There heel spur it's not as painful as a thorn in the side but can be quite annoying. Let's see what it is and what are the remedies. There is also surgery but it is usually used when other types of treatment do not have the desired success.
Heel spine: what it is
This is an abnormal bone spur called a spina because it actually looks like a rose thorn or a claw. It arises at the back or bottom of the calcaneus which is one of the 7 bones of the tarsus in the foot. Abnormal bone spurs of this type are defined with a single word osteophytes and are most often formed in correspondence with the articular margins of bones subjected to erosive and irritative processes with a chronic character.
The heel spur is a problem often associated with plantar fasciitis or problems with the Achilles tendon and may be due to injuries to a tendon or muscle of the foot, excessive strain of the plantar fascia or repeated tearing of the periosteum of the calcaneus.
You understand that you have the heel spur because the foot hurts, to investigate and be sure it is better to do an x-ray. As for the cure, it is better to try the conservative way and, only in case of failure, proceed by undergoing a surgery.
Heel spine: types
There heel spur it can be of two types, inferior or posterior, it depends on where it is located, quite simply. When it is lower, it means it is erupted on the sole of the foot, under the heel, just where it intersects with the plantar fascia and it is precisely for this reason that we often find it associated with plantar fasciitis. In the case of posterior heel spurs, however, the problem arises in the posterior part of the heel where it crosses with the Achilles tendon. It is also seen with the naked eye in this position and is often associated with an inflammation of the Achilles tendon.
It is possible to try to prevent the heel spur with some tricks not too difficult. For example, let's start wearing comfortable, good quality shoes, especially when we do sports such as running or jogging. Before exercising, let's remember to do the appropriate warm-up and avoid overdoing it. If deemed necessary, it may be useful to insert any supports in the shoes, insoles or orthotics.
Heel spine: causes
The plantar fascia is a ligament, located on the sole of the foot that runs from the bones of the heel to the bones of the fingers, allows us in a nutshell to curve the foot and acts as a cushion when we walk or jump. When gods are formed here osteophytes they are often triggered by erosive and irritative processes affecting the bone. How does this happen?
Very often everything starts with injuries to a tendon or muscle in the foot, excessive stretching of the plantar fascia or repeated tearing of the periosteum of the calcaneus which is a whitish membrane that lines the bones.
Sometimes, but more rarely, the heel spur is linked to the onset of inflammatory diseases, such as reactive arthritis, ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis.
Doctors have also identified risk factors for this problem, including aabnormal gait, running on surfaces that are too hard, the use of unsuitable shoes, accentuated overweight.
Heel spine: exercises
There are two ways of treating the heel bone, conservative therapy and surgical therapy, to be used only when the previous one has failed. Conservative therapy does not eliminate the thorn but acts to decrease pain and provides a set of actions that are synergistically effective.
There are exercises to do, di stretching and also strengthening that stimulate all the muscles of the leg that refer to the Achilles tendon to which other physiotherapy exercises can be added for the prevention of plantar fasciitis and Achilles tendon disorders. In general we will be prescribed some rest, avoiding runs and long walks, and even gods pain medication. It is very important for the future to also have shoes that do not press on the heel spur and possibly also plantar orthoses to be inserted in everyday footwear which can also be useful for plantar fasciitis.
Heel spine: surgery
If conservative therapy has not worked, one must resort to the surgical one with which remove the osteophyte. If plantar fasciitis is associated with the heel spur, the plantar fascia is also distended.
After the operation it is necessary to rest completely by applying ice e keeping the leg raised. Such an operation is usually considered indispensable when conservative therapy has not been successful and when the symptoms persist incessantly for 9-12 months.
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