What Can Cause Inferior Calcaneal Spur

Calcaneal Spur

Overview

A heel spur is a pointed bony outgrowth of the bone of the heel (the calcaneus bone). They are attributed to chronic local inflammation at the insertion of soft tissue tendons or fascia in the area. Heel spurs can be located at the back of the heel or under the heel, beneath the sole of the foot. Heel spurs at the back of the heel are frequently associated with inflammation of the Achilles tendon (tendinitis) and cause tenderness and pain at the back of the heel made worse while pushing off the ball of the foot.

Causes

One common cause of heel spurs and related injuries is due to abnormal mechanics and movement of the foot, also referred to as pronation. Abnormal gait, which is the way our feet hit the ground as we walk, also stresses the tissue of the foot, leading to conditions such as plantar fasciitis and heel spurs. Pronation can cause the foot to become unstable during movement, affecting the gait and leading to damage. A sudden increase in weight can also influence the development of a painful heel spur.

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

A heel spur is often seen on X-ray as a bony protrusion, which can vary in size. However, because a Heel Spur only indicates increased load on the plantar fascia, and not pain, an ultra sound may be required to assess other actual cause of the heel pain such and may include checking to see if the plantar fascia is inflamed or degenerated.

Non Surgical Treatment

In many cases treatment is non-surgical and can relieve pain, but may take from three months to a year to fully recover. Performing stretching exercises to help relax the tissues in the heel as well as rest, icing, and over-the-counter anti-inflammatory or prescription medications can help ease symptoms. Customized orthotics or shoe inserts to position and cushion your heel can help.

Surgical Treatment

Most studies indicate that 95% of those afflicted with heel spurs are able to relieve their heel pain with nonsurgical treatments. If you are one of the few people whose symptoms don?t improve with other treatments, your doctor may recommend plantar fascia release surgery. Plantar fascia release involves cutting part of the plantar fascia ligament in order to release the tension and relieve the inflammation of the ligament. Sometimes the bone spur is also removed, if there is a large spur (remember that the bone spur is rarely a cause of pain. Overall, the success rate of surgical release is 70 to 90 percent in patients with heel spurs. One should always be sure to understand all the risks associated with any surgery they are considering.

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Heel Pain (Plantar Fasciitis)

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.

Plantar fasciitis, heel spurs and foot trauma all cause pain and possible burning if your foot is stretched. Plantar fasciitis may be most noticeable when you first wake up and after long periods of rest. You can also feel pain in the heel and sometimes the arch if you press down with your thumb. Common sports activities that cause plantar fasciitis are running, dancing and jumping. A heel spur will feel like a bony protrusion on the heel, and it will cause irritation of the connective tissue. If your heel spur breaks off from its original location, you could lose range of motion. Treatment.heel spur

While you can follow certain self-care measures, it is always better to consult a doctor. Besides conducting a physical examination and analyzing the symptoms, doctors may also order an X-ray to determine the extent of the damage. It’s important to determine if it’s the heel spur that has fractured or one has suffered from a calcaneal bone fracture. If the X-ray reveals a fractured calcaneal spur, doctors might recommend surgery as a part of the calcaneal fracture treatment. After undergoing surgery, patient will need to take all possible precautions to speed up recovery process.

Whether you wear high heels every day or simply for special occasions, heel protectors can extend the life of your favorite shoes and make walking far more comfortable. Heel protectors also help you maintain traction on slippery surfaces. Here’s how to find them. Nearly every woman would have several pairs of high heel shoes. In general, the new high heels we bought home are comfortable and fit. H read more keen on the flesh in your footThe heel spur itself is really not causing any pain. It is the reddened tissue around the spur that causes pain and discomfort. For wounded of common foot ailments such as heel spursheel spur relief

I have a heel spur that is giving me a lot of grief in my left foot. I’ve read to encase the foot in apple cider vinegar and plastic wrap overnight, it will go away. I’ve tried using a bread bag, but every time I need to get up during the night, it’s noisy and wakes my dh. It is also very uncomfortable. Any suggestions? I don’t have heel spurs but do have a bone spur on my left big toe. I’ve had one cortisone shot but only helped for a wee bit. Could have surgery but it could come back, I’m told. Any help out there? Thanks, Millie (11/06/2008)