♻️Calcane spurs ♻️- are a very common reason why patients go to the doctor’s office. The calcaneal spur is a bony prominence that occurs at the level of the plantar fascia on the heel. Basically, the spurs are “calcium deposits” that produce a deformation on the surface of healthy bone. It is considered calcaneal spur from 2 mm upwards. They are very painful and are often associated with plantar fasciitis (inflammation of the fascia that connects the calcaneus to the front of the foot, being the one that does not give and does not maintain the arch of the foot). The spurs are diagnosed imagistically on the profile incidences of calcaneal radiographs. The pain is closely related to the size of the spur, being given by the compression level of the lower calcaneal nerve, with the inflammation of the spur, with the thinning of the fat layer that surrounds the heel and plantar fasciitis. The causes are multiple, such as: ● calcium deposits – fascia irritation plants repetitively; ● obesity; ● jogging on hard surfaces (asphalt and slag); ● inadequate footwear; Symptom: ● pain in the heel area ● Most patients describe a pain comparable to the sting of a knife in the heel, when standing up especially in the morning or when the patient needs activity after a longer period of time. Diagnosis: ● clinic ● radiological Treatment More than 90% respond to classic treatment such as: ● physiotherapy: Shock-wave, ultrasound, LASER, TENS ● physical therapy: passive mobilizations, passive-active, active, Streaching ● anti-inflammatory drug during painful periods ● wearing heels ● different types of silicone orthoses to reduce shock
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