Pathphysiology of Bone spurs heel

Bone spurs heel are hook-shaped extension of the bone and are made up of excess calcium deposits on the bone. This causes impingement of the normal functioning of the feet as the whole feet gets affected by the injury done by the bone spurs heel. In some extreme cases bone spurs heel can cause the pain in both lower and upper legs including the hips and back. The patient in order to avoid pain of the heels starts walking on the ball of his feet or on his toes which causes a strain on the entire lower back.

Causes of Bone Spurs Heel

Several factors may be held responsible for the occurrence of the bone spurs heel. People who are overweight or have suddenly gained weight are most likely to develop this problem. Athletes also have them as the regular jumping and running causes the plantar fascia ligament to extend excessively causing it to develop. Women and men also who have 'knock knee' are also commonly found to have them. People indulging in heavy weight lifting like body builders or laborers also tend to develop this ailment. A bad gait can also result in formation of bone spurs heel.

Diagnosis of Bone Spurs Heel

A calcaneal spur or bone spurs heel is a radiological finding. X-ray is taken of it in order to determine the size and location of the spur. The extent of protrusion into the plantar fascia is also detected with the help of the x-ray. Both the posterior and inferior calcaneal spurs are visible in the x-ray. The posterior bone spurs heel can also be diagnosed by clinical examination of the affected heel as it is often palpable through the skin and is large in size. It can then be surgically removed.

Prognosis of Bone Spurs Heel

Bone spurs heel are very painful once they develop inside the heel and are difficult to be treated by mere medications. Minor damage caused to the ligament or tissue can get healed in a few weeks or months but in case of serious injury to the plantar fascia surgical intervention is the only respite from the nagging pain and inflammation. Medication and rest can only help temporarily to relieve the pain and swelling. Early corrective measures against causative factors may help to bring improvement in the long-term prognosis of the bone spurs heel.

How to prevent Bone spurs Heel

Bone spurs heel can be prevented by taking certain precautions like supporting the heel with a small cushioned insole placed inside the shoe. Pronation of the feet can be avoided by putting an arch support in the shoe. If you are overweight, then it's advisable to lose excessive weight so that your feet do not get overstrained. Maximum rest should be given to the foot till it is completely cured. Ice packs and compress bandage also help in curbing the aggravation of the injury done to the tissue. It is advisable to visit a doctor to rule out bone spurs heel.