Caring For Posterior Calcaneal Spur

Posterior Calcaneal Spur

Overview

Heel spurs are a common foot problem resulting from excess bone growth on the heel bone. The bone growth is usually located on the underside of the heel bone, extending forward to the toes. One explanation for this excess production of bone is a painful tearing of the plantar fascia connected between the toes and heel. This can result in either a heel spur or an inflammation of the plantar fascia, medically termed plantar fascitis. Because this condition is often correlated to a decrease in the arch of the foot, it is more prevalent after the age of six to eight years, when the arch is fully developed.

Causes

Heel spurs develop as an abnormal growth in the heel bone due to calcium deposits that form when the plantar fascia pulls away from the heel. This stretching of the plantar fascia is usually the result of over-pronation (flat feet), but people with unusually high arches (pes cavus) can also develop heel spurs. Women have a significantly higher incidence of heel spurs due to the types of footwear often worn on a regular basis.

Posterior Calcaneal Spur

Symptoms

Heel spurs can be quite painful, but can just as likely occur with no symptoms at all. Plantar fasciitis is a contributing condition to heel spurs. The cause of the pain is not the heel spur itself but the soft-tissue injury associated with it. The feeling has been described as a knife or pin sticking into the bottom of your feet when you first stand up after sitting or laying down for a long period of time – a pain that later turns into a dull ache.

Diagnosis

A thorough history and physical exam is always necessary for the proper diagnosis of heel spurs and other foot conditions. X rays of the heel area are helpful, as excess bone production will be visible.

Non Surgical Treatment

Treatment of heel spurs is the same as treatment of plantar fasciitis. Because these problems are related, the treatment is the same. The first step in the treatment of a heel spur is short-term rest and inflammation control. Here are the steps patients should take in order to cure the symptoms of plantar fasciitis and heel spurs. Avoiding the activity that caused the symptoms is the first step in treatment. For example, take a few day off jogging or prolonged standing/walking. Just resting usually helps to eliminate the most severe pain, and will allow the inflammation to begin to cool down. Icing will help to diminish some of the symptoms and control the heel pain. Icing is especially helpful after a sudden flare up of symptoms. Exercises and stretches are designed to relax the tissues that surround the heel bone. Some simple exercises, performed in the morning and evening, often help patients feel better quickly. Many patients will work with a physical therapist, or you can try some simple activities on your own. If you need some help, meet with a therapist for a few sessions to learn a program you can continue on your own.

Surgical Treatment

Most studies indicate that 95% of those afflicted with heel spurs are able to relieve their heel pain with nonsurgical treatments. If you are one of the few people whose symptoms don?t improve with other treatments, your doctor may recommend plantar fascia release surgery. Plantar fascia release involves cutting part of the plantar fascia ligament in order to release the tension and relieve the inflammation of the ligament. Sometimes the bone spur is also removed, if there is a large spur (remember that the bone spur is rarely a cause of pain. Overall, the success rate of surgical release is 70 to 90 percent in patients with heel spurs. One should always be sure to understand all the risks associated with any surgery they are considering.

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What Is A Inferior Calcaneal Spur

Posterior Calcaneal Spur

Overview

A heel spur occurs when calcium deposits build up on the underside of the heel bone, a process that usually occurs over a period of many months. Heel spurs are often caused by strains on foot muscles and ligaments, stretching of the plantar fascia, and repeated tearing of the membrane that covers the heel bone. Heel spurs are especially common among athletes whose activities include large amounts of running and jumping. Heel spurs often cause no symptoms but can be associated with intermittent pain, especially while walking, jogging, or running. Sharp pain in the heel can also be experienced when standing after sitting for a long period of time. Heel spurs can be a result of plantar fasciitis.

Causes

It is widely accepted now that the presence of this bony growth is not the cause of heel pain, but rather an effect of an underlying biomechanical foot problem where the soft tissue structures that are attached to the heel bone are pulling excessively on that area. At some point down the track, heel pain may develop, but the bony heel spur is not the cause of the heel pain.

Calcaneal Spur

Symptoms

More often than not, heel spurs have no signs or symptoms, and you don?t feel any pain. This is because heel spurs aren?t pointy or sharp pieces of bone, contrary to common belief. Heel spurs don?t cut tissue every time movement occurs; they?re actually deposits of calcium on bone set in place by the body?s normal bone-forming mechanisms. This means they?re smooth and flat, just like all other bones. Because there?s already tissue present at the site of a heel spur, sometimes that area and the surrounding tissue get inflamed, leading to a number of symptoms, such as chronic heel pain that occurs when jogging or walking.

Diagnosis

Your doctor will review your medical history and examine your foot. X-rays are used to identify the location and size of the heel spur.

Non Surgical Treatment

There are many temporary solutions to resolve the pain associated with irritation to the plantar ligaments. Common recommendations are ice and anti-inflammatory medications or even cortisone injections, however none of these solve the fundamental problem. To permanently resolve heel spurs you need to support and restrict the movement of the plantar ligaments. Flexible shoes will aggravate and often contribute to heel spurs. We recommend a RIGID orthotic that extends from the metatarsal heads to the heel to resolve heel spurs.

Surgical Treatment

Sometimes bone spurs can be surgically removed or an operation to loosen the fascia, called a plantar fascia release can be performed. This surgery is about 80 percent effective in the small group of individuals who do not have relief with conservative treatment, but symptoms may return if preventative measures (wearing proper footwear, shoe inserts, stretching, etc) are not maintained.

Recovery Time For Heel Spur Surgery

waves also source tissues to relax and increase blood stream to help reduce local swelling and chronic redness. Increased blood flows also bring more oxygen and nutrients to the tissue; take away cell waste and aids healing. There are two major types of ultrasound therapy They are thermal and mechanical Together use sound waves generated during a transducer head to infiltrate soft tissues. The difference among the two types of ultrasound therapy is the speed at which the sound waves penetrate the tissues. Quick feet will also help you dribble the ball, pass and shoot. Performing a few simple drills can improve foot speed and enhance your overall game.

Pinpoint the source of pain. Sudden changes or increases in physical activity as well as prolonged standing are possible causes. If there’s been no change to physical activity lately, taking a break from any other activities that a person suspects may be the source of the problem, such as high-impact sports or other athletic activities, may be wise. If a problem is identified, a person may want to consider avoiding that activity for a period of time determined by her/his health care provider. Or, some folks may want to simply change up their exercise routine to avoid the pain — swimming or upper body weight lifting may be appropriate alternatives.

If you are overweight, try to reduce your weight to reduce the pressure on your heels. Other effective home remedies for heel spur include staying away from high heels, wearing shoes that have motion control, using heel cradles or cups, and avoiding barefoot walking. Wearing a foot splint at night may help ease the morning heel pain. Also, try to stretch your calf muscles before you take your first steps in the morning. Because heel spurs affect the plantar ligaments, many of the same treatment options for plantar fasciitis pain relief work for heel spur pain relief as well. Spectrum of Heel Spur Treatments

Since our legs bear the weight of our entire body, one needs to keep one’s weight under control. Once the inflammation subsides, one could go for physical therapy sessions. Performing certain exercises will also prove beneficial and strengthen the ligament. If a heel spur is responsible for causing pain, it is advisable to refrain from physical activities that might worsen the pain. Besides resting your feet, application of cold compresses coupled with the use of anti-inflammatory drugs will surely provide heel spur relief. If the symptoms are very severe and these methods are not really working, then doctors might recommend heel spurs surgery as a treatment option.heel spur

By cooling the heel and the fascia, the blood flow to the inflammated tissue is stimulated and the healing process can start.Stimulating blood flow is important, because there are not many blodd vessels in tendon tissue, which makes it harder to recover from small injuries. You can cool the foot with ice, but make sure not to put ice directly on the skin. Instead, pack the ice in a towel, and then put it on the foot. Alternatively, you can use a cold can of soda, or an ice-pack. Repeat this a few times a day, each time for 10-15 minutes.

Plantar fasciitis occurs when the plantar fascia is extended because of increased or over activity, inadequate foot biomechanics or in combined with the normal aging process. The function of the plantar fascia is to act as a shock absorber and hold the arch of the foot. The ligament is typically overextended repeatedly before any pain is noticible. The pain is caused by repeated very very small tears occurring in the plantar fascia, generally where it attaches to the heel itself. Treatment of osteophytes usually includes rest, pain relievers, anti-inflammatory medication, physical therapy and gentle exercises to strengthen nearby muscles. Chiropractic manipulation may be helpful for bone spurs on the spine.

A woman’s wardrobe would not be completed without a faultless pair of heels. A pair of heels would improve not only the silhouette of a woman but also here poise and bearing. But, this would only be true if she was able to find a pair of heels that would not only fir her but would also make her walk gracefully. read more Of late the shoes use soft material for reasons of initial comfort and are not really supportive or stable for a healthy gait. The use of sandals or ‘flip-flops’ during summer is of no help to patients with over-pronation as they are not satisfactory in biomechanical terms.

Always stretch before and after running, and do a five minute warm-up before stretching. Stretching will help increase the flexibility of the calf muscles, and decrease the amount of tension of the feet. Exercises to strengthen the calf muscle, such as calf raises, are also beneficial to strengthen weak calf and feet muscles. Be sure to increase the mileage or intensity of your running routine slowly. Running too far or too fast when you are not conditioned can lead to injury. Make sure your shoes fit properly, have enough cushioning, provide shock absorption and are not worn out.

If you have heel spurs then the painful inflammation in your heel needs to be relieved by resting your foot. Apply heat with either a heating pad or use hot water soaks to stimulate the circulation, ease the pain and reduce the swelling. When wearing shoes, place a half-inch thick heel pad in your shoes. This will help to cushion the pain and absorb shock. Also consider arch supports as they may help to take some of the weight off your heel. Custom orthotics – You may consider custom orthotics or shoes inserts that position and cushion your heel so that you do not aggravate the damaged tissue.