Heel spurs are a small calcification, which extends into the attachment of the connective tissues from the calcaneus (heel bone). This is easily observed on X-Ray and is very commonly misdiagnosed as
the cause of your pain. Why? Because the wrong type of scan is used and only one foot is examined. Do you know if you have a spur on the other heel, the heel without the pain? Probably? and the heel
spur would have been there long before you had the pain, and will still be there long after the pain is gone. Heel spurs are not the actual cause of heel pain, and are virtually always a secondary
observation or symptom caused by long term pulling on the heel bone.
Everyone can be affected by heel spurs, however, certain groups of people have an increased risk. For example, Plantar Fasciitis is a common running injury. People who walk a lot are much more likely
to have heel spurs or people who play golf or play tennis. Over-weight people are also more at risk for heel bone spurs as our feet are not designed to carry around extra weight. As a result the
ligaments under the foot are placed under constant stress, which inevitably will lead to foot problems.
Heel spur and plantar fasciitis pain usually begins in the bottom of the heel, and frequently radiates into the arch. At times, however, the pain may be felt only in the arch. The pain is most
intense when first standing, after any period of rest. Most people with this problem experience their greatest pain in the morning, with the first few steps after sleeping. After several minutes of
walking, the pain usually becomes less intense and may disappear completely, only to return later with prolonged walking or standing. If a nerve is irritated due to the swollen plantar fascia, this
pain may radiate into the ankle. In the early stages of Heel Spurs and Plantar Fasciitis, the pain will usually subside quickly with getting off of the foot and resting. As the disease progresses, it
may take longer periods of time for the pain to subside.
Your doctor will review your medical history and examine your foot. X-rays are used to identify the location and size of the heel spur.
Non Surgical Treatment
A conventional treatment for a heel spur is a steroid injection. This treatment, however, isn?t always effective because of the many structures in the heel, making it a difficult place for an
injection. If this treatment goes wrong, it can make the original symptoms even worse. Another interesting means of treatment is Cryoultrasound, an innovative electromedical device that utilizes the
combination of two therapeutic techniques: cryotherapy and ultrasound therapy. Treatments with Cryoultrasound accelerate the healing process by interrupting the cycle and pain and spasms. This form
of therapy increases blood circulation and cell metabolism; it stimulates toxin elimination and is supposed to speed up recovery.
More than 90 percent of people get better with nonsurgical treatments. If conservative treatment fails to treat symptoms of heel spurs after a period of 9 to 12 months, surgery may be necessary to
relieve pain and restore mobility. Surgical techniques include release of the plantar fascia, removal of a spur. Pre-surgical tests or exams are required to identify optimal candidates, and it's
important to observe post-surgical recommendations concerning rest, ice, compression, elevation of the foot, and when to place weight on the operated foot. In some cases, it may be necessary for
patients to use bandages, splints, casts, surgical shoes, crutches, or canes after surgery. Possible complications of heel surgery include nerve pain, recurrent heel pain, permanent numbness of the
area, infection, and scarring. In addition, with plantar fascia release, there is risk of instability, foot cramps, stress fracture, and tendinitis.