Heel Spur
Description
An extra portion of bone that arises from the heel and is the attachment of the plantar fascia. The plantar fascia is a thick fibrous band in the bottom of the foot that can become inflammed and cause the condition plantar fascitis. About 70% of patients with plantar fascitis have a heel spur but some patients with heel spurs do not experience any discomfort. It is unclear if the heel spur is actually contributing to the pain.
Symptoms
Heel pain, tightness in the heel, pain in the bottom of the foot. The pain can be worse in the morning. Tenderness of the bottom of the foot.
Tests
A history and physical exam will be done. An x-ray is done to confirm the heel spur.
Treatment
The treatment is the same as for plantar fascitis. Conservative treatment is usually successful but may require 6-18 months. Initial treatment consists of: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), acetaminophen (Tylenol), heel stretching exercises, night splints, shoe inserts. If these modalities fail a steroid injection, and/or surgery may be recommended.
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