How is the treatment of heel pain ?


To compensate for damage to the repeated insertion of the fascia at the front of the calcaneus (heel), the body will try to repair the same way that a bone fracture, that is surrounding and protecting the injured area by an inflammatory process, which subsequently becomes calcified.This results in the appearance of the heel bone formation called heel spur.

But not the spur itself that hurts. The spur is the result of a prolonged overload fascia and its insertion in the sole.

What are the symptoms of a heel spur?
– Severe pain, as punctures in the inner part of the heel.
– The pain typically disappears at rest but worsens when standing.
– Generally, the pain is worse in the morning.
– The pain worsens when walking on a hard surface, or to carry anything heavy, like a suitcase.
– The pain can be so intense that prevents performing normal daily activities.

Risk groups
Most people who are overweight and suffer an average age.This is because the fat pad under the heel, in charge of absorbing shock, the atrophy with age and loses its effectiveness.

– Weekend athletes.
– People whose feet are pronated and have not been corrected.A pronated foot is one that is slightly inclined outwards, the outer edge of the foot is raised, when walking or running.

Advice on Foot Care
– Perform a good warm, along with stretching before sports. No permitir que el pie se enfríe rápidamente al finalizar la actividad deportiva. Do not allow the foot to cool quickly to end the sport.
– If you “footing” is better to run several times a week for a short distance, that once a long distance.
– Do not overestimate your chances.If necessary seek advice to establish a set of exercises and training to give your body time to adapt adequately to sports.
– If you experience pain in the heel, could be overloading your hamstrings.
– After an episode of pain, should allow your heel heals properly.Rest and do not practice sport until you are fully recovered.
– During recovery will: to rest, local cold application, apply compression, keeping the foot elevated.Place an ice pack or a bag of frozen peas wrapped in a cloth on the heel.An elastic bandage is ideal for compression and provide adequate support to the foot.This should be firm, but not so tight as to affect blood circulation.The foot should be elevated on a chair or on a pillow.

How does the doctor diagnose?
Heel spurs are diagnosed by symptoms and signs present during the examination of the patient.

To confirm the diagnosis and rule out other pathologies responsible for heel pain, such as arthritis, your doctor may order other examinations such as X-rays ( X-rays ).

Once developed a heel spur can be a difficult to treat box.However in many cases there was only slight ligament injury that can heal in several weeks or months.

Preventing, avoiding or correcting predisposing factors early in the picture may improve prognosis and long-term evolution.

How is a heel spur pain?
-In all stages of the disease is important to wear proper shoes, well padded and provide appropriate care to the foot.Also you can use a heel foam or silicone .
– Reduce activity and rest the heel.
– Your doctor may prescribe anti-inflammatory drugs.
– Localized injections of steroids can sometimes significantly reduce the pain, but the effects are only temporary, and the injections are very painful.
– A podiatrist or chiropodist, with adequate experience can provide appropriate advice on the correct foot posture, and the use of templates or appropriate footwear.
– Surgical treatment is usually indicated.