What are heel spurs?
Heel spurs are small deposits of bone-like calcium on the heel bone (calcaneus),
usually on or near the bottom of the foot where the long tendons of the arches
(plantar fascia) insert into the bone.
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What causes heel spurs?
Some experts believe that a spur is the body's attempt to strengthen its
foundation. Being overweight, having abnormal foot biomechanics, or running
regularly on hard surfaces can cause excessive stress on the foot, which may
lead to the production of a spur. Other authorities contend that spurs are a
normal part of the aging process: some studies have shown that calcaneal spurs
are more frequently found in people after age 50. The best data currently
available projects that between 11% and 16% of the population have heel spurs.
It is also interesting to note that spurs occur almost twice as often in adult
females as they do in adult males.
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Is the pain in my heel area caused by a heel spur?
Only a health care professional, such as your healthcare professional, can
answer that question in regard to your case. In general, a heel spur may
contribute to pain on the underside of the heel, which sometimes radiates
throughout the entire bottom of the foot. In the morning, the first few steps
after waking up may feel tender. Some improvement might be noticed after that,
however, the pain often returns and intensifies during the day, especially while
standing or walking. This pain is usually relieved by rest. The bottom or sides
of the heel may be tender to the touch; a slight swelling may be noticed, and it
may hurt to wiggle your toes.
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Should an x-ray be taken of my foot?
Part of the thorough examination you receive may include an x-ray of your
foot; this can help your doctor rule out any unusual causes of heel pain, such
as a calcaneal cyst or a stress fracture. Again, your healthcare professional is
the best person to decide if an x-ray is advisable.
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What can my healthcare professional do to stop the
pain?
The treatment you receive will probably focus in general on reducing
swelling, relieving pain, restoring functional movement and position through
joint mobilization, protecting your foot from additional stress, and
strengthening your foundation. Depending on your specific condition, your
healthcare professional may instruct you to do some or all of the following
items after you leave the clinic:
