Heel Spur
Fasciitis, Plantar
Plantar fasciitis and calcaneal spur formation are associated with abductor digiti minimi atrophy on MRI of the foot. (1/3)
(+info)Comparative trial of the foot pressure patterns between corrective orthotics,formthotics, bone spur pads and flat insoles in patients with chronic plantar fasciitis. (2/3)
INTRODUCTION: The objective of the study is to compare the efficacy of fl at insoles, bone spur pads, pre-fabricated orthotics and customised orthotics in reducing plantar contact pressure of subjects with plantar fasciitis. MATERIALS AND METHODS: This is a controlled non-blinded comparative study conducted in a tertiary medical institute. Thirty subjects with unilateral plantar fasciitis between the ages of 20 and 65 years were recruited at the sports medicine clinic. The contact pressures and pressure distribution patterns in both feet for each subject were measured with sensor pressure mats while standing. Repeat measurements were made with the subjects wearing shoes, fl at insoles, bone spur heel pads, pre-fabricated insoles and customised orthotics on both feet. The asymptomatic side was used as the control. Contact pressure measurements of the symptomatic and asymptomatic feet and power ratio of the pressure distribution pattern of the rearfoot were then compared. RESULTS: Contact pressure was higher on the asymptomatic side due to unequal distribution of weight. Bone spur heel pads were ineffective in reducing rearfoot pressure while formthotics and customised orthotics reduced peak rearfoot pressures significantly. The power ratio of the rearfoot region decreased with the use of formthotics and customised orthotics. CONCLUSION: Pre-fabricated orthotics and customised orthotics reduced rearfoot peak forces on both sides while bone spurs heel pad increase rearfoot peak pressures. Pre-fabricated and customised orthotics are useful in distributing pressure uniformly over the rearfoot region. (+info)Diagnosis of heel pain. (3/3)
Heel pain is a common presenting symptom in ambulatory clinics. There are many causes, but a mechanical etiology is most common. Location of pain can be a guide to the proper diagnosis. The most common diagnosis is plantar fasciitis, a condition that leads to medial plantar heel pain, especially with the first weight-bearing steps in the morning and after long periods of rest. Other causes of plantar heel pain include calcaneal stress fracture (progressively worsening pain following an increase in activity level or change to a harder walking surface), nerve entrapment (pain accompanied by burning, tingling, or numbness), heel pad syndrome (deep, bruise-like pain in the middle of the heel), neuromas, and plantar warts. Achilles tendinopathy is a common condition that causes posterior heel pain. Other tendinopathies demonstrate pain localized to the insertion site of the affected tendon. Posterior heel pain can also be attributed to a Haglund deformity, a prominence of the calcaneus that may cause bursa inflammation between the calcaneus and Achilles tendon, or to Sever disease, a calcaneal apophysitis in children. Medial midfoot heel pain, particularly with continued weight bearing, may be due to tarsal tunnel syndrome, which is caused by compression of the posterior tibial nerve as it courses through the flexor retinaculum, medial calcaneus, posterior talus, and medial malleolus. Sinus tarsi syndrome occurs in the space between the calcaneus, talus, and talocalcaneonavicular and subtalar joints. The syndrome manifests as lateral midfoot heel pain. Differentiating among causes of heel pain can be accomplished through a patient history and physical examination, with appropriate imaging studies, if indicated. (+info)A heel spur, also known as a calcaneal spur, is a bony growth or projection that develops on the underside of the heel bone (calcaneus). It typically occurs where the plantar fascia, a band of tissue that supports the arch of the foot, attaches to the heel bone.
Heel spurs are often caused by repetitive stress and strain on the foot, particularly in people who have plantar fasciitis, an inflammation of the plantar fascia. Over time, this tension can cause the body to lay down new bone tissue, leading to the formation of a spur.
Heel spurs themselves are not necessarily painful, but they can cause pain and discomfort if they rub against shoes or if they irritate surrounding tissues. Treatment for heel spurs typically involves addressing the underlying causes of the condition, such as plantar fasciitis, through measures such as rest, ice, stretching exercises, physical therapy, and orthotics. In some cases, surgery may be necessary to remove the spur.
In medical terms, "heel" generally refers to the posterior and largest part of the foot, specifically the calcaneus bone. The heel is the first part of the foot to make contact with the ground during walking or running, and it plays a crucial role in supporting the body's weight and absorbing shock during movement.
The term "heel" can also be used to describe a structure or device that is attached to the back of a shoe or boot to provide additional height, support, or protection to the wearer's heel. These types of heels are often worn for fashion purposes or to compensate for differences in leg length.
Plantar fasciitis is a medical condition that involves inflammation of the plantar fascia, which is a thick band of tissue that runs along the bottom of your foot, connecting your heel bone to your toes. This tissue supports the arch of your foot and absorbs shock when you walk or run.
Plantar fasciitis is often caused by repetitive stress or overuse, leading to small tears and inflammation in the fascia. People who have high arches or flat feet, those who spend a lot of time on their feet, and athletes who engage in activities that put repeated stress on the heel and attached tissue, such as runners, are at a higher risk of developing plantar fasciitis.
Symptoms of plantar fasciitis include pain and stiffness in the heel or bottom of the foot, especially when taking the first few steps after getting out of bed or after prolonged periods of sitting or standing. The pain may worsen over time if left untreated, making it difficult to walk, climb stairs, or participate in physical activities.
Treatment for plantar fasciitis typically includes rest, ice, compression, and elevation (RICE) therapy, as well as physical therapy exercises to stretch and strengthen the foot and lower leg muscles. In some cases, medication, orthotics, or even surgery may be necessary to alleviate severe pain and inflammation.