Heel Spurs Treatment and Facts

Heel Spur Treatment

Heel Spurs can be a reason for pain in the heel. Let’s get some facts straight about heel Spurs! Read below for some basic information on heel spurs and what you should do if you find yourself with a painful one!

What are heel spurs?

Heel Spurs are a build up of calcification on the bottom the foot. They are NOT related to foot posture. Although you may hear that you have flat foot, high arch, inverted foot, pes planus… There is little correlation between posture and heel spurs.
 
There is also limited benefit of correcting foot posture with orthotics. Don’t be fooled with fancy tapes and expensive foot orthotics. It is not always indicated.

Do heel spurs always cause pain? 

NO!. They can occur without symptoms and the size of the spur on x ray does not correlate with pain or function. There are many people who have undiagnosed heel spurs and no pain at all! 
 

Who gets heel spurs? 

There is some association related to increase weight, age, diabetes. But not all people with these conditions will get heel spurs. 
 

What should I do about this?

Don’t panic! Symptoms can disappear with conservative treatment and even without. Sometimes the wait and see approach does work, but not always. Almost all patients will get better with non surgical options. Talk to your doctor or physio if you think you may have one. X rays are good ways to see if you have one.
 

Tips for Heel Spur Management

  • Invest in a good quality supportive foot wear
  • Protect the bottom of the foot with comfortable and soft footwear
  • If the pain recently started, take some rest and try to ice the area
  • See a physio to get some movement ideas that will help mobilize muscle and strengthen the foot and ankle

Cortisone for heel spur treatment?

  • Can be effective when conservative methods fail
  • Shown short term pain relief with some complete resolution

Surgery for heel spur treatment?

  • Not normally needed
  • Used for complicated persistent cases

What about shockwave for heel spur treatment? 

Consider Shockwave therapy if continued fail with conservative management. Shockwave therapy can help decrease calcification pain.
  • Shockwave will not always remove the spur. Instead, it may deform, and change the size of the spur. Significant pain reduction can occur without the reabsorption of the spur.
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