What is a Heel Spur?
A heel spur is a bony protrusion that forms where the fascia tissue connects to the heel bone. The bony protrusion is a result of calcium deposits that build up over time on the underside of the heel bone.
What are the Symptoms of Heel Spurs?
Many people who have heel spurs are usually asymptomatic and they don’t even know they have them until an x-ray of their foot is performed. For others, that is not the case and they can experience pain in the heel area that may come and go or can become chronic. Misdiagnosis is frequent as the pain does not come from the bony protrusion rather from the surrounding tissues, tendons and muscles. In fact, most people pinpoint their pain as plantar fasciitis which causes sharp pain after a prolonged rest period such as sleeping.
Heel Spur Symptoms can Include:
- Sharp pain in the heel when standing after a night’s sleep
- Heel spur pain during the day that can reoccur after intermittent periods of activity and rest
- An inflamed and swollen heel area
- Area of the heel that is warm to the touch
- A small bone protrusion on the underside of the heel
- Difficulty stepping on the heel and walking due to increased sensitivity on the underside of the heel
Cause of Heel Spurs
Heel spurs do not form overnight. They develop over months and years of high impact physical activities that strain and stress the plantar fascia, eventually thinning out the soft tissue in the heel and fat pad. The most common activities that cause heel spurs is jogging and running.
Other causes of heel spurs include:
- Performing physical activities on solid hard surfaces that pound and stress the heel
- Women usually suffer from heel spurs more than men as a result of wearing high heel shoes that strain the plantar fascia and place increased pressure on the heel area
- Injury to the heel can lead to heel spurs
- During the natural aging process, the fat pad thins out and provides less protection and shock absorption in the heel
- The more someone weighs, more stress is placed on their feet and heels
- Overpronation can cause heel spurs when the ligaments stretch and flatten the feet
- Shoes lacking support and cushioning
Treatment of Heel Spurs
- Plenty of rest is recommended which will reduce the pressure, swelling and inflammation on your feet and heels.
- Limit the amount of physical activity, especially high impact activities that can worsen the condition.
- Ice the painful area to numb the pain and reduce swelling.
- Shoes for heel spurs should be worn as they provide heel spur relief and prevention. Never walk barefoot since the contact between the heel and the floor is hard and will aggregate the area. Look for heel spur shoes designed with the features listed below. If you don’t wear outside shoes in your home, purchase slippers for heel spurs that provide the same support and protection as shoes.
- Orthotic insoles support the arch and foot and help alleviate tension on the tendon, easing pain and discomfort.
- Thick cushioning in the heel area to provide protection and padding.
- Ergonomic soles with rocker bottom facilitate foot motion and help reduce strain on the plantar fascia and heel.
- If your shoes are not constructed with orthotic insoles, it is recommended to purchase insoles for heel spurs that will support the arch and cushion the heel from shock forces.
- Non-steroidal anti-inflammatory medication can help with swelling, inflammation and heel spur pain relief.
- Cortisone injections can be administered to the painful area to reduce inflammation and swelling.
- In rare cases when all the above treatment options have failed to improve the condition, removal of the heel spur via surgery can be performed.