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Heel Spurs

Heel Spurs. What is a Heel Spur?. An abnormal growth on the heel bone It is usually associated with Plantar Fasciitis As the Plantar Fascia pulls away from the bone, the space is filled with calcification. Predisposing Factors. Pronated foot (flat foot) Supinated foot (high arch)

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Heel Spurs

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  1. Heel Spurs

  2. What is a Heel Spur? • An abnormal growth on the heel bone • It is usually associated with Plantar Fasciitis • As the Plantar Fascia pulls away from the bone, the space is filled with calcification

  3. Predisposing Factors • Pronated foot (flat foot) • Supinated foot (high arch) • Obesity • Improperly fitted or worn shoes • Women • Dancers • Gout

  4. Facts • The heel strikes the ground with 2,000 lbs of force for every 100 lbs of body weight

  5. Signs and Symptoms • Pain on center or inner side of the bottom of the heel • Pain could radiate into arch or ankle • Inflammation • Swelling • Painful first step in the morning

  6. Examination • Palpate bottom of the calcaneus • X-rays

  7. Treatment/Management • Over-the-counter anti-inflammatories • Ice compress • Ultrasound • Muscle stimulation • Stretching • Orthotics • Cortisone injections

  8. Orthotics Heel Cups Arch Support Night Splint

  9. Surgery • Preformed in the podiatrist’s office • Requires only a puncture under slight anesthesia • Piece of calcified bone is removed • No stitches neccessary

  10. Post Surgery • Patient can walk and is usually pain free after about a week • Slight pain may persist for up to 6 months • Can return to sitting job but no heavy lifting for 8 weeks

  11. Surgery

  12. Non-evasive surgery • Extra-corporeal Shock Wave Therapy (ESWT) • Uses sound waves to stimulate blood and oxygen flow to the injured area which causes the break down of diseased tissue and growth of new healthy cells • The machine is called the Orbasone machine which consists of a portable vacuum machine with a movable arm • A jarsized electrode is placed on sight of pain and patient receives 1,000 to 4,000 high energy pulses every 2 seconds

  13. Non-evasive surgery • Patient only experiences minor pain and bruising on the heel • Recovery time is only a few days

  14. References • http://www.acfas.org/brheelds.html • http://www.ourfootdoctor.com/yourfeet_heel.shtml • http://www.footsmart.com/ProductRecords.aspx?category=HP&pgtitle=Heel%20Spur%20Relief&srccode=IP59 • http://www.foot.com/info/cond_heel_spurs.jsp?source=overture

  15. References • http://www.personalhealthzone.com/heelspurs.html • http://www.footdoc-il.com/heel.htm • http://www.footcaredirect.com/heel.html • http://www.thefootspecialist.com/heelspurs.html

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