WHERE DOES IT HURT ?
A heel spur is a bone growth on the bottom (Plantar fascia attachment) or back (Achilles tendon attachment) of the heel. Injury or consistent pulling of these attachments will cause a calcification at the calcaneus and 'spur' formation.
The heel pain on the bottom of the foot is characterized as sharp with the first few steps in the morning and in the evening after increased activities with minor relief as it is “warmed up” during light walking and massage.
Take a look at our surgical video, orthotic casting video or Patient experience below:
HEEL SPUR SURGICAL TREATMENT
Heel spur removal on the bottom of the calcaneus is preceded by a release of the Plantir fascia. This first exposes the spur and it is then simply filed down with a special instrument. The incision is minimal (1cm to 1 ½ cm) at the inside of the heel and sutures are removed at 2 weeks.
Heel spur removal at the attachment of the achilles tendon is more complicated. It requires total or partial detachment of the tendon and then removal of the spur. Reattachment can be with or without a bone anchor, non-weight bearing with crutches is for 4-8 weeks depending upon the procedure.
The procedure is performed in an outpatient facility under sedation and partial weight bearing is allowed after 48 to 72 hours of non weight bearing.
Conservative TREATMENT - MAINTENANCE Care
The level of rest varies from decreased activities to crutches and non-weight bearing on the affected foot for 1 to 3 weeks. Avoid bare feet and shoes without support (sandals, flip-flops, house shoes, etc.).
Stretching: Static stretching in the morning AND evening using the proper technique will speed recovery and minimize re-injury.
Medication: Anti-inflammatory medication, both oral and topical can help with the chronic pain, but are not much help with the acute pain.
An anesthetic (numbing agent) mixed with cortisone (anti-inflammatory) is placed at the point of pain to relieve the sharp pain associated with the first few steps in the morning and/or pain at night after increased activities.
Temporary arch supports, supportive athletic shoes, or a higher heel on a shoe will all provide additional rest to the injured ligament. Custom molded orthotics is the best solution for immediate and long term treatment.
A night splint is a device that keeps a constant tension on the ligament while it is healing by keeping the foot at a 90 degree angle to the lower leg.
Examples of physical therapy include massage, cold therapy, contrast baths, stretching, ultrasound, and electric stimulation. Therapy, contrast baths, stretching, ultrasound, and electric stimulation.
Custom molded ORTHOTIC CARE TESTIMONIAL
This video is about Custom molded orthotics - Patient testimonial. A hard working construction worker who had painful feet and Plantir fasciitis was looking for more than the usual arch supports. The thermo molded polypropylene devices are casted with the feet in what is called the 'neutral position' to help lock the foot and arch in it's natural position. more on custom orthotics
These are links to more information on the subject, not intended to imply an endorsement.
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Our doctors have extended specialist medical training focused on the foot, ankle and lower leg. We are board-certified surgeons and experts in delivering care for complex foot and ankle disorders as well as cosmetic or reconstructive procedures and problems related to sports injuries and other medical conditions.
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