Heel Spurs

Heel spur is a condition in which the bottom of the heel is extremely painful. A heel spur is a bony overgrowth on the bottom of your heel bone. The heel spur is usually a result of prolonged inflammation of the plantar fascia on the bottom of the foot that attaches to the heel bone. Constant abnormal pulling of this ligament irritates the heel bone and the body lays down a bone spur as a protective mechanism. The patient usually complains of pain with the first step in the morning, some relief following activity, but returning after extended amounts of time standing or walking.  This condition is a constellation of many causes; overweight, pronation, bio-mechanical problems (misalignment of the heel), gout, and rheumatoid arthritis are some of the causes of heel pain.  An x-ray may be necessary when diagnosing this condition.

The treatment of heel spurs is the same as for plantar fasciitis.  Since the cause is overstretching of the plantar ligament due to overpronation, a custom orthotic works very well in addressing these conditions.  In the case of a heel spur a "U" shaped pad will be added to the heel of the orthotic to accommodate the spur and prevent additional pressure.