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Heel Spurs (Calcaneal Spurs)
Heel Spurs (Calcaneal Spurs)
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What are Heel Spurs?
(Alias: Calcaneal Spurs)

Left untreated, plantar fasciitis turns into a heel spur (also known as a calcaneal spur). The reason is delayed healing.
Usually your injured fascia will be healed via fibroblastic activity. They'll operate for at least six weeks. If your injury persists beyond this time, osteoblasts are recruited to the area.
Osetoblasts form bone and the end result is bone (or calcification) within the plantar fascia or at the calcaneal insertion. These bone formations are known as heel spurs.
This scenario is most common in the traction type injury.
How Do You Treat Heel Spurs?
Treatment or heel spurs is almost identical to plantar fasciitis treatment. Your physiotherapist will select the most appropriate treatment modalities for you.
- Pain reduction is the primary aim. This may include rest from aggravating activities, ice applications, gentle plantar fascia stretching, massage techniques, electrotherapy, taping.
- Useful products include soft orthotics (overpronators / traction type pain) or heel cups (compression pain). A soft orthotic when used in conjunction with a stretching program is more likely to improve acute symptoms than a custom polypropylene orthotic device. Often it is poorly designed footwear that can predispose to the injury.
- Ice and a home tens unit can often speed up recovery and reduce the need for drugs.
- Ultimately, biomechanical correction is the aim. Foot intrinsic muscle strengthening (including tibialis posterior and peroneus longus) and calf (gastrocnemius and soleus) stretches are almost always required.
- Cases of moderate to severe biomechanical deformity should be referred for physiotherapy or podiatric assessment to prevent chronic recurrence. NSAID's and corticosteroid injection is most effective when combined with biomechanical correction.
- While traditional methods alone are ultimately effective, iontophoresis in addition to traditional modalities has shown a quicker reduction in pain.
- Extracorpeal shockwave therapy is being increasingly used for plantar fasciitis and heel spurs , but limited evidence supports its use.
- Mechanical treatment that involves taping and orthoses has been shown to be more effective than either anti-inflammatories or accommodative modalities.
What Happens If You Do Nothing?
Left untreated, heel spurs grow larger and usually become excessively painful. Limping is very common.
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Common Treatments for Heel Spurs
If your heel spurs are not responding to home treatment, please consult your physiotherapist or podiatrist.
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FAQs about Heel Spurs
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Helpful Products for Heel / Calcaneal Spurs

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