Understanding Calcaneal Spurs

A calcaneal spur, commonly referred to as a heel spur, is a bone protrusion on the heel bone (calcaneus), which can extend into the arch of the foot, causing pain.

Origins of a Calcaneal Spur

The condition stems from the plantar fascia, a robust band of tissue aiding the arch of your foot. When it’s overstretched or suffers tears, plantar fasciitis can develop, often leading to a calcaneal spur due to persistent inflammation.

The Healing Process

If plantar fasciitis remains untreated, the body attempts to mend the weakened tissue by forming bone. Initially, fibroblasts repair the area, but if the injury lasts beyond six weeks, osteoblasts take over, leading to bone formation within the plantar fascia, resulting in a heel spur.

Recognising Symptoms

Early signs include pain under the heel after waking or resting, improving with activity but possibly presenting as a tender bump upon examination.

Diagnosing Calcaneal Spurs

Healthcare professionals diagnose calcaneal spurs by assessing symptoms, medical history, and conducting a physical exam. They also devise a treatment plan to prevent future occurrences.

Imaging tests like X-rays, ultrasounds, or MRIs can reveal a calcaneal spur. Additional tests might exclude other conditions.

Risk Factors

You’re more at risk of heel spurs if you’re active, overweight, pregnant, or spend much time on your feet. Foot structure issues, age-related changes, inadequate footwear, muscle weakness, arthritis, and diabetes are also risk factors.

Prognosis for Heel Spur Treatment

Most people with heel spurs see significant improvement with physiotherapy treatments. If non-invasive methods don’t yield results, corticosteroid injections might be an option, albeit with potential drawbacks for long-term healing.

Effective Treatment Approaches

Addressing foot biomechanics is key. Treatments can include therapy, massages, stretching, plantar fascia bracing, foot strapping, arch strengthening exercises, and possibly custom orthotics prescribed by a podiatrist. Long-term stability may be enhanced with specific foot exercises.

Rehabilitation involves eight steps, focusing on pain relief, motion, muscle control, and correcting foot biomechanics, culminating in a return to activities with proper footwear.

Mechanical interventions, such as taping and using orthoses, can be more beneficial when paired with anti-inflammatory treatments. Night splints and weight control also contribute to managing calcaneal spurs.

Consequences of Inaction

Without treatment, calcaneal spurs can become larger and increasingly painful. It’s recommended to seek professional advice for a personalised approach to treating calcaneal spurs or plantar fasciitis. Please book your assessment to commence the best treatment for your calcaneal spur.