Watch out if you can't step on your feet in the morning! Heel spurs, which is one of the common problems, negatively affects life. Physical Therapy and Rehabilitation Specialist Associate Professor Ahmet İnanır gave important information about the subject.
What Is Heel Spur? How does it occur?
Annoying pain under your heel? Is walking a torture for you? Can't you step on your heel when you get up in the morning? Although it is said that you probably have heel spurs, this pain depends on the condition called palntar ficitis. The reason for the formation of heel spurs is due to the excessive stretching of the thick membrane (plantarfasia) on the sole of the foot and covering the bones.
It is often the result of prolonged tension in muscle and connective tissue. Repetitive stress from walking, running, or jumping on hard surfaces, overweight is a common cause of heel spurs. Heel spurs are a health problem caused by chronic damage to the membrane of the plantar fascia on the sole of the foot. It is not a bone disease. Thanks to the depression in the inner part of the foot called the long arch of the foot, the loads on the foot are distributed evenly and excessive load on the soft tissues and bones is prevented. Due to excessive standing, collapse of the arch of the foot, long long walks, bad and improper shoe use, the plantar fascia supporting this arch becomes overstretched. As a result of this injury (chronic injury), thickening of the plantar fascia and soft tissue edema occurs especially where it attaches to the heel bone. This rheumatic condition that occurs in the sole of the foot is called plantarfaciitis. As the disease progresses, this membrane begins to thicken and chronic injuries begin to progress at the point where it attaches to the heel bone. It tries to minimize stress by creating new bones in this part of the body. When the resulting bone structure forms a sharp shape, it is called a heel spur.
Associate Professor Ahmet İnanır continues as follows;
What are the symptoms of heel spurs?
The most important symptom is pain in the feet. This pain becomes even more pronounced in the morning. When you get out of bed in the morning, because of this pain, the person has a hard time pressing on his heel for a while. As the disease progresses, morning pains begin to manifest all day. It is difficult to wear shoes with heels and hard soles. In more severe patients, these pains may continue even at rest.
How to diagnose a heel spur?
If the heel spur is in the advanced stage, it can be diagnosed by examination. In addition, edema and thickening in the basement membrane can be detected with MRI and sometimes Ultrasound imaging. A diagnosis can also be made with a simple x-ray. However, there is an important point that underfoot pain and heel spur may also be the first sign of inflamed spine rheumatism. Also with Fibromyalgia syndrome
can also be seen in patients. Especially if there is pain behind the heel and if it is resistant to treatment, this disease should be cared for and definitely investigated.
Associate Professor Ahmet İnanır finally adds:
What are the treatments used for heel spurs?
The purpose of the heel spur treatment is to reduce the pressure on the foot, to control pain and inflammation, to promote tissue healing and to increase the flexibility of soft tissues.