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Virginia Institute
Virginia Institute
Quality Care from Professional Physicians
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for Sports Medicine
What Is ?
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A heel spur is a projection or growth of bone where certain muscles and soft tissue structures of the foot attach to the bottom of the heel. Most commonly the plantar fascia (a broad, ligament-like structure extending from the heel bone to the base of the toes) becomes inflamed and heel pain begins. As this inflammation becomes chronic, a heel spur is likely to form. If heel pain is treated early, conservative therapy is often successful and surgery is usually avoided.
Signs and Symptoms of Heel Spurs
Early signs of heel pain are usually due to plantar fasciitis, the inflammation of the plantar fascia. It is probably the most common cause of heel pain. It is seen in all groups of people including runners, athletes, weekend athletes, and those who have recently gained weight. The pain most often manifests itself after periods of rest when the plantar fascia is given a chance to shorten. The result is pain felt during the first steps of the day due to sudden strain to the tissue. A heel spur develops when this pain is ignored and the chronic inflammation increases the stress on the fascia. The result is the development of an outgrowth of bone on the bottom of the heel.
Treatment of Heel Spurs
Initially, patients are treated conservatively with taping of the foot, a short course an anti-inflammatory medication, or cortisone injections if necessary. Exercises, night splints, and physical therapy are used to try to reduce the inflammation. A custom made orthotic can control the abnormal stress and strain on the plantar fascia resulting in reduction of the symptoms. In some instances, conservative therapy fails, and surgery is indicated.
Any foot injury that does not respond to treatment in 1-2 weeks may be serious. Always consult a physician for a thorough evaluation and diagnosis.
