Calcaneal spur, commonly known as a heel spur, is a bony outgrowth from the calcaneal tuberosity (heel bone). It often occurs where the plantar fascia ligament attaches to the heel. This condition can cause pain and is associated with plantar fasciitis, an inflammation of the plantar fascia. Podiatry care for a calcaneal spur may involve:

  • Pain management: The use of anti-inflammatory medications or cortisone injections to reduce inflammation and relieve pain.
  • Physical therapy: Exercises and stretches to strengthen the muscles and ligaments in the foot.
  • Orthotic devices: Custom shoe inserts to provide better support for the heel and foot.
  • Footwear advice: Recommendations on appropriate shoes to alleviate stress on the heel.
  • Rest and Ice: Reducing activities that put stress on the heel and applying ice to decrease inflammation.

In cases where conservative treatments are not effective, surgical intervention may be considered to remove the spur or release the plantar fascia.

Calcaneal spur treatment typically focuses on alleviating symptoms and addressing the underlying causes such as plantar fasciitis. Treatment options include:

Pain Management

For immediate relief, healthcare professionals may recommend:

  • Anti-inflammatory medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and alleviate pain.
  • Cortisone injections: To provide more direct relief, corticosteroid injections can be administered into the affected area.

Physical Therapy

Engaging in physical therapy helps strengthen foot muscles and improve flexibility:

  • Exercises and stretches: Specific routines focused on the foot may relieve tension in the plantar fascia.

Orthotic Devices

Custom orthotic devices can significantly improve foot mechanics:

  • Shoe inserts: These provide better arch support and redistribute pressure away from the heel.

Footwear Advice

Proper footwear is crucial in managing heel spur symptoms:

  • Shoe recommendations: Podiatrists may suggest shoes that have a cushioned sole and ample support to reduce pressure on the heel.

Rest and Ice

Reducing stress on the foot can help in the healing process:

  • Activity modification: Limiting activities that exacerbate heel pain.
  • Ice applications: Using ice packs can help decrease inflammation and pain.

If these conservative treatments fail to provide relief, surgical options may be explored to remove the heel spur or release the attached plantar fascia. However, the majority of cases can be resolved with non-surgical approaches.