Short answer: A heel spur is a bony growth that forms under or behind your heel bone. It occurs due to the inflammation of tissues like the plantar fascia or Achilles tendon, which pull on the heel bone. Reducing tension with proper support like custom orthotics can help manage the discomfort and limit further growth.
Understanding Heel Spurs
Heel spurs are bony outgrowths that develop on the underside or back of the heel bone, looking like small, pointy projections on X-rays. They often result from prolonged stress and tension on foot ligaments and tendons, particularly the plantar fascia and Achilles tendon. This consistent stress causes inflammation and stimulates new bone formation, leading to the development of a heel spur. Heel spurs are not always visible from the outside but can cause considerable pain while walking or standing.
Causes of Heel Spurs
Heel spurs often develop due to plantar fasciitis, an inflammation of the plantar fascia ligament that runs along the bottom of the foot. Activities that put a lot of stress on the heel, such as running or jumping, can contribute to heel spur formation. Wearing improper footwear, especially shoes with insufficient arch support or cushioning, can aggravate the condition. Obesity or significant weight gain can also increase the risk, as additional weight puts more stress on foot ligaments. These factors lead to persistent pulling on the plantar fascia or Achilles tendon, eventually causing a bony spur to form either on the bottom or back of the heel.
Managing Heel Spurs at Home
To manage heel spur pain at home, start with wearing shoes that provide good arch support and cushioned soles to absorb shock. Custom orthotics can be beneficial, as they are designed specifically for your feet to reduce pressure and tension on the affected areas. Applying ice packs for 15-20 minutes several times a day can help reduce inflammation and relieve pain. Stretching exercises for the Achilles tendon and plantar fascia can improve flexibility and strength, lessening the pressure on the heel. Simple exercises like calf stretches or rolling a tennis ball under your foot can be effective. Over-the-counter pain relievers might also be used to manage acute discomfort, but always follow the label’s instructions. For ongoing care tips, consider reading our guide on preventing plantar fasciitis.
What a Podiatrist Can Do
When home treatments are insufficient, visiting a podiatrist can provide more targeted solutions. A podiatrist may recommend physical therapy to strengthen and stretch your foot muscles and tendons. In some cases, they might suggest corticosteroid injections to reduce severe inflammation and pain. Custom orthotics can also be prescribed to help align your foot structure, minimizing the strain on your heel bone. For persistent and debilitating cases, we offer shockwave therapy as a non-invasive option to stimulate healing, or consider surgery to remove the spur, though this is typically the last resort. Learn more about possible treatments by exploring our options for foot pain relief.
When to See a Podiatrist
Severe or persistent heel pain that doesn’t improve with home treatment
Swelling or redness around the heel area
Pain that disrupts normal activities, such as walking or standing, or interferes with sleep
Signs of infection, including increased warmth, redness, or fever
If you have underlying conditions like diabetes or poor circulation, which can complicate foot issues
If you experience these warning signs, reaching out to a podiatrist is essential for a thorough examination and appropriate care. We invite you to visit us at the DeNiel Foot & Ankle Center for comprehensive heel spur evaluations and personalized treatment plans to help you get back on your feet comfortably.
