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Category Archives: Heel Spur

Inferior Calcaneal Spur

Overview

When the body is under stress or constent inflammation it will deposit calcium to our bones. This added ‘bone growth’ is designed to relieve the added stress/pressure to our connective tissue. In the case of a heel spur, added calcium to the heel bone (calcaneus). It usually forms at the bottom underside of the heel bone where the plantar fascia attaches. This calcium deposit forms over a period of many months. Heel bones can very in shape and size from person to person. An irregular shape heel (calcaneus) can cause the tissue to twist (plantar ligament and Achilles tendon) or a smaller heel bone will put additional stress on tendons and ligaments.

Causes

The pain caused by heel spurs can be a sharp, stabbing pain when using the foot after a long period of rest. Sometimes it then reduces to a dull throb that can worsen when engaging in activities like jogging or jumping. People sometimes describe the pain of heel spurs and plantar fasciitis as a pin sticking into the bottom of the foot when they first stand up in the morning, this pain later turns into a bearable ache. The cause of the pain is generally not the heel spur itself, but the soft-tissue buildup associated with it. People often complain that the sharp pain returns after they stand up following sitting for a prolonged period of time.

Calcaneal Spur

Symptoms

Most heel spurs cause no symptoms and may go undetected for years. If they cause no pain or discomfort, they require no treatment. Occasionally, a bone spur will break off from the larger bone, becoming a ?loose body?, floating in a joint or embedding itself in the lining of the joint. This can cause pain and intermittent locking of the joint. In the case of heel spurs, sharp pain and discomfort is felt on the bottom of the foot or heel.

Diagnosis

Heel spurs and plantar fasciitis are diagnosed based on the history of pain and tenderness localized to these areas. They are specifically identified when there is point tenderness at the bottom of the heel, which makes it difficult to walk barefoot on tile or wood floors. X-ray examination of the foot is used to identify the bony prominence (spur) of the heel bone (calcaneus).

Non Surgical Treatment

Perform some exercises. Exercises that strengthen and lengthen your plantar fascia can also be very helpful for heel spurs. Try some of the following activities. Calf stretch. Place your hands on a wall. Extend 1 foot (0.3 m) behind you with your knee straight and place the other foot in front of you with the knee bent. Push your hips toward the wall and hold the stretch for 10 seconds. You should feel a pull in your calf muscles. Repeat the stretch 20 times for each foot. Plantar fascia stretch, Perform this exercise in the morning before you’ve done any standing or walking. Cross your injured foot over the knee of your other leg. Grasp your toes and gently pull them toward you. If you can’t reach your toes, then wrap a towel around them and pull on the towel. Hold the stretch for 10 seconds and repeat 20 times for each foot.

Surgical Treatment

Have surgery if no other treatments work. Before performing surgery, doctors usually give home treatments and improved footwear about a year to work. When nothing else eases the pain, here’s what you need to know about surgical options. Instep plantar fasciotomy. Doctors remove part of the plantar fascia to ease pressure on the nerves in your foot. Endoscopy. This surgery performs the same function as an instep plantar fasciotomy but uses smaller incisions so that you’ll heal faster. However, endoscopy has a higher rate of nerve damage, so consider this before you opt for this option. Be prepared to wear a below-the-knee walking cast to ease the pain of surgery and to speed the healing process. These casts, or “boots,” usually work better than crutches to speed up your recovery time.

Prevention

To prevent this condition, wearing shoes with proper arches and support is very important. Proper stretching is always a necessity, especially when there is an increase in activities or a change in running technique. It is not recommended to attempt working through the pain, as this can change a mild case of heel spurs and plantar fascitis into a long lasting and painful episode of this condition.

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Posterior Calcaneal Spur

Overview

Heel spurs are a condition that usually makes its presence known first thing in the morning via heel pain. Discomfort is typically felt in the front and bottom of the heel (calcaneal). Pain can be constant for several months or intermittent for lengthy periods of time.

Causes

Each time we take a step forward, all of our body weight first rests on the heel of one foot. As our weight moves forward, the entire foot begins to bear the body’s weight, and the foot flattens and this places a great deal of pressure and strain on the plantar fascia. There is very little ?give? to the plantar fascia, so as it stretches only slightly, it pulls on its attachment to the heel. If the foot is properly aligned this pull causes no problems. However, if the foot is ?pronated?(the foot rolls outward at the ankle, causing a break down of the inner side of the shoe), the arch falls excessively, and this causes an abnormal stretching of the relatively inflexible plantar fascia, which in turn pulls abnormally hard on the heel. The same pathology occurs with ?supination? (the rolling inward of the foot, causing a break down of the outer side of the shoe). Supinated feet are relatively inflexible; usually have a high arch, and a short or tight plantar fascia. Thus as weight is transferred from the heel to the remainder of the foot, the tight plantar fascia hardly stretches at all, and pulls with great force on its attachment to the heel. In both cases, the abnormal stress placed on the attachment of the plantar fascia to the heel usually causes pain, inflammation, and possibly swelling. If this process continues, the plantar fascia partially tears away from the heel. The body will fill in this torn area with calcium; eventually it becomes bone, and a heel spur results.

Posterior Calcaneal Spur

Symptoms

Some symptoms at the beginning of this condition include pain and swelling, and discomfort when pushing off with the toes during walking. This movement of the foot stretches the fascia that is already irritated and inflamed. If this condition is not treated, pain will be noticed in the heel when a heel spur develops in response to the stress. This is a common condition among athletes and others who run and jump a significant amount.

Diagnosis

Most patients who are suffering with heel spurs can see them with an X-ray scan. They are normally hooked and extend into the heel. Some people who have heel spur may not even have noticeable symptoms, although could still be able to see a spur in an X-ray scan.

Non Surgical Treatment

Since heel spurs are not an indication of pain themselves unless fractured, treatment is usually aimed at the cause of the pain which in many cases is plantar fasciosis. Treatment of plantar fasciiosis includes; rest until the pain subsides, special stretching exercises and if required orthotics may be prescribed.

Surgical Treatment

In a small number of cases (usually less than 5 percent), patients may not experience relief after trying the recommendations listed above. It is important that conservative treatments (such as those listed above) be performed for AT LEAST a year before considering surgery. Time is important in curing the pain from heel spurs, and insufficient treatment before surgery may subject you to potential complications from the procedure. If these treatments fail, your doctor may consider an operation to loosen the plantar fascia, called a plantar fascia release.

Prevention

In order to prevent heel spurs, it?s important that you pay attention to the physical activities you engage in. Running or jogging on hard surfaces, such as cement or blacktop, is typical for competitive runners, but doing this for too long without breaks can lead to heel spurs and foot pain. Likewise, the shoes you wear can make a big difference in whether or not you develop heel spurs. Have your shoes and feet checked regularly by our Dallas podiatrist to ensure that you are wearing the proper equipment for the activities. Regular checkups with a foot and ankle specialist can help avoid the development of heel spurs.


Bone spurs are the body’s response to stressful conditions. They are caused by pressure, wear and tear, or osteoarthritis. When an area of bone such as the knee or shoulder undergoes a lot of stress or rubbing, or if the cartilage becomes thin, a bone spur may develop in an attempt to relieve the stress. Heel spurs are bone spurs that occur on the heel bone (calcaneus bone). The Achilles tendon is connected to the back of the heel bone. If the Achilles tendon becomes chronically inflamed (tendonitis), heel spurs may develop at the back of the heel bone.

Stretching the calf muscles several times a day, especially in the morning and after prolonged sitting. Everyone seems to think the Foot Stretch is best ( see reviews ). We also have Night Splints Having plantar fascia is no fun. It can get in the way of your daily activities by limiting your mobility due to the pain. This is why plantar fasciitis pain therapy is necessary to eliminate the discomfort of this irritating condition. that uses high-energy shockwave impulses to stimulate healing of damaged plantar fascia tissue. Surgery to release the plantar fascia is rarely required, and is usually reserved for those in whom the above treatments were unsuccessful.

Beginning heel pain treatment when you have a proper diagnosis is critical in minimizing the injury the calcium buildup causes. Your ultimate goal is to reduce the swelling and relax your tendons and muscles allowing the recovery process to start. Ice pack treatment provides temporary relief, letting the swelling on your feet begin to decrease. Different home cures including homemade concoctions also help reduce the swelling of your own ligaments. Combining crushed flaxseed with a little water makes a paste you could spread on your own feet. Aug 03, 2011 By Marissa Baranauskas Photo Caption An arch-support strapping may help alleviate pain from heel spurs. Photo Credit Siri Stafford/Photodisc/Getty Imagesheel spur

If you are prone to developing a heel spur, it is not recommended that you walk around without shoes on. This includes walking in your house. If you are one who takes their shoes off before entering your house, you can help avoid a spur by having a dedicated indoor pair of shoes. For those who tend to have flat feet or high arches, walking around barefoot will be an invitation for a heel spur to develop. Learn to also avoid wearing flip flops or other shoes with no support. does not always origin any pain. If you have pain in the foot and you have a heel spur pain

Once a calcaneal spur develops,it can be difficult condition to treat. however in many cases involves only minor pathology which cured in a weak or two.Prevention by taking early corrective measures against any predominate factors will improve the long term prognosis. Place your hands on a wall. Extend one foot behind you with your knee straight and place the other foot in front of you with the knee bent.Push your hips towards wall and hold stretch for 10 seconds. you should fell a pull on calf muscles.repeat it for 20 times for each foot.

The plantar calcaneal spur has been classically described as a bone outgrowth localised just anterior to the medial tuberosity of the calcaneus. 4 This can not often be palpated clinically, but only seen radiologically as shown in the x-ray on the right above. What is clear is that there is huge variability in the location of heel spur formation, and if we cannot unequivocally state that the spur is within the fascia (which we cannot) then the validity of its link with ‘plantar fasciitis’ is questionable. Hypermobility, (excessive internal motion) of the foot can induce future or coexisting problems involving the knee, hip, sacroiliac joint or the low back region.

Surgery. Surgery is occasionally required for plantar fasciitis. If all other forms of treatment have failed to provide relief, then surgery should be considered. This usually consists of surgical release of the plantar fascia at the point of greatest tension and removal of heel spurs if necessary. Returning to Sports Weight-Bearing vs. Non-Weight-Bearing Sports. Plantar fasciitis can be aggravated by all weight-bearing sports. Any sport where the foot lands and strikes the ground repeatedly, such as running and jogging, can aggravate the problem. Non-weight-bearing sports, such as swimming and cycling, are adequate temporary replacements and can help the athlete maintain cardiovascular fitness without irritating the plantar fasciitis.