Heel Spur

Heel spurs may not always cause symptoms, but when they do, common signs and symptoms include:

• Sharp or stabbing pain in the heel, particularly with weight-bearing activities like walking or running.
• Pain that worsens upon rising in the morning or after periods of rest.
• Tenderness or discomfort in the bottom of the heel.
• Swelling or inflammation around the affected area.
• Difficulty walking or standing for long periods due to pain.

The primary cause of heel spurs is prolonged or repetitive stress on the foot, particularly in the area where the plantar fascia attaches to the heel bone. Factors that may contribute to the development of heel spurs include:

• Overuse or excessive strain on the foot, such as walking or running long distances.
• Poor biomechanics or structural issues like flat feet or high arches.
• Wearing improper footwear that lacks proper support or cushioning.
• Obesity or sudden weight gain, which increases pressure on the feet.
• Aging, as the body's ability to repair and maintain tissue integrity diminishes with age.

Diagnosing heel spurs typically involves a combination of medical history, physical examination, and diagnostic imaging studies, such as X-rays. During the physical examination, the healthcare provider may palpate the heel area to assess for tenderness and evaluate range of motion. X-rays can confirm the presence of a heel spur and help rule out other potential causes of heel pain, such as fractures or arthritis.

Treatment for heel spurs aims to alleviate pain, reduce inflammation, and address underlying contributing factors. Common treatment approaches include:

• Rest and activity modification to reduce strain on the heel.
• Stretching exercises to improve flexibility and reduce tension in the plantar fascia.
• Supportive footwear with cushioned insoles or orthotic inserts to provide arch support and shock absorption.
• Nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and inflammation.
• Physical therapy to strengthen the muscles around the foot and ankle.
• Corticosteroid injections to reduce pain and inflammation in the affected area.
• Surgery to remove the heel spur in severe or refractory cases that do not respond to conservative treatments.