be more expensive to install compared to traditional foundation options, particularly in challenging soil conditions. The installation requires specialized equipment and skilled professionals, which can drive up costs. Additionally, their load-bearing capacity might be constrained by soil conditions and design limitations. If you're dealing with foundation issues, consulting a local piles doctor near you (me) can help you evaluate whether helical piles or other solutions are best suited for your specific needs and ensure effective, cost-efficient outcomes.