Heel Spurs: Painful spine under the heel

21 October 2017

© Jupiter Images / iStockphoto

A heel spur is a small, pointed Bone exostosis on the sole. On the radiograph he looks like a thorn, which grows from the heel bone toward toe. 

Typically, a heel spur is harmless and does not cause problems. However, if the tendon of the foot sole and the tissue around the heel spur ignite, can at every step stabbing heel pain occur.

In such cases, especially help

Important for Treatment: sufferers should their Achilles tendon and fascia plantar regularly two stretch to three times daily. This can reduce the stress that weighs on the inflamed tissue - and thus lead to a decrease in pain.

How it works: What is a heel spur?

A heel spur is an unnatural spike-like Bone exostosis of the heel. More specifically, a heel spur normally develops where the tendons of the muscles are attached to the bone - the so-called calcaneus or calcaneus. Practitioners therefore often speak of a "calcaneal",

Comparatively rare bone collection can also occur at the base of the Achilles tendon, also Haglund's deformity or Haglund exostosis called. Such upper heel spur is innate and then guide you to heel pain when the foot is excessively loaded. Frequently this form is in connection with an inflammatory bursae and inflammation of the Achilles tendon.

Schematic representation of a heel spur © LifeArt image / 2001 / Lippncott Williams & Wilkins all rights rese

A heel spur looks like a small, out-standing thorn in the heel. Inflamed by the heel spur the surrounding tissue, can occur at every step pain.

A heel spur is created when the foot is overloaded for years. Due to the excessive load on the tendons of the foot sole strand can (so-called. Plantar fascia) to its point of attachment to the heel in such a way claimed be that he small cracks gets. This irritates the surrounding tissue or the periosteum. The result is a painful, localized inflammation - on lower heel pain.

Subsequently, superimposed on the body lime to the affected area from - perhaps to heal the small tendon tears. Along the chord, the so-called heel spur thereof gradually forms. but it may also initially formed (hereditary or by overloading), a heel spur, which in turn irritates the tendon and results in inflammation of the surrounding tissue.

Frequently Fußfehlformen can not be held Responsible, which are characterized by a flat stationary calcaneus - as for the kink-flat foot. By this misalignment results in a increased tensile load on the fascia in the sole of the foot: This train may in turn lead to the neck area of ​​a muscle ossified, which ultimately results in a plantar heel spur or lower.

For overloads that can lead to heel spurs, are different causes being:

From the outside, a heel spur can not be seen. In addition, most, a heel spur causes no or only mild symptoms so that sufferers see no reason for a doctor's visit. Therefore, the diagnosis often happens by accident. 

the spur heel pain resolves, so, these usually clearly an inflammation of the plantar strand (plantar fasciitis) out - which can also have other causes come into question, for example, plantar fibromatosis, or atrophy of the heel fat pad. 

Using an X-ray examination, the doctor may have a heel spur but surely notice:

Is a lower heel spur responsible for the symptoms, you can wear a heel pad with perforated liner on the pressure-sensitive point for treatment. This relieves the pain. In addition, special orthopedic insoles are useful if needed to support the longitudinal arch of the foot and relieve.

Other treatment options that have proved helpful in most patients, are:

If these measures are not sufficient to relieve heel pain, various medications can be used. There are suitable, for example, local anesthetic and corticosteroid mixtures, which are applied as an ointment in the range of the muscle insertion. 

In a so-called Haglund's deformity - so if a rear upper heel spur causes problems - you already achieved by a change of shoes improvement. You should refrain on to rigid boots and shoes, which close at the height of the spur.

Some doctors advise in a heel spur and an electrotherapy or so-called extracorporeal Shock Wave Therapy - the effectiveness of this method is controversial. The cost of such a heel spur treatment you have to usually wear himself.

In addition, there are specific homeopathic remedies to help with the pain - for example Hekla lava, which in the form of globules (globules) or tablets available. From schulmedzinischer perspective, however, is Not understandable, should act as homeopathic remedies. A targeted effectiveness of current knowledge so rather unlikely

Here, the doctor carries the spur with a chisel and removes a piece of tendon strand. This operation involves the risk in that scars form, which can lead to persistent pain. Therefore, it is advisable that you exhaust all non-operative treatment options before the operational heel spur treatment.

So it does not even come to that, you should protect the tendons of your foot. You can achieve this, for example by:

If you want to prevent a heel spur, it is also advisable to avoid or reduce obesity.


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