Calcaneal spur

A heel spur is a bony growth that develops on the heel bone. Although it may be found in an area where pain occurs, a heel spur is not always the cause of the discomfort. In many cases, heel pain is related to conditions such as plantar fasciitis, which affects the tissue along the bottom of the foot.

What causes heel spurs?

Heel spurs may develop as a result of repeated stress or strain on the structures of the foot. Factors associated with heel spurs and heel pain include:

• Being overweight or obese.
• Performing high-impact sports or physical activities.
• Standing or walking for long periods.
• Wearing shoes with inadequate support.
• Having flat feet, high arches, or other changes in foot mechanics.
• Suddenly increasing physical activity.

Symptoms of heel spurs

A heel spur may not cause any symptoms. When pain is present, it may include:

• Pain underneath the heel.
• Pain that is worse with the first steps in the morning.
• Pressure or discomfort when putting weight on the foot.
• Pain when walking, running, or exercising.
• Discomfort after sitting for a long period.

The severity of pain does not necessarily correspond to the size of the heel spur.

How are heel spurs diagnosed?

An Orthopedic or Traumatology specialist will perform a physical examination and ask about your symptoms, activities, medical history, and footwear.

Depending on each case, an X-ray of the heel may be requested to identify the bone growth and rule out other possible causes of heel pain. Not everyone requires imaging tests.

Treatment for heel spurs

Treatment depends on the cause of the pain and each patient's individual needs. Options may include:

• Temporarily modifying activities that cause pain.
• Stretching and strengthening exercises.
• Physical therapy.
• Supportive and cushioned footwear.
• Heel cups or custom orthotic inserts.
• Pain-relieving medication when appropriate.

Surgery is rarely needed and may be considered when symptoms persist despite other treatments.

How can you care for your feet?

If you have heel pain, these measures may help reduce discomfort:

• Wear comfortable, supportive shoes.
• Follow the exercises and stretches recommended by a healthcare professional.
• Maintain a healthy weight.
• Temporarily reduce high-impact activities if they increase pain.
• Attend physical therapy when recommended.

When should you see a specialist?

See an Orthopedic or Traumatology specialist if your heel pain is severe, persistent, gets worse, or interferes with your daily activities.

A medical evaluation can determine whether you have a heel spur and, more importantly, identify what is causing the pain.

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At BlueNet Hospitals, Orthopedic and Traumatology specialists are available to evaluate your heel pain, identify its cause, and determine the appropriate treatment.

Frequently Asked Questions About Heel Spurs

1. What is a heel spur?

A heel spur is a bony growth that develops on the heel bone. It can be present without causing pain.

2. Do heel spurs cause pain?

Not always. Many people have heel spurs without experiencing discomfort. Heel pain may be related to other conditions, such as plantar fasciitis.

3. What are the symptoms of a heel spur?

When pain is present, it may occur underneath the heel and be worse with the first steps in the morning or after sitting for a long period.

4. How are heel spurs diagnosed?

Diagnosis begins with a medical evaluation and physical examination. In some cases, an X-ray may be requested to identify the bone growth and rule out other causes of heel pain.

5. Do heel spurs require surgery?

Usually not. Treatment generally begins with conservative measures such as activity modification, stretching, physical therapy, and appropriate footwear or foot support. Surgery is reserved for persistent cases.