Heel Spur Treatment - Physiotherapist Kaan Akın

Heel spurs (plantar fasciitis) is a condition characterized by pain and discomfort felt at the base of the heel. Plantar fasciitis occurs as a result of inflammation and irritation of the connective tissue called the plantar fascia. The plantar fascia is a structure that supports the arch of the foot and extends from the heel to the toes.

Heel spurs are usually manifested by a sharp pain felt in the middle of the sole of the foot or under the heel. The pain may worsen when you get up in the morning or after sitting for a long time. Pain may also be felt while walking or standing. Heel spurs are often associated with factors such as repetitive overloading, incorrect shoe selection, flat feet, excess weight, or weak ankle and leg muscles.

The diagnosis of heel spur is usually made by physical examination and evaluation of symptoms. Your doctor can apply pressure to sore spots and evaluate movements. Imaging tests such as X-rays or magnetic resonance imaging (MRI) are rarely necessary and are usually used to rule out other possible causes.

Heel spur treatment is usually done with conservative methods and may include:

1. Rest: To reduce pain, it is important to reduce the load on the affected foot. Limiting activities and rest promotes healing.

2. Ice application: Ice can be applied to relieve pain and reduce inflammation. An ice pack or ice massage can be used.

3. Shoe selection: It is important to wear supportive and appropriate shoes. Soft-soled shoes or shoes that support the arch of the foot should be preferred.

4. Foot exercises: Doing foot and leg exercises recommended by a physical therapist can strengthen muscles and increase flexibility.

5. Foot sole support: Using special supports (for example, insoles or heel shields) placed on the sole of the foot can reduce pain and support the arch of the foot.

6. Anti-inflammatory drugs: Nonsteroidal anti-inflammatory drugs (NSAIDs) prescribed by your doctor can reduce pain and inflammation.

Surgical intervention is rarely necessary and is usually considered in cases that do not respond to conservative treatments or in severe cases. It is important for people with symptoms of heel spurs to consult a healthcare professional. Your doctor will make the correct diagnosis and assist you by suggesting the appropriate treatment plan.

What are the Causes of Heel Spurs?

1. Irritation of the plantar fascia: The plantar fascia is a band of connective tissue that supports the arch of the foot and extends from the heel to the toes. The plantar fascia can become irritated and inflamed due to overload, repetitive movements, or the use of the wrong foot.

2. Overload: Putting excessive stress on the feet for a long time, especially on the plantar fascia that supports the arch of the foot, can contribute to the development of heel spurs. The risk is higher in athletes, occupational groups who stand for long periods of time, or in people who are overweight.

3. Flatfoot: Flatfoot is a condition in which the arch of the foot is less pronounced than normal. In this case, the arch of the foot can put extra pressure on the plantar fascia, causing it to become irritated.

4. Foot structural abnormalities: Foot structural abnormalities include some naturally occurring disorders in the foot structure. For example, high arched feet or extremely flat feet can put extra stress on the plantar fascia, increasing the risk of heel spurs.

5. Choosing the wrong shoes: Wearing shoes that do not support the feet, have hard soles or the wrong size can trigger plantar fasciitis. Especially high heels or sneakers with extremely hard soles can put extra pressure on the feet.

6. Muscle weakness or instability: Weak or unbalanced foot, ankle and leg muscles can affect the load on the plantar fascia and increase the risk of heel spurs.

Heel spurs usually develop as a result of a combination of the factors mentioned above. However, the fact that any person has these factors does not mean that they will develop heel spurs. Therefore, it is important for people with heel spur symptoms to consult a healthcare professional. Your doctor will guide you for the correct diagnosis and treatment.

What are the symptoms of heel spurs?

Heel spurs (plantar fasciitis) is a condition characterized by pain and discomfort on the sole of the foot. Here are the symptoms of heel spurs:

1. Heel pain: The most prominent feature of heel spur symptoms is the pain felt in the heel area. The pain is usually felt under the heel or in the middle of the sole of the foot. The pain may feel sharp or stabbing.

2. Morning stiffness: You may experience heel pain and stiffness on the first steps in the morning or when you stand up after sitting for a long time. The pain usually subsides as the foot moves and warms up.

3. Pain while walking: People with heel spurs often experience heel pain when walking or standing. The pain may get worse after walking for a long time.

4. Heel tenderness: The heel area can be sensitive, especially in people with heel spurs. You may feel pain when pressure is applied to the heel.

5. Heel swelling or redness: In some cases, people with heel spurs may experience mild swelling or redness in the heel area. However, this symptom may not always occur.

Heel spur symptoms often occur as a result of repetitive overload or overuse. Symptoms usually worsen over time and can affect daily activities. If you have heel pain and symptoms, it is important to consult a healthcare professional. Your doctor will guide you for the correct diagnosis and treatment.