The calcaneus is the largest bone in the foot. Pain in the heel region can sometimes be related to Plantar Fasciitis, inflammation of the plantar fascia ligament in the heel area. A heel spur is a hook of bone that forms on the calcaneus where the plantar fascia attaches. Heel spurs can be identified with an X-ray. A heel spur can occur with or without Plantar Fasciitis.
It is widely accepted now that the presence of this bony growth is not the cause of heel pain, but rather an effect of an underlying biomechanical foot problem where the soft tissue structures that are attached to the heel bone are pulling excessively on that area. At some point down the track, heel pain may develop, but the bony heel spur is not the cause of the heel pain.
Heel spurs often do not show any symptoms. If you have intermittent or chronic pain when you walk, run or jog, it may be heel spur. There will be inflammation the point where spur formation happens. The pain is caused by soft tissue injury in the heel. Patients often describe the pain as a pin or knife sticking to the heel. The pain is more specially in the morning when the patient stands up for the first time.
A Heel Spur diagnosis is made when an X-ray shows a hook of bone protruding from the bottom of the foot at the point where the plantar fascia is attached to the heel bone. The plantar fascia is the thick, connective tissue that runs from the calcaneus (heel bone) to the ball of the foot. This strong and tight tissue helps maintain the arch of the foot. It is also one of the major transmitters of weight across the foot as you walk or run. In other words, tremendous stress is placed on the plantar fascia.
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.
Surgery is used a very small percentage of the time. It is usually considered after trying non-surgical treatments for at least a year. Plantar fascia release surgery is use to relax the plantar fascia. This surgery is commonly paired with tarsal tunnel release surgery. Surgery is successful for the majority of people.
You can help prevent heel spur symptoms from returning by wearing the proper shoes. Customized orthotics and insoles can help relieve pressure. It is important to perform your exercises to help keep your foot stretched and relaxed.
Approximately 8-10 percent of the population has severe bone heel spurs, with the most common treatments for alleviating the pain being ice, heat, and various anti-inflammatory agents. Steroids and local anesthetics can be injected, and oral analgesic medications may be prescribed, but most of these methods have only provided short-term pain relief. The results of this study demonstrated that up to 80 percent of standard dose patients experienced complete pain relief, and pain relief remained constant or even improved for up to 64 percent of the study participants during the follow-up period of 48 weeks post-treatment.
Heel spur is best treated with methods of exercise and straining. Acupressure can also be a good treatment for this condition because it helps in reducing the pain and also eliminates the typical signs and symptoms of this condition. Whist heel spur development is not associated with any feeling; the pain cased from protrusion can lead to suspicion. The spur area becomes inflamed to cause pain, bruising and affecting the sensitive nerves to cause pain that is often beyond comprehension. Bunions are most often related to foot structureand foot function. Shoes can play a factor in development of bunions as canarthritis, injury, neuromuscular disorders, and congenital disorders.
Heel spurs develop most commonly in those who tend to overstress or overuse the plantar fascia ligament. Athletes who are physically very active are the ones who are very prone to developing this condition. Overweight people and women who frequently wear high-heeled or ill fitting shoes are also susceptible to experiencing signs of this problem. Middle aged people, individuals with a history of back pain, those suffering from osteoarthritis, rheumatoid arthritis and persons with weak calf muscles or poor blood circulation are also at risk of developing heel spurs. to correct for heel spur syndrome is a common procedure which releases plantar fascia partially from its attachment to the calcaneous
Your surgeon could also decide to remove the spur itself. To do this, the surgeon uses a small camera as a guide and using small instruments removes the bony nail-like fragment of calcium. This can drastically relieve the pain and decrease further damage to the tissue around the heel , but this procedure does not address positional and biomechanical problems that may have caused the condition in the first place. Heel spurs make reference to irregular protrusion of the heel bone, that lead to aching signs whilst walking and standing. Successful heel spur treatment involves having sufficient relaxation, utilizing ice packs, stretching workouts, applying medications and heel spur surgical treatment.
There can be a lot of causes of heel spurs Most often, athletes or those who have energetic lifestyles are particularly flat. This is because regular running, jumping, or any movement that can cause the plantar fascia muscle to stretch or extent extremely can cause a heel spur to expand. Those who also lift heavy objects regularly can also cause too much strain to be placed on the fascia, causing it to pull away from the heel bone. It is also one of the major transmitters of weight across the foot as you walk or run. That’s why tremendous stress is placed on the plantar fascia.