Treating A Bony Growth
A heel spur, sometimes called a bone spur, is a bony growth that protrudes from the bottom of the heel. A heel spur occurs due to calcium deposits. The condition is often painless but can sometimes cause discomfort that is typically relieved with nonsurgical methods. Surgery is reserved as the last resort when conservative treatments fail, and pain persists.
What causes a spur?
There are a few causes of heel spurs. The condition can happen due to stress or a sprain in the muscles, ligaments, or tendons. Heel spurs can also occur due to repeated tearing of the lining of the heel bone. People at higher risk of developing a heel spur are individuals with a gait disorder, athletes, and people who are obese. Bad footwear can also cause the problem to occur more frequently.
Easing pain conservatively
A person experiencing heel spur pain can usually be treated without surgery. Home treatments such as cold compress and over-the-counter (OTC) pain medications help reduce inflammation and relieve pain. Stretches, such as calf stretches and foot flexes, can help lessen the pressure and strain of the heel spur. Well-fitted shoes and custom orthotics decrease heel spur pressure and provide heel support. Cryo-ultrasound is a treatment that uses electromagnetic energy and cold therapy to alleviate pain. Steroid injections reduce pain but should be used within limits as there is a risk of tendon rupture with overuse. The healthcare provider will recommend the treatment of choice based on the patient’s symptoms.
When is surgery an option?
Heel spur surgery is advised when nonsurgical recommendations fail to relieve the symptoms. Walking normally after surgery will take time and varies for each patient. A potential complication of the surgery is nerve damage, and the heel spur can return after surgery. Before getting the procedure, speak to the surgeon about the procedure, risks, benefits, and prognosis.
Preventing spurs from occurring
There are various risk factors for heel spur, but some can be prevented. Obesity can be prevented by eating a healthy diet and losing weight. Wear comfortable and well-fitted shoes that support the arches. Choose to run or jog on soft surfaces like grass instead of pavement. When walking, make adjustments to prevent pressure on the heels. Stop any activities that exacerbate heel spur pain.
Back on the heels
Pain from heel spurs is usually managed with various non-surgical treatment options. The healthcare specialist will suggest surgery only if the conservative treatments are unsuccessful. While bothersome in some instances, relief from bony growths is possible.
