What Is The Most Beneficial Treatment For Posterior Calcaneal Spur

Heel Spur

Overview

A heel spur is a hook that can form on the calcaneus (heel bone) and can also be related to plantar fasciitis (inflammation of the tissue in the foot?s arch). People who have plantar fasciitis often develop heel spurs. Middle-aged men and women are more prone to heels spurs, but all age groups can be afflicted. Heel spurs can be found through an x-ray, revealing a protruding hook where the plantar fascia is located.

Causes

An individual with the lower legs angulating inward, a condition called genu valgum or “knock knees,” can have a tendency toward excessive pronation. As a result, this too can lead to a fallen arch resulting in plantar fascitis and heel spurs. Women tend to have more genu valgum than men do. Heel spurs can also result from an abnormally high arch. Other factors leading to heel spurs include a sudden increase in daily activities, an increase in weight, or a change of shoes. Dramatic increase in training intensity or duration may cause plantar fascitis. Shoes that are too flexible in the middle of the arch or shoes that bend before the toe joints will cause an increase in tension in the plantar fascia and possibly lead to heel spurs.

Heel Spur

Symptoms

Major symptoms consist of pain in the region surrounding the spur, which typically increases in intensity after prolonged periods of rest. Patients may report heel pain to be more severe when waking up in the morning. Patients may not be able to bear weight on the afflicted heel comfortably. Running, walking, or lifting heavy weight may exacerbate the issue.

Diagnosis

Most patients who are suffering with heel spurs can see them with an X-ray scan. They are normally hooked and extend into the heel. Some people who have heel spur may not even have noticeable symptoms, although could still be able to see a spur in an X-ray scan.

Non Surgical Treatment

Only in rare cases do the symptoms of heel spurs fail to be resolved through conservative treatment. Conservative treatment, although not 100% effective, is successful in most cases and should be given ample time to work. In many cases, conservative methods should be utilized as long as a year depending on the rate at which your body responds to the treatment. When treatment is unsuccessful, surgery may be considered. A common surgical procedure for this condition is plantar fascia release surgery. In this procedure, the tension of the plantar fascia ligament is released, lessening tension in the heel and helping to prevent damage.

Surgical Treatment

Surgery to correct for heel spur syndrome is a common procedure which releases plantar fascia partially from its attachment to the calcaneous (heel bone). This part of the surgery is called a plantar fasciotomy due to the fact the fascia is cut. This is most often done through an open procedure as any heel spur or bursa can be removed at the same time. If the spur is not removed during the surgery, it will probably be just as successful, as the large spur is not the true problem. Some physicians use an endoscopic approach (EPF) where a small camera aids the physician during surgery with typically smaller incisions on each side of your foot.

What Are The Indications Of Inferior Calcaneal Spur

Posterior Calcaneal Spur

Overview

A heel spur is a hook that can form on the calcaneus (heel bone) and can also be related to plantar fasciitis (inflammation of the tissue in the foot?s arch). People who have plantar fasciitis often develop heel spurs. Middle-aged men and women are more prone to heels spurs, but all age groups can be afflicted. Heel spurs can be found through an x-ray, revealing a protruding hook where the plantar fascia is located.

Causes

Heel spurs under the sole of the foot (plantar area) are associated with inflammation of the plantar fascia (fasciitis), the “bowstring-like” tissue stretching underneath the sole that attaches at the heel. Plantar heel spurs cause localized tenderness and pain made worse when stepping down on the heel. Heel spurs and plantar fasciitis can occur alone or be related to underlying diseases that cause arthritis (inflammation of the joints), such as reactive arthritis (formerly called Reiter’s disease), ankylosing spondylitis, and diffuse idiopathic skeletal hyperostosis. It is important to note that heel spurs may cause no symptoms at all and may be incidentally discovered during X-ray exams taken for other purposes.

Heel Spur

Symptoms

The vast majority of people who have heel spurs feel the asscociated pain during their first steps in the morning. The pain is quite intense and felt either the bottom or front of the heel bone. Typically, the sharp pain diminishes after being up for a while but continues as a dull ache. The pain characteristically returns when first standing up after sitting for long periods.

Diagnosis

Your doctor, when diagnosing and treating this condition will need an x-ray and sometimes a gait analysis to ascertain the exact cause of this condition. If you have pain in the bottom of your foot and you do not have diabetes or a vascular problem, some of the over-the-counter anti-inflammatory products such as Advil or Ibuprofin are helpful in eradicating the pain. Pain creams, such as Neuro-eze, BioFreeze & Boswella Cream can help to relieve pain and help increase circulation.

Non Surgical Treatment

Heel pain may be associated with a heel spur, however the heel pain is usually due to plantar fasciitis, rather than a heel spur, so treatment is usually directed at the plantar fasciitis itself. Treatment usually involves application of ice to reduce pain and inflammation, special stretching exercises, and pain-relieving or anti-inflammatory medicines. Night splints or orthotics may be recommended. It may help to avoid the activities that aggravate pain, such as long walks and running. Surgery is very rarely recommended and only after other measures fail.

Surgical Treatment

In some cases, heel spurs are removed by surgery after an X-ray. While the surgery is typically effective, it?s a timely and expensive procedure. Even after surgery, heel spurs can re-form if the patient continues the lifestyle that led to the problem. These reasons are why most people who develop painful heel spurs begin looking for natural remedies for joint and bone pain. Surgery isn?t required to cure a heel spur. In fact, more than 90 percent of people get better with nonsurgical treatments. If nonsurgical methods fail to treat symptoms of heel spurs after 12 months, surgery may be necessary to alleviate pain and restore mobility.

Prevention

To prevent this condition, wearing shoes with proper arches and support is very important. Proper stretching is always a necessity, especially when there is an increase in activities or a change in running technique. It is not recommended to attempt working through the pain, as this can change a mild case of heel spurs and plantar fascitis into a long lasting and painful episode of this condition.

Heel Pain In Children

However, just because your doctor sees the obvious spur, it does not mean the spur is the cause of your pain. Remember, spurs take years to develop so if your heel pain is recent (even months old) then the spur is only evidence that inflammation has been in the area for a long time but not necessarily the reason for your heel pain. Heel pain leads to them walking on the balls of the foot When you walk on the balls of the feet to compensate it causes more pain because it pulls the fascia aggravating the plantar fasciitis more leading to more inflammation and calcium deposits on the spur.

The spurs wont go away and because the spur is not the cause of the pain. We do not have to remove or dissolve them for your pain to go away. Many doctors say heel spurs come from a constant stress pulling on the fascia. This may be true but it doesn’t explain some unexplained mysteries of this stress on the fascia and how it creates bone spurring. First, I will agree with the human lever model school of thought that the abnormal impact stress is what leads to plantar fasciitis and heel spurs.heel spur

Elastic limit ( yield strength training zone ) – This point and up to the deformity is when your muscles, ligaments, tendons and bones reorganize into a stronger mechanism. This is the zone you want to train in. Spurs form as a natural process of repair from repeated abnormal stress or stress when the human spring is not functioning in elastic deformity state. The body lays down extra calcium at the site of the stress deforming it permanently or causing a plastic deformity. Video Tutorial #12 Is Running Bad For Your Knees? How Does The Body Spring Back Safely From Impacts Of Running and Walking?, click here

Heel spurs and heel pain typically occur in people with flat feet. As the arch starts to collapse, the band of ligament and the muscle in the bottom of the foot absorbs the impact of pressure from standing or walking. Eventually, it stretches beyond its limits, leading to possible muscle tears and bone spurs. To avoid heel pain, people with flat feet should make a special effort to wear support shoes with arch support. In your knee, bone spurs may make it painful to extend and bend your leg. Bone spurs can get in the way of bones and tendons that keep your knee operating smoothly.heel spur removal

After months of heel pain I learned that heel pain can be completely debilitating and make walking and standing impossible. Heel pain can be caused by a condition called Plantar Fasciitis. Plantar Fasciitis is also at times referred to as heel spur syndrome when a bone spur is present. Heel pain can also be caused by other conditions such as tendonitis, arthritis, nerve irritation, stress fracture and sometimes but rarely a cyst. If you are experiencing heel pain and having problems with walking or standing see a podiatrist for a diagnosis and treatment.