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Dr. Brandon Macy
Podiatrist - Clark, NJ
1114 Raritan Road
Clark, NJ 07066




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Posts for tag: heel spur

By Brandon Macy, D.P.M.
October 15, 2014
Category: Heel pain

Heel pain.  Miserable when you first stand up getting out of bed in the morning or when getting out of the car after driving home at the end of the work day.  Or even after you’ve been sitting down for a few minutes and stand up.  This symptom is known as post static dyskinesia, a very common symptom of a condition known as plantar fasciitis.  There’s an association with heel spurs or heel spur syndrome, but let me explain the connection between the two.

Each of our bodies is a complex “walking machine” that functions according to how it was built –by our parents.  The basic structure of our skeleton is akin to the structural framework of a building or a machine.   Faulty “engineering” leads to faulty function.  We may see it as feet that are unstable—they pronate or the arch flattens out excessively or in very rigid feet [Note that I don’t refer to a high or a low arched foot—it is the stability of the arch that matters].  When this happens, there’s an excessive amount of tension placed on the plantar fascia, a tough band of ligaments under the arch of the foot. 

Over a great deal of time, this extra tension on the plantar fascia may result in calcification of its attachment to the heel on the bottom of the foot.  This is what becomes known as a heel spur.   This can also happen on the back of the heel where the Achilles tendon attaches.

 Small heel spurs on the bottom and back of the heel. 

The good news is that heel spurs rarely cause pain directly.  They’re not under the weight bearing surface of the heel.  When the area is painful, it is most typically caused by a strain of the plantar fascia itself—plantar fasciitis.  In fact, I’ve seen countless patients in a great deal of pain but have no spur on x-ray examination.  I’ve also seen many large spurs on x-ray where there’s never been a day’s worth of heel pain.

How do we treat heel spurs?  As no more than about 1% of heel spurs are the direct cause of pain, it is rare that a spur needs to be removed surgically.  Symptomatic plantar fasciitis does need to be treated, starting with prescription orthotics which can reduce the biomechanical strain on the plantar fascia, along with any number of other modalities done to reduce the pain and inflammation including corticosteroid injections and laser treatment.  Advanced techniques such as shockwave therapy and amniotic tissue injections can be of help in the long-term, stubborn cases.

For more information about heel spurs, plantar fasciitis, orthotics or if you have other questions about foot problems you’d like answered, visit our website at www.clarkpodiatry.com.  You can also call for an appointment at 732-382-3470.


#heelpain #plantar fasciitis #heelspur #ClarkPodiatry

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1114 Raritan Road
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Podiatrist - Clark, Dr. Brandon Macy, 1114 Raritan Road, Clark NJ, 07066 732-382-3470