What Are The Symptoms Of Inferior Calcaneal Spur

Posterior Calcaneal Spur

Overview

Bone spurs usually form around joints that have arthritis, in the vertebrae of the spine, and on the heel. When they form on the heel, they may form on the back of the heel but usually form on the bottom of the heel. Of course, this is where all of the body weight comes down with each step. Spurs on the bottom of the heel are usually most painful the first few steps out of bed each morning. The pain may lessen somewhat after walking for a few minutes, but may be intense again after sitting for a half hour or so, such as after lunch. The pain usually gets worse throughout the day as you are up on your feet more. Often the pain feels like a nail being driven through the heel into the ankle and leg.

Causes

Heel spurs are exacerbated by an movements that stretch, twist or impact the plantar ligaments. Running, jumping, standing or walking on hard surfaces with unsupportive shoes, walking barefoot in sand are all activities that can activate heel spurs and plantar fasciitis. Obesity is another factor that increases stress to the plantar ligaments.

Heel Spur

Symptoms

The following symptoms are typical of heel spur. Stabbing pain when treading on the area affected. Dull, irregularly occurring pains in the heel area also without exerting pressure (e.g. in a reclining position) Pain when taking the first steps in the morning (after lying or sitting down for an extended period, especially in the morning) Occasional swelling in the ankle area. For the lower heel spur, extreme sensitivity at the tendon attachment (laterally in the lower heel area) For the upper heel spur, extreme pressure sensitivity of the Achilles tendon, primarily at approximately ankle height.

Diagnosis

Diagnosis of a heel spur can be done with an x-ray, which will be able to reveal the bony spur. Normally, it occurs where the plantar fascia connects to the heel bone. When the plantar fascia ligament is pulled excessively it begins to pull away from the heel bone. When this excessive pulling occurs, it causes the body to respond by depositing calcium in the injured area, resulting in the formation of the bone spur. The Plantar fascia ligament is a fibrous band of connective tissue running between the heel bone and the ball of the foot. This structure maintains the arch of the foot and distributes weight along the foot as we walk. However, due to the stress that this ligament must endure, it can easily become damaged which commonly occurs along with heel spurs.

Non Surgical Treatment

The most important part of treatment is to rest. Do not undertake activities which hurt the foot or aggravate symptoms as will only cause painful symptoms to persist. Apply an ice pack regularly for 10 minutes at a time every hour initially to reduce pain and inflammation of the surrounding tissues. As symptoms subside frequency of application can reduce to 2 or 3 times per day. Exercises and stretches to keep the foot and ankle strong and mobile are important as long as pain allows. Stretching the plantar fascia is important, especially if symptoms are worse in the morning. A plantar fasciitis night splint is excellent for stretching and preventing the plantar fascia tightening up over night. Anti-Inflammatory medicine (e.g. ibuprofen) may be prescribed by a doctor but always check with a medical professional first as taking some medications such as ibuprofen should not be done if the patient has asthma. Shoe inserts can help to take the pressure off of the spur and reduce pain. If these treatments do not significantly ease the symptoms then surgery may be an option.

Surgical Treatment

Surgery, which is a more radical treatment, can be a permanent correction to remove the spur itself. If your doctor believes that surgery is indicated, he will recommend an operation – but only after establishing that less drastic methods of treatment are not successful.

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Inferior Calcaneal Spur Symtoms

Calcaneal Spur

Overview

A heel spur is a bony growth at the underside of the heel bone. The underlying cause of heel spurs is a common condition called ?Plantar Fasciitis?. This is Latin for inflammation of the plantar fascia. This tendon forms the arch of the foot, starting at the heel and running to the ball of the foot. Plantar Fasciitis is a persistent and painful condition. Interestingly, in some people a heel spur has been present for a long time, but no pain is felt for years until one day the pain suddenly appears ?out of nothing?.

Causes

A heel spur usually develops as a result of wear and tear over time, which leads to the degeneration of connective tissue called fascia. Standing for prolonged periods and wearing shoes that do not provide the right type of arch support can also lead to connective tissue damage in the heel. The body attempts to repair the damaged tissue by delivering calcium to the affected region, but sometimes too much calcium begins to accumulate and this results in painful plantar fasciitis.

Heel Spur

Symptoms

You’ll typically first notice early heel spur pain under your heel in the morning or after resting. Your heel pain will be worse with the first steps and improves with activity as it warms up. When you palpate the tender area you may feel a tender bony lump. As your plantar fasciitis deteriorates and your heel spur grows, the pain will be present more often.

Diagnosis

Your doctor will discuss your medical history and will examine your foot and heel for any deformities and inflammation (swelling, redness, heat, pain). He/she will analyze your flexibility, stability, and gait (the way you walk). Occasionally an x-ray or blood tests (to rule out diseases or infections) may be requested.

Non Surgical Treatment

Diathermy treatment uses an electrical current to produce heat that sedates the inflamed tissues. The ultrasound device sends sound waves into the heel and sets up a massaging action that stimulates blood circulation. Treatment with a whirlpool bath involves placing the foot directly into the jetting stream. Orthopedic molds and appliances, such as orthotics, are designed by foot specialists for use inside the shoe to eliminate irritation to the heel when the patient stands or walks. When those appliances are used, the spur (in effect) floats on air. At the same time, the body’s weight is transferred forward from the tender spot.

Surgical Treatment

When chronic heel pain fails to respond to conservative treatment, surgical treatment may be necessary. Heel surgery can provide relief of pain and restore mobility. The type of procedure used is based on examination and usually consists of releasing the excessive tightness of the plantar fascia, called a plantar fascia release. Depending on the presence of excess bony build up, the procedure may or may not include removal of heel spurs. Similar to other surgical interventions, there are various modifications and surgical enhancements regarding surgery of the heel.

Prevention

o help prevent heel and bone spurs, wear properly designed and fitted shoes or boots that provide sufficient room in the toe box so as not to compress the toes. They should also provide cushioning in appropriate areas to minimize the possibility of the irritation and inflammation that can lead to bone spurs in the feet. If needed, use inserts that provide arch support and a slight heel lift to help ensure that not too much stress is placed on the plantar fascia. This helps to reduce the possibility of inflammation and overstress. Wearing padded socks can also help by reducing trauma. Peer-reviewed, published studies have shown that wearing clinically-tested padded socks can help protect against injuries to the skin/soft tissue of the foot due to the effects of impact, pressure and shear forces. Also consider getting your gait analyzed by a foot health professional for appropriate orthotics. If you have heel pain, toe pain or top-of-the-foot pain, see your doctor or foot specialist to ensure that a spur has not developed.

Heel Spur Causes And Its Effects

Sometimes ball-of-foot pain is mistakenly assumed to be derived from plantar fasciitis. A dull pain or numbness in the metatarsal region of the foot could instead be metatarsalgia, also called causalities. Some current studies suggest that plantar fasciitis isn’t actually inflamed plantar fascia, but merely an inflamed Flexor digitorum brevis muscle belly. Ultrasound evidence illustrates fluid within the FDB muscle belly, not the plantar fascia. Rest is the first treatment for plantar fasciitis. Doctors will tell you to try to keep weight off your foot until the inflammation goes away. Also, apply ice to the sore area for 20 minutes three or four times a day to relieve your symptoms.

Typically, the sufferer of plantar fasciitis experiences pain upon rising after sleep, particularly the first step out of bed. Such pain is tightly localized at the bony landmark on the anterior medial tubercle of the calcaneus. In some cases, pain may prevent the athlete from walking in a normal heel-toe gait, causing an irregular walk as means of compensation. Less common areas of pain include the forefoot, Achilles tendon, or subtalar joint. A heel spur occurs when a calcium deposit exists on the underside of the heel bone. We’ve provided a few tips for the treatment and healing of these painful, and problematic spurs.

Bunions / Calluses / Corns – These are just some of the foot problems that can occur because of poor fitting and badly styled shoes. In stating badly styled, that means bad for foot health. It might be a beautiful style to the eye but it will not be a good style when your feet have bunions, corns and calluses growing out of them. All of these conditions are very painful and can even make it difficult to walk properly. These are some very simple but useful guidelines for heel spur treatment. Make sure that you keep them in mind to treat your foot problem.heel spur treatments

Plantar Fasciitis is a very common condition caused by over-pronation. As the feet flatten, the Plantar Fascia (fibrous band of ligaments under the foot) is being overly stretched, leading to inflammation in the heel, where the fascia attach to the heel bone. Plantar Fasciitis causes chronic heel pain and sometimes a heel spur develops (bony growth at the heel bone). Furthermore, when the legs rotate inwards the pelvis is forced to tilt forward. This results in constant strain and stress on the lower back muscles. Women are more prone to developing these symptoms, primarily due to shoe wear with rigid heels and/or heel counters. You Might Also Like Plantar Fasciitis

Medical studies indicate that genetics can be a factor in heel spur development. most times, heel spurs are caused by repetitive motion and excessive stretching of the plantar fascia ligament caused by sports or athletic activity, and can also be caused by heavy lifting. Plantar-Fasciitis.org cites that certain types of arthritis as well as diabetes can raise the chances of developing either of these painful conditions. They also mention that ill-fitting footwear can also be to blame. These are some exercises that you can perform at home in case of heel spurs But as an advice, it is always better to consult a doctor before you begin any exercise.

Unfortunately, simply wearing “good” shoes does not prevent pain. While supportive footwear is beneficial in providing orthopedic support, shock absorption and biomechanical control, it is often not enough. Many times, a custom-made orthotic is necessary to address the concerns of the foot. We prescribe and fabricate these in the office on a regular basis. As we enjoy more temperate weather, we may choose to jog, walk or run. It is important to stretch out, wear proper footwear, and seek the advice of a podiatrist if foot pain occurs. Many foot issues can be treated conservatively, and if addressed quickly, can be resolved in a relatively short period of time.

Other people who are prone to this condition are overweight individuals, or those who bear extra weight on a daily and continuous basis. Those who have an occupation that requires long periods of standing are also at a risk for plantar fasciitis. Also, calf muscles that are not flexing in an optimum way due to being weak or under used can contribute to the inflammation. If the exercise and shoe modifications do not alleviate the pain, a physician sometimes tries to eliminate the irritation that is caused by inflammation, with cortico-steroids. Do not overlook the corresponding J code if an injection is given in the physician’s office.