Calcaneal Heel Spur
Overview:
Subjective:
Objective Measures:
- A calcaneal spur, commonly known as heel spur, is a calcium deposit on the plantar surface of the foot. The bone spur is developed due to accumulated stresses brought on by the plantar fascia. Chronic plantar fasciitis and a calcaneal spur are closely associated with each other.
Subjective:
- Calcaneal spurs don’t always cause pain in patients. If the patient is having pain it will likely be in the morning or during weight bearing activities. Direct pressure over the spur will also reproduce the patients pain.
Objective Measures:
- Foot posture, ROM, strength, neurological, and gait measurements should all be taken in order to make a diagnosis. Pain during direct and lateral palpation over the site of the spur is typically a positive finding. A radiographic examination is used to confirm a calcaneal spur.
Intervention:
-Corticosteroids
-Local anesthetics
-Laser
-Shockwave therapy
complex will help decrease pain
- Anti-Inflammatory Agents
-Corticosteroids
-Local anesthetics
- Modalities
-Laser
-Shockwave therapy
- Stretching
complex will help decrease pain
- Strengthening
- Orthotics
- Surgical Techniques
References:
- PRISCILLA TU, DO, and JEFFREY R. BYTOMSKI, DO, Duke University, Durham, North Carolina:Diagnosis of Heel Pain:from the American Family Physician Web site at www.aafp.org/afp.
- Buchanan J, Buchbinder R, Forbes A, Gordon J, Prabaharan V, Ptatsnik R. UltrasoundguidedfckLRextracorporeal shockwave therapy for plantar fasciitis. JAMA 2002; 288: 1364-1372jama.ama-assn.org/content/288/11/1364.full.pdf+htmlAcademy of Ambulatory Foot and Ankle Surgery. Heel spur syndrome. Philadelphia (PA): Academy of Ambulatory Foot and Ankle Surgery; 2003
Last Edited by: Justin Stein , SPT at AT Still University on July 12, 2014