Heel spur in Barranquilla, Colombia

What is a heel spur?

It is a small bony projection on the underside of the heel, where the plantar fascia attaches. It forms from repeated tension on that area and is common in people with plantar fasciitis, excess weight or who stand for long periods.

Is the spur what hurts?

Usually not. Many people have a spur on X-ray and feel nothing. Pain usually comes from the accompanying inflammation of the plantar fascia. That is why treatment targets the fascia, not removing the bone.

How is it treated?

With sole and calf stretches, supportive cushioned footwear, insoles or heel cups, ice and weight control. If it does not improve, shockwave therapy or injections may be used. Surgery is reserved for very persistent cases after several months of treatment.

Which specialist should you see?

A foot and ankle orthopedist, a physiatrist, a podiatrist for insoles and a physical therapist for the exercise plan.

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