Heel spurs are bony growths that develop on the underside of the heel bone (calcaneus). They usually form gradually, often alongside plantar fasciitis, as the body attempts to protect inflamed tissue. While some heel spurs cause no symptoms, many patients experience sharp, persistent heel pain that can affect daily activities.
Common Causes of Heel Spurs
1. Repetitive Heel Strain
Frequent running, walking on hard surfaces, or wearing unsupportive shoes can place continual stress on the heel, encouraging spur formation over time.
2. Plantar Fasciitis
Inflammation of the plantar fascia often leads to heel spurs. The body deposits extra calcium to protect damaged tissue, which can result in painful bony growths.
3. Foot Mechanics Issues
Flat feet, high arches, or an improper gait can cause uneven stress on the heel, making spur development more likely.
4. Age and Weight Factors
Age-related wear and tear, combined with excess body weight, can place extra pressure on the heel, increasing the likelihood of spur formation.
Signs and Symptoms of Heel Spurs
- Sharp Heel Pain: Stabbing pain at the bottom of the heel, especially when taking the first steps in the morning or after sitting for long periods.
- Tenderness and Inflammation: Swelling, redness, and sensitivity in the heel area.
- Difficulty Standing or Walking: Persistent pain may make walking or standing for long durations uncomfortable.
Note: Heel spurs often occur alongside plantar fasciitis. Even if the spur itself is painless, inflammation of surrounding tissues can amplify discomfort.
Diagnosis of Heel Spurs in Kalamazoo
At Kalamazoo Podiatry, Dr. Terence Bredeweg carefully diagnoses heel spurs using:
- Physical Examination: Checking for pain, tenderness, and mobility issues.
- Imaging Tests: X-rays help visualize the bony growth and determine its size and location.
Non-Surgical Heel Spur Treatments
Custom Orthotics and Footwear Adjustments
Tailored orthotics and cushioned shoes help redistribute pressure away from the heel, reducing pain and preventing further damage.
Physical Therapy and Stretching
Strengthening the plantar fascia, calf muscles, and Achilles tendon can improve foot mechanics and reduce stress. Recommended stretches include:
- Calf stretches
- Plantar fascia stretches
- Achilles tendon stretches
Anti-Inflammatory Medications
NSAIDs may be used to temporarily relieve pain and reduce inflammation.
Corticosteroid Injections
In more severe cases, targeted injections can decrease inflammation and provide relief.
Extracorporeal Magnetotransduction Therapy (EMTT)
A non-invasive, advanced treatment that uses magnetic energy to stimulate blood flow, promote healing, and reduce inflammation in the heel.
MLS Laser Therapy
Multiwave Locked System (MLS) Laser Therapy is a non-invasive treatment that uses light energy to reduce inflammation, relieve pain, and accelerate healing in the affected heel. It’s a modern option for patients seeking faster recovery without surgery.
Shockwave Therapy
High-energy sound waves help break down scar tissue and stimulate tissue regeneration, promoting faster recovery.
Surgical Options for Heel Spurs
Surgery is rarely necessary but may be recommended if conservative treatments fail over several months. Procedures typically involve removing the heel spur and releasing tension in the plantar fascia.
Recovery After Heel Spur Surgery
Post-surgery, patients usually undergo physical therapy to restore mobility and strength. Recovery time varies, but most patients gradually return to normal activities.
Preventing Heel Spurs
- Supportive Footwear and Arch Support: Shoes with cushioning and proper arch support can help prevent heel spurs.
- Regular Stretching and Strengthening: Stretching the calves, Achilles tendon, and plantar fascia reduces the risk of overuse injuries.
- Maintaining a Healthy Weight: Reducing excess weight lowers the strain on your feet, decreasing the risk of heel spurs.
Don’t Let Heel Spurs Hold You Back
Heel spurs can cause significant discomfort, but with early diagnosis and the right treatment plan, relief is possible. If you’re dealing with persistent heel pain in Kalamazoo, Dr. Terence Bredeweg and the team at Kalamazoo Podiatry can help.
Call (269) 373-1019 or fill out our online contact form today to schedule an appointment. We’ll evaluate your symptoms, provide a clear diagnosis, and create a personalized treatment plan to get you back on your feet comfortably.