Plantar Fasciitis-It's not all about the Spur!

Is heel pain caused by a bone spur?

Though a common misconception heel pain is not caused by a bone spur, a bone spur (osteophyte) is the bony growth formed on normal bone. Thus the bone spur is most visible on an x-ray, and maybe that’s why it’s easily associated with pain. Though there are many conditions that can cause heel pain; like plantar fasciitis, stress fracture, Sever’s disease, cyst, and in rare instances, a neoplasm, or tumor. Most heel pain can be a sign of a more serious ailment.

As for bone spurs they are formed in the feet in response to tight ligaments, to activities such as dancing and running that put stress on the feet, and because of pressure from being overweight or from poorly fitting shoes. For example, the long ligament on the bottom of the foot can become stressed or tight and pull on the heel, causing the ligament to become inflamed; this is known as plantar fasciitis. Many patients with plantar fasiitis don’t even have a spur. And as the bone tries to mend itself, can form on the bottom of the heel (known as a "heel spur"). Pressure at the back of the heel from frequently wearing shoes that are too tight can cause a bone spur on the back of the heel.

A stone bruise can also cause heel pain.When you step on a hard object such as a rock or stone, you can bruise the fat pad on the underside of your heel. It may or may not look discolored. The pain goes away gradually with rest. Heel pain can also occur in children. Sever’s disease is a painful disorder of the growth plant of the heel. This condition is usually seen in children ages 8 -12 who are very active. The constant pounding of the heel on the ground irritates the calcaneus as the growth plate is closing. It can also be related to growth spurts which causes tendon/bone imbalance. Treatment usually consists of rest, ice, stretching, and activity avoidance. Severe cases may be treated by casting. If you are experience these types of symptoms, are any questions regarding Podiatry please visit our website http://www.drtoddschafer.com/.