News | May 22, 2020

The heel spur

...small and mean...

The plantar fasciitis as the condition is correctly called, annoys a large proportion of the population on a daily basis. What sounds like medical gobbledygook and stings like a burning nail under the heel can make life very difficult.

Contrary to many statements, the cause of the pain is not the bony protrusion on the heel, i.e. the "heel spur", but a local inflammation of the plantar fascia.

The typical "running" or "starting" pain is a typical sign. These symptoms usually improve during the course of the day for most people.

Heel spur

How did this come about?

The risk arises from constant overloading of the feet. In most cases, this means a standing job, foot malpositions (fallen arches or flat feet), long-distance running, shoes that are too hard, etc...

However, complaints in the heel are not always plantar fasciitis. In rather rare cases, it can be a nerve contusion, a "Haglund's exostosis" or anything else that can go wrong down there.

So how does this annoying thing come about?

The heavy load on the natural longitudinal arch of the foot and the plantar ligament causes mini-damage to its attachment to the bone. This causes the severe pain.

Does surgery need to be performed?

Clearly no!!! In over 90% of all cases, surgery is not necessary.

What can I do about it?

It depends: In medicine, nothing and above all no one can be treated in a generalized way.

Depending on how long the symptoms have been present, how severe they are and what has led to them, the path to recovery is determined.

Ask your doctor for detailed advice on the possible forms of therapy and options.

To list a few things:

  • Consistent stretching of the calf muscles
  • Insole supply with heel spur recess
  • Soft footwear
  • Hedgehog ball exercises 10 minutes a day
  • Shock wave therapy
  • Injections (if necessary)
  • Medication (in exceptional cases)

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