Heel Spur

Heel spurs, also known as calcaneal spurs, are bony outgrowths that can develop on the underside of the heel bone (calcaneus). These spurs typically form in response to long-term strain or stress on the plantar fascia, a thick band of tissue that connects the heel bone to the toes. Heel spurs are often associated with a condition called plantar fasciitis, but not everyone with plantar fasciitis develops heel spurs, and not all heel spurs cause pain.

Causes:

• Plantar Fasciitis: The primary cause of heel spurs is often the repetitive pulling of the plantar fascia on the heel bone. This can happen due to activities that place excessive strain on the feet, such as running, walking on hard surfaces, or wearing improper footwear.
• Biomechanical Factors: Having flat feet, high arches, abnormal walking patterns, or wearing shoes with inadequate arch support can contribute to the development of both plantar fasciitis and heel spurs.

Symptoms:

• Pain: Heel spurs themselves may not be painful. However, the pain associated with heel spurs usually comes from the inflammation of the surrounding tissues, especially the plantar fascia. This pain is typically felt in the bottom of the heel and is often worse in the morning or after periods of rest.

Diagnosis:

• A medical professional, such as a podiatrist or orthopaedic specialist, can diagnose heel spurs through a physical examination and medical history review. X-rays may also be used to confirm the presence of a heel spur.

Treatment:

• Conservative Measures: The primary goal of treatment is to alleviate the inflammation and pain associated with the heel spur. This can include rest, ice, stretching exercises for the calf muscles and plantar fascia, and proper footwear with good arch support.
• Orthotic Inserts: Custom orthotic inserts can help redistribute pressure on the foot and provide better support.
• Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be recommended to reduce pain and inflammation.
• Physical Therapy: A physical therapist can guide you through exercises that help strengthen the foot and improve its mechanics.
• Surgery: In very rare cases where conservative measures don’t provide relief, surgical removal of the spur might be considered, but this is generally not the first-line approach.

It’s important to consult a podiatrist if you suspect you have heel spurs or are experiencing persistent heel pain. A proper diagnosis and personalized treatment plan can help manage the pain and promote healing.