What Exactly Is Posterior Calcaneal Spur

Posterior Calcaneal Spur


Heel spur is a hook of bone that forms on the heel bone. The condition itself is not the most painful; it is the inflammation and irritation that cause the heel pain. Often times, plantar fasciitis is a cause of heel spurs. When the ligaments are pulled away, calcium deposits form on the hooked bone. An orthotic will help relieve the pain associated with heel spurs.


An individual with the lower legs angulating inward, a condition called genu valgum or “knock knees,” can have a tendency toward excessive pronation. As a result, this too can lead to a fallen arch resulting in plantar fascitis and heel spurs. Women tend to have more genu valgum than men do. Heel spurs can also result from an abnormally high arch. Other factors leading to heel spurs include a sudden increase in daily activities, an increase in weight, or a change of shoes. Dramatic increase in training intensity or duration may cause plantar fascitis. Shoes that are too flexible in the middle of the arch or shoes that bend before the toe joints will cause an increase in tension in the plantar fascia and possibly lead to heel spurs.

Calcaneal Spur


Heel spurs are most noticeable in the morning when stepping out of bed. It can be described as sharp isolated pain directly below the heel. If left untreated heel spurs can grow and become problematic long-term.


Most patients who are suffering with heel spurs can see them with an X-ray scan. They are normally hooked and extend into the heel. Some people who have heel spur may not even have noticeable symptoms, although could still be able to see a spur in an X-ray scan.

Non Surgical Treatment

Podiatric Care for heel spur syndrome may involve keeping the fascia stretched out by performing exercises. Your doctor may also suggest for you to be seen by a physical therapist. You probably will be advised on the best shoes to wear or some inserts for your shoes. Your podiatrist may suggest that a custom made orthotic be made to allow your foot to function in the most ideal way especially if you have excessive pronation. A heel lift may be used if you have a leg length discrepancy. Medical treatment may include anti-inflammatory oral medications or an injection of medication and local anesthetic to reduce the swelling and decrease pain. If a bursitis is present the medication may greatly improve the symptoms. Your podiatric physician may also recommend a surgical procedure to actually fix the structural problem of your foot.

Surgical Treatment

Heel spur surgery should only be considered after less invasive treatment methods have been explored and ruled insufficient. The traditional surgical approach to treating heel spurs requires a scalpel cut to the bottom of the food which allows the surgeon to access the bone spur. Endoscopic plantar fasciotomies (EPF) involve one or two small incisions in the foot which allow the surgeon to access and operate on the bone spur endoscopically. Taking a surgical approach to heel spur treatment is a topic to explore with a foot and ankle specialist.


You can prevent heel spurs by wearing well-fitting shoes with shock-absorbent soles, rigid shanks, and supportive heel counters; choosing appropriate shoes for each physical activity; warming up and doing stretching exercises before each activity; and pacing yourself during the activities. Avoid wearing shoes with excessive wear on the heels and soles. If you are overweight, losing weight may also help prevent heel spurs.


Plantar Fasciitis, Heel Spur

Home remedies usually focus on reducing the inflammation of ligaments and thus the pain associated with it. One of the best ways to do so is to wear orthopedic molds. You can buy them over the counter and, after placed under your heel , they will diminish the pain felt when walking. It is totally unadvisable to walk barefoot because this will apply some extra pressure on your ligaments. If you don’t have orthopedic molds, before buying them, use shoes that have a one inch high heel This is extremely painful in the morning, after the ligaments have contracted overnight.

Achilles tendonitis — In most cases, Achilles tendonitis (inflammation of the Achilles tendon) is triggered by overuse, especially by excessive jumping during sports. However, it also can be related to poorly fitting shoes if the upper back portion of a shoe digs into the Achilles tendon at the back of the heel. Less often, it is caused by an inflammatory illness, such as ankylosing spondylitis (also called axial spondylarthritis), reactive arthritis, gout or rheumatoid arthritis. Calcaneal apophysitis — In a child, this condition causes pain and tenderness at the lower back portion of the heel. The affected heel is often sore to the touch but not obviously swollen.heel spur surgery recovery

Plantar Fasciitis is a very common condition caused by over-pronation. As the feet flatten, the Plantar Fascia (fibrous band of ligaments under the foot) is being overly stretched, leading to inflammation in the heel, where the fascia attach to the heel bone. Plantar Fasciitis causes chronic heel pain and sometimes a heel spur develops (bony growth at the heel bone). Furthermore, when the legs rotate inwards the pelvis is forced to tilt forward. This results in constant strain and stress on the lower back muscles. Women are more prone to developing these symptoms, primarily due to shoe wear with rigid heels and/or heel counters. You Might Also Like Plantar Fasciitis

Individuals who have high arches or flat feet are more prone to developing them. This is due to the overpronation or oversupination that often occurs due to the poor biomechanical form the feet often take with these conditions. Women may be more likely than men to develop a heel spur due to their choice of footwear. If excessive strain was placed on the foot a day before, pain today will also be greater. An accidental or sudden strain by jumping or leaping can increase the pain. This type of pain is localized initially but long durations of walking and standing can cause the whole heel to be tender and aching.heel spur removal

Careful attention to footwear is critical in avoiding foot injuries. Every effort should be made to wear comfortable shoes with proper arch support, fostering proper foot posture. Should arch supports prove insufficient, an orthotic shoe should be considered. Fortunately, most cases of plantar fasciitis respond well to non-operative treatment. If you enjoyed this article, please feel free to forward it to others, make it available from your site or post it on blogs and forums for others to read. All we ask is that this paragraph and URL are included. For more information and articles on stretching, flexibility and sports injury management , visit The Stretching Institute.

Heel Pain Causes

A side effect that was observed with this procedure was a healing effect on surrounding tissue. The continuous low-energy radio waves of conventional ultrasound have long been used as a tool for healing inflammation. For soft-tissue issues such as plantar fasciitis, ESWT represents an enhancement of this effect, generating higher-energy acoustic waves two or three times per second. Taking approximately a half-hour, ESWT is an outpatient procedure performed under local anesthetic. A typical course of treatment involves one, possibly two, ESWT sessions, with results becoming apparent over a period of two to three months.

Over the years I noticed that the older the injury the larger the spur. Soon I was able to predict within a few years when the patient had their injury based on the size of the spur. I have never seen a case where the spur was the cause of the pain. We know this because after a few weeks the patient is pain free for 6-10 weeks of active rehabilitation but the spur is still there. Commonly they got relief and it had not hurt for 19 years then the area got aggravated recently prompting the visit to our center and the medical necessity for the x rays.

Stretching exercises , using nigh splints and shoe inserts for traction of leg muscles in order to stretch the muscle in the back of the leg and massaging the back of the leg can also be very helpful. Padding, heel cushions and silicone heel cups can also be used to treat morning heel spur They provide adequate support to the heel and prevent any abnormal heel motion. A sports massage therapist who understands heel spurs and how to relieve the associated pain can be helpful. Massaging the entire foot and lower leg can help loosen tightness, break up scar tissue and adhesions, and relieve pressure on the heel spur. Anti-Inflammatoriesheel spur shoes

When taking a morning shower let the warm water run along the backs of your legs. Once they are nice and warm stand facing the wall of the shower placing your hands on the wall at eye level. Put one leg stretched about one step behind the other leg. Keep the back heel on the shower floor and bend your front knee till the feel of the stretch reaches the back leg. Hold this stretch for the count of 10 and then switch legs. Repeat this 4 times or less if pain is too much tolerate.

Arch support is often recommended by doctors and journal articles, and it ranked #1 in our first survey, but in our 2nd survey it did not rank as high as the above treatments. My favorite arch supports are the $28 Powerstep (which has more arch support than the ones I’ve seen in stores) and the $39 Custom Insole Kit which has arch support that can be adjusted at home. If you’re looking for an insert with the thickest and best cushion (but mild arch support), we also sell the RoadRunners. Read more Home Remedies for Heel Spur Also know useful Home Remedies for Heartburn Read effective Home Remedies for Candida

Use your countertop. Perform a stretching exercise while leaning forward onto your countertop. Spread your feet apart, one foot in front of the other. According to nismat.org, bend your knees and squat down. Be certain your heels are on the ground for as long as possible. As you bend, you will feel your foot arches and heel cords stretch as your heel comes up off the ground. Hold the stretch for 10 seconds. Relax and return to the upright position with your legs straight. Repeat this exercise 15 times. Did you have heel spurs removed years ago and are they now coming back even more painful than before ?

The initial foot pain, which can feel like a hot knife stabbing through the bottom of the foot with every step, is caused by the inflammation of the plantar fasciitis. The inflammation can be caused by many factors; wearing shoes with little or no arch support, jobs that require standing for long periods of time, improper fitting shoes, high heels, being overweight or having flat feet are some of the contributing factors. Since, procedures mentioned above are non-invasive the heel spurs surgery improvement time is very less. In fact, this procedure can be performed with a lot ease and the patient does not require to be hospitalized.