Category Archives: Heel Spur

What Are The Warning Signs Of Heel Spur

Posterior Calcaneal Spur

Overview

A heel spur is a buildup of calcium or a bone hook on the heel bone. This is typically the source of most heel pain. It usually takes an X-ray to see the heel spur protruding from the heel. Without proper heel spur treatment, a heel spur cause inflammation and lead to other ailments like plantar fasciitis and Achilles tendonitis. It is important to be examined by an orthopedic specialist.

Causes

At the onset of this condition, pain and swelling become present, with discomfort particularly noted as pushing off with the toes occurs during walking. This movement of the foot stretches the fascia that is already irritated and inflamed. If this condition is allowed to continue, pain is noticed around the heel region because of the newly formed bone, in response to the stress. This results in the development of the heel spur. It is common among athletes and others who run and jump a significant amount.

Posterior Calcaneal Spur

Symptoms

Symptoms may be similar to those of plantar fasciitis and include pain and tenderness at the base of the heel, pain on weight bearing and in severe cases difficulty walking. The main diagnosis of a heel spur is made by X-ray where a bony growth on the heel can be seen. A heel spur can occur without any symptoms at all and the athlete would never know they have the bony growth on the heel. Likewise, Plantar fasciitis can occur without the bone growth present.

Diagnosis

The diagnosis of heel pain and heel spurs is made by a through history of the course of the condition and by physical exam. Weight bearing x-rays are useful in determining if a heel spur is present and to rule out rare causes of heel pain such as a stress fracture of the heel bone, the presence of bone tumors or evidence of soft tissue damage caused by certain connective tissue disorders.

Non Surgical Treatment

There are various ways to treat heel spurs. The first is to rest and apply ice to the afflicted area. Shoe inserts and night splints can also treat plantar fasciitis, and in turn, heels spurs. Unless you have stomach sensitivities, you may want to consider taking over-the-counter anti-inflammatory medication such as naprosyn to lower the swelling. A physical therapist can recommend gentle exercises and stretches to relax the tissue around the heel bone to relieve the tension. Even with these treatments, a stubborn heel spur may not go away. A physical therapist may decide to inject cortisone into the area to decrease inflammation, but that can cause other problems such as plantar fascial rupture and fat pad atrophy. Extracorporeal shock wave therapy is also an option, which uses energy pulses to apply microtrauma around the heel spur. Surgery is also an option but is not suggested unless the heel spur lasts more than a year. To prevent heel spurs from returning, shoe inserts can relieve the pressure on the plantar fascia. Also continue the recommended stretches and exercises.

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

Choose new shoes that are the right size. Have your foot measured when you go to the shoe store instead of taking a guess about the size. Also, try on shoes at the end of the day or after a workout, when your feet are at their largest. To ensure a good fit, wear the same type of socks or nylons that you would normally wear with the type of shoe that you are trying on.

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Calcaneal Spur Treatment

Posterior Calcaneal Spur

Overview

A heel spur is an abnormal growth of the heel bone, the largest bone in the foot which absorbs the greatest amount of shock and pressure. Calcium deposits form when the plantar fascia pulls away from the heel area, causing a bony protrusion, or heel spur to develop. The plantar fascia is a broad band of fibrous tissue located along the bottom surface of the foot that runs from the heel to the forefoot. Heel spurs can cause extreme pain in the rearfoot, especially while standing or walking.

Causes

Heel spurs develop as an abnormal growth in the heel bone due to calcium deposits that form when the plantar fascia pulls away from the heel. This stretching of the plantar fascia is usually the result of over-pronation (flat feet), but people with unusually high arches (pes cavus) can also develop heel spurs. Women have a significantly higher incidence of heel spurs due to the types of footwear often worn on a regular basis.

Calcaneal Spur

Symptoms

The following symptoms are typical of heel spur. Stabbing pain when treading on the area affected. Dull, irregularly occurring pains in the heel area also without exerting pressure (e.g. in a reclining position) Pain when taking the first steps in the morning (after lying or sitting down for an extended period, especially in the morning) Occasional swelling in the ankle area. For the lower heel spur, extreme sensitivity at the tendon attachment (laterally in the lower heel area) For the upper heel spur, extreme pressure sensitivity of the Achilles tendon, primarily at approximately ankle height.

Diagnosis

A Diagnosis of Heel Spur Syndrome is a very common reason for having heel pain. Heel pain may be due to other types of conditions such as tendonitis, Haglund’s Deformity, Stress Fracture, Tarsal Tunnel Syndrome, or low back problems. A more common condition in children is Sever’s Disease. The diagnosis is usually made with a combination of x-ray examination and symptoms.

Non Surgical Treatment

Heel spurs can be treated by wearing orthotic insoles inside the shoe. Orthotics are designed to correct incorrect gait, in particular over-pronation (rolling in of the foot and collapsing of the arches). Over-pronation is a very common foot condition, affecting at least half of the population. It is a major contributing cause of heel spurs. Orthotics are very effective in that the device corrects the foot to its natural position. By supporting the arches properly and preventing excess rolling in of the foot, the plantar fascia is placed under much less strain and stress compared to an unsupported foot. Less strain on the ligament means less pulling away from the heel bone, allowing the inflammation to heal faster. In addition to orthotic treatment, most podiatrists and physiotherapists recommend a series of exercises to help make the ligaments in the feet and legs longer and more flexible. In turn this will help reduce strain on the plantar fascia.

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.

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Heel Spur Exercises

Apple cider vinegar may reduce the pain of a heel spur. Apple cider vinegar works to pull out excessive calcium from the area of a heel spur. It is a natural treatment for a heel spur, notes Foot-Care.org. Patients can apply it by soaking cotton balls in the vinegar and dabbing it on the heel area or by cutting out a piece of paper or towel in the shape of the foot and submerging it in apple cider vinegar. Patients then place the paper or towel in their shoes, rotating it between all the shoes that they wear for five days, notes Natural Home Remedies. Strech the Heel.

Most cases of heel spurs can be treated by the simple, conservative means of our Heel Cups, Heel Seats, Heel Pads, Arch Supports, and Insoles They use acupressure as an effective way to treat the pain associated with heel spurs. Our unique treatments not only effectively treat the pain, they also reverse the heel spur growth. They cradle the heel and arch of the foot, providing the support and reinforcement of the heel which is necessary to relieve stress and pain in the tissue around the heel spur. Night Splints or taping are both very useful for heel spur treatment since they help stretch your plantar fascia while you’re sleeping.

Physical Therapy This may be necessary to help reduce the inflammation in the plantar fascia. The physical therapist may use such modalities as ultrasound, phonophoresis, iontophoresis, friction massage, electrogalvanic stimulation, and soft tissue mobilization to treat scar tissue in the tendons caused by the chronic inflammation. Later, the small muscles of the foot will be strengthened to support the weakened plantar fascia. Shin Curls Run your injured foot slowly up and down the shin of your other leg as you try to grab the shin with your toes. A similar exercise can be done curling your toes around a tin can. Repeat 15 times, 2 times/day.heel spur removal

Home remedies usually focus on reducing the inflammation of ligaments and thus the pain associated with it. One of the best ways to do so is to wear orthopedic molds. You can buy them over the counter and, after placed under your heel , they will diminish the pain felt when walking. It is totally unadvisable to walk barefoot because this will apply some extra pressure on your ligaments. If you don’t have orthopedic molds, before buying them, use shoes that have a one inch high heel This is extremely painful in the morning, after the ligaments have contracted overnight.

ICE Ice (eg., bag of ice) can be applied to the foot for 20-30 minutes, 3-4 times per day initially, and then 2 times per day. Apply ice for 15 minutes after any activity to minimize additional inflammation caused by the activity. An ice massage is a very effective form of ice application. COMPRESSION This can be achieved by using an ace wrap initially, then by using tape. Then the foot is taped to maintain the arch, and some of the tension on the plantar fascia is relieved. Sep 11, 2010 By Sandra Ketcham Photo Caption Heel spurs can make walking painful. Photo Credit pieds image by Ellsing from Fotolia.com

Apple cedar vinegar is one of the effective remedies.all you have to do is cut a paper in the shape of a heel and soak it in apple cedar vinegar.try this daily for next four to five days.etc. as a result kapha dushti/vitiation bone formation in that area malfunctioned.lead to inflammation etc. excess calcium deposition and spur formation occurs. these vitiated kapha block or alter the normal path of the vata srothas/channels.vata has the main dosha in three of them and has the main functions like movement,neurological and motor activities.the vitiated vata also causes burning sensation and pain.heel spur surgery

Plantar fascitis affects adults with disregard to body weight or foot type (flat or high arches). Heel pain usually results from overuse or mechanical changes in the foot as we age. As we walk our feet roll and tilt below the ankle producing a slight twist or torque in the plantar fascia ligament. Excessive forces over time lead to thickening or inflammation of the plantar fascia. The body then attempts to repair itself by growing new bone in this area (a heel spur). Inflammation in the heel can even cause burning or shooting pain from nerve compression.