Calcaneal spur

An overview of calcaneal spurs, their causes, symptoms, and treatment

Calcaneal Spur

A calcaneal spur, also known as a heel spur, is a bony outgrowth from the calcaneus bone in the foot. These spurs are often associated with plantar fasciitis, a condition that involves inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot and connects the heel bone to the toes.

X-ray image showing a calcaneal spur

Causes

Calcaneal spurs develop over time due to repeated stress and strain on the foot muscles and ligaments. Common causes include:

• Prolonged standing or walking, especially on hard surfaces
• Excessive weight or obesity
• Poorly fitting or worn-out shoes
• Abnormal walking patterns
• Aging, which can lead to a thinning of the heel's protective fat pad

Symptoms

While calcaneal spurs themselves may not cause symptoms, they are often associated with:

• Sharp pain in the heel, especially when standing up in the morning
• Tenderness and inflammation in the heel area
• Difficulty walking or standing for long periods

Diagnosis

Diagnosis of a calcaneal spur is typically made through a combination of physical examination and imaging studies. An X-ray can reveal the presence of a spur on the heel bone.

Treatment

Treatment for calcaneal spurs focuses on relieving pain and inflammation. Options include:

• Rest and ice application to reduce swelling
• Over-the-counter pain relievers such as NSAIDs
• Physical therapy and stretching exercises
• Orthotic devices or shoe inserts to support the foot
• In severe cases, surgical intervention may be considered to remove the spur

Prevention

Preventive measures to reduce the risk of developing calcaneal spurs include:

• Wearing properly fitting shoes with adequate support
• Maintaining a healthy weight
• Performing regular foot and calf stretching exercises
• Avoiding prolonged periods of standing or walking on hard surfaces

Related pages

• Plantar fasciitis
• Foot anatomy
• Orthopedic surgery

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  Achilles insertional calcific tendinosis

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  Calcaneal spur