Understanding Calcaneal Spurs: Causes, Symptoms, and Treatment
March 25, 2025

A calcaneal spur, commonly known as a heel spur, is a small bony protrusion that develops on the underside of the heel bone. This condition occurs when the foot is subjected to constant stress, leading to the accumulation of calcium deposits. While many people have heel spurs, not all experience pain or discomfort associated with this condition.
Causes of Calcaneal Spurs
The development of heel spurs is often linked to specific factors that place repeated stress on the foot. The most common causes include:
* Repetitive strain on foot muscles and ligaments
* Chronic inflammation of the plantar fascia
* Biomechanical issues affecting foot mechanics
* Prolonged standing or high-impact activities
* Obesity and excessive body weight
Individuals involved in activities that place significant stress on the heel, such as runners, dancers, and those who spend long hours standing, are particularly susceptible to developing calcaneal spurs.
Identifying Calcaneal Spur Symptoms
Pain is the most significant indicator of a problematic heel spur. Patients typically experience intense discomfort, especially during the first steps in the morning or after periods of rest. The pain often feels like a sharp, stabbing sensation in the heel, making walking and standing challenging.
While some individuals may have heel spurs without experiencing symptoms, others report:
* Persistent heel pain during weight-bearing activities
* Inflammation and redness around the heel
* Difficulty performing physical activities
* Increased discomfort after extended periods of rest
* Tenderness when pressing on the heel area
Diagnostic Approach
Medical professionals diagnose calcaneal spurs through a comprehensive evaluation. The diagnostic process typically begins with a detailed physical examination and patient history review. Doctors will carefully assess the patient's foot structure, pain patterns, and overall biomechanics.
Key diagnostic methods include:
* Detailed physical examination
* Comprehensive patient history analysis
* X-ray imaging to confirm bone structure
* Evaluation of pain and movement restrictions
* Potential additional imaging studies if needed
Treatment for Calcaneal Spur
Conservative treatment is successful in more than 90% of calcaneal spur cases. The primary goal is to reduce stress on the heel and alleviate pain through non-invasive methods. Physical therapy plays a crucial role, with treatment strategies focusing on stretching, strengthening, and supporting the affected foot.
Treatment approaches may include:
* Custom orthotic devices
* Specific stretching exercises
* Physical therapy techniques
* Anti-inflammatory medications
* Rest and activity modification
Most heel spur cases can be managed effectively with conservative treatments. However, patients should consult a healthcare professional if they experience:
* Persistent heel pain lasting more than a few weeks
* Severe discomfort affecting daily activities
* Difficulty walking or standing
* Increasing pain despite home treatments
* Noticeable changes in foot structure or gait
Prevention Strategies
Preventing calcaneal spurs involves maintaining overall foot health. This includes maintaining a healthy body weight, wearing supportive footwear, and implementing regular stretching and strengthening exercises. Gradually increasing exercise intensity and addressing biomechanical issues can significantly reduce the risk of developing heel spurs.
Calcaneal spur can be treated non-surgically in most cases. There are recommended conservative treatments by our chiropractors which may help the situation. More than 90 percent of people get better with nonsurgical treatments. The goal of your treatment is to lessen the stress to the base of the heel and reduce the damage increase of the calcium deposits when it gets accumulated. This is done through stretching exercises, some shoe recommendations and taping or strapping to rest stressed muscles and tendons.
Learn more about calcaneal spur together with our Chiropractors at Oxford Falls. Ask us how Complete chiropractic can help with your condition.
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