A calcaneal spur (or heel spur) is a bony outgrowth from the calcaneal tuberosity (heel bone). Calcaneal spurs are typically detected by a X-ray. When the foot is exposed to constant stress, calcium deposits build up on the bottom of the heel bone.
A heel spur is a deposit causing bony protrusion on the underside the heel bone. By taking an X-ray, a heel spur can extend forward by as much as a half-inch. Without visible X-ray evidence, the condition is sometimes known as “heel spur syndrome.”
Calcaneal spurs can be located at the back of the heel (dorsal heel spur) or under the sole (plantar heel spur). The dorsal spurs are often associated with spurs under the sole are associated with the apex of the spur lies either within the origin of the planter fascia (on the medial tubercle of the calcaneus) or superior to it in the origin of flexor digitorum brevis muscle. The relationship between heel spur formation, the medial tubercle of the calcaneus and intrinsic heel musculature results in a constant pulling effect on the plantar fascia resulting an inflammatory response.
The painful heel is considered relatively common foot problem, but calcaneal spurs are not considered as a primary cause of heel pain. A calcaneal spur is caused due to long-term stress on the plantar fascia and foot muscles and may develop as a reaction to the plantar fasciitis.
The pain, is mostly localized in the area of the medial process of the calcaneal tuberosity, is caused by pressure in the region of the plantar aponeurosis attachment to the calcaneal bone. The condition may exist without producing symptoms or it may become very much painful, and even disabling.
Most of the heel pain patients are middle-aged. Obesity may be considered a risk factor also. Not all heel spurs cause symptoms and are often painless also, but when they do cause symptoms people often experience more pain during weight-bearing activities, in the morning or after a period of rest. The pain, however, is not as a result of mechanical pressure on the spur, but from the inflammatory response.
As chronic heel pain is a common manifestation of so many conditions, these must be excluded before the planning treatment starts. Diagnostic imaging as well as medical signs is often used to differentiate some of the conditions that are mentioned below from calcaneal spurs.
Calcaneal spurs, both upper and lower spurs, are treated with conventional physiotherapy.
The heel spur pain is rarely permanent. Plantar fasciitis, the main cause of a heel spur, is reversible and very successfully treated through physiotherapy. Over 90 percent of people with plantar fasciitis or heel spurs improve significantly with physiotherapy treatment.
We at Sara Rehab are professional Physical Therapists who are educated and trained to administer interventions. We are skilled and do physical therapy methods and techniques to produce changes consistent with the diagnosis and prognosis.
We want you to forget about your Calcaneal spurs and go through a full treatment from Sara Rehab and call us at 905 497 4550