What are bone spurs and how do they form. What causes bone spurs to develop. How are bone spurs diagnosed and treated. What are the symptoms of bone spurs. Can bone spurs be prevented.

Understanding Bone Spurs: Definition and Formation

Bone spurs, also known as osteophytes, are smooth, bony growths that develop over time, typically near joints where two or more bones meet. These protrusions form as the body attempts to repair damage to bones and joints, often resulting from conditions like osteoarthritis.

Are bone spurs always symptomatic? Not necessarily. Many people have bone spurs without experiencing any noticeable symptoms. In fact, some individuals only discover they have bone spurs incidentally during X-rays or other imaging tests performed for unrelated reasons.

Common Locations for Bone Spurs

• Feet (especially the heel, big toe, and ankle)
• Hands and fingers
• Hips
• Knees
• Neck
• Shoulders
• Spine

The Primary Causes of Bone Spur Formation

While various factors can contribute to the development of bone spurs, the most common cause is joint damage from osteoarthritis (OA). As we age or experience joint injuries, the cartilage that cushions our bones begins to break down. In response to this damage, the body initiates a repair process, creating new bone material that can result in the formation of osteophytes.

Can other conditions lead to bone spur formation? Indeed, some other conditions may contribute to the development of bone spurs. For instance, ankylosing spondylitis, a rare form of arthritis that causes spinal inflammation, can also result in the formation of spinal osteophytes as the body responds to the fusion of vertebrae.

Risk Factors for Bone Spur Development

1. Advanced age (60 years or older)
2. Osteoarthritis
3. Repetitive joint stress from activities like running or dancing
4. Previous joint injuries
5. Genetic predisposition

Recognizing the Symptoms of Bone Spurs

While some bone spurs remain asymptomatic, others can cause noticeable discomfort and functional limitations. The symptoms experienced often depend on the location of the bone spur and whether it’s pressing on nearby nerves, restricting movement, or rubbing against other bones or tissues.

How do bone spurs manifest symptomatically? Common symptoms of bone spurs may include:

• Pain near the affected joint
• Stiffness and reduced range of motion
• Numbness and weakness, particularly in the legs if spinal bone spurs are present
• Tendinitis (inflammation of nearby tendons)
• Visible bumps or knobby areas, especially in the fingers or toes
• Tendon tears, such as rotator cuff tears in the shoulder

Diagnostic Approaches for Bone Spurs

The diagnosis of bone spurs typically involves a combination of clinical evaluation and imaging studies. When patients report symptoms such as pain, stiffness, and loss of motion, healthcare providers will conduct a thorough assessment to determine the underlying cause.

How are bone spurs diagnosed? The diagnostic process may include:

1. Physical examination: The healthcare provider will assess the affected area for signs of tenderness, swelling, or limited mobility.
2. Medical history review: Discussion of symptoms, their duration, and any potential contributing factors.
3. Imaging studies: X-rays are commonly used to visualize bone spurs. In some cases, additional imaging techniques such as MRI or CT scans may be employed for a more detailed view.

Is a bone spur always visible on an X-ray? While X-rays are effective in detecting many bone spurs, some smaller or early-stage osteophytes may not be readily apparent. In such cases, more advanced imaging techniques may be necessary for a definitive diagnosis.

Treatment Options for Bone Spurs: From Conservative to Surgical Approaches

The treatment of bone spurs is typically tailored to the individual patient’s symptoms and the impact on their quality of life. In many cases, especially when bone spurs are asymptomatic or causing minimal discomfort, treatment may not be necessary.

What are the primary treatment options for symptomatic bone spurs? Treatment approaches may include:

Conservative Treatments

• Rest and activity modification
• Physical therapy to improve joint flexibility and strength
• Over-the-counter pain relievers and anti-inflammatory medications
• Ice or heat therapy
• Orthotics or supportive footwear for heel spurs
• Corticosteroid injections to reduce inflammation

Surgical Interventions

When conservative measures fail to provide adequate relief, surgical options may be considered. These may include:

1. Arthroscopic surgery: Minimally invasive procedure to remove bone spurs and repair damaged tissues
2. Open surgery: Traditional surgical approach for more complex cases or larger bone spurs
3. Joint replacement: In severe cases where joint damage is extensive

Is surgery always necessary for bone spurs? No, surgery is typically reserved for cases where conservative treatments have been ineffective, and the bone spurs are significantly impacting a person’s quality of life or causing severe complications.

Preventing Bone Spurs: Strategies for Joint Health

While it may not always be possible to prevent bone spurs entirely, especially those related to the natural aging process or genetic factors, there are several strategies that can help maintain joint health and potentially reduce the risk of bone spur formation.

How can one reduce the likelihood of developing bone spurs? Consider the following preventive measures:

• Maintain a healthy weight to reduce stress on weight-bearing joints
• Engage in regular, low-impact exercise to strengthen muscles and improve joint flexibility
• Practice good posture and ergonomics to minimize joint stress
• Wear properly fitting, supportive footwear
• Warm up properly before physical activities and avoid overexertion
• Incorporate a balanced diet rich in calcium and vitamin D to support bone health

Can dietary supplements help prevent bone spurs? While some supplements may support overall bone and joint health, there is limited scientific evidence specifically linking supplement use to bone spur prevention. It’s always best to consult with a healthcare provider before starting any new supplement regimen.

Living with Bone Spurs: Coping Strategies and Lifestyle Adjustments

For individuals diagnosed with bone spurs, particularly those that are symptomatic, adopting certain lifestyle modifications can help manage discomfort and maintain quality of life. These adjustments may vary depending on the location and severity of the bone spurs.

What lifestyle changes can help manage bone spur symptoms? Consider the following strategies:

1. Implement an exercise routine focused on low-impact activities like swimming or cycling
2. Use assistive devices when necessary (e.g., canes or walkers for mobility support)
3. Practice stress-reduction techniques to help manage pain perception
4. Modify your work environment to reduce joint stress (e.g., ergonomic office equipment)
5. Explore alternative therapies such as acupuncture or massage, under professional guidance
6. Join support groups or seek counseling to cope with chronic pain and limitations

Are there specific exercises beneficial for those with bone spurs? Yes, certain exercises can be particularly helpful. For instance, gentle stretching and range-of-motion exercises can help maintain joint flexibility. However, it’s crucial to consult with a physical therapist or healthcare provider to develop a safe and effective exercise plan tailored to your specific condition.

Bone Spurs in Different Body Regions: Unique Considerations

The impact and management of bone spurs can vary significantly depending on their location in the body. Understanding these differences can help individuals and healthcare providers tailor treatment approaches more effectively.

Spinal Bone Spurs

Spinal bone spurs can be particularly problematic due to their potential to compress nerves, leading to symptoms such as radiating pain, numbness, or weakness in the extremities. In severe cases, spinal bone spurs may contribute to conditions like spinal stenosis or cervical myelopathy.

Heel Spurs

Heel spurs, often associated with plantar fasciitis, can cause significant foot pain, particularly when standing or walking for extended periods. Treatment often focuses on relieving pressure on the affected area through orthotics, stretching exercises, and appropriate footwear.

Knee Bone Spurs

Bone spurs in the knee can interfere with joint movement and contribute to the progression of osteoarthritis. Management may involve a combination of pain relief measures, physical therapy, and in some cases, surgical intervention to restore joint function.

How does the treatment approach differ for bone spurs in various locations? While the fundamental principles of bone spur management remain consistent, the specific interventions may vary. For example:

• Spinal bone spurs may require more cautious treatment due to the risk of nerve involvement
• Heel spurs often benefit from targeted stretching exercises and orthotics
• Knee bone spurs might necessitate a focus on joint-protective strategies and strength training

By understanding these nuances, healthcare providers can develop more effective, location-specific treatment plans for individuals dealing with bone spurs in different parts of the body.

Emerging Research and Future Directions in Bone Spur Management

As our understanding of bone spur formation and its impact on joint health continues to evolve, researchers are exploring new avenues for prevention, diagnosis, and treatment. These advancements hold promise for improving outcomes for individuals affected by bone spurs.

What are some of the latest developments in bone spur research? Current areas of investigation include:

1. Molecular mechanisms: Studying the cellular and genetic factors that contribute to bone spur formation
2. Advanced imaging techniques: Developing more sensitive methods for early detection of bone spurs
3. Regenerative medicine: Exploring the potential of stem cell therapies and tissue engineering to repair joint damage and prevent bone spur formation
4. Targeted drug therapies: Investigating medications that could inhibit the growth of bone spurs or promote their resorption
5. Minimally invasive surgical techniques: Refining procedures to remove bone spurs with less tissue disruption and faster recovery times

How might these research directions impact future treatment options? As our knowledge expands, we may see more personalized treatment approaches that target the underlying causes of bone spur formation, rather than just managing symptoms. This could lead to more effective prevention strategies and potentially even ways to reverse bone spur growth in its early stages.

While much of this research is still in its early phases, it offers hope for improved management of bone spurs and related joint conditions in the future. As always, individuals experiencing symptoms of bone spurs should consult with healthcare professionals to discuss the most appropriate current treatment options for their specific situation.

Bone Spur (Osteophyte) Symptoms and Treatment

What Are Bone Spurs?

Bone spurs, or osteophytes, are bony growths that form in your joints or in the spine. They cause damage to your bones, muscles, or tendons, often as a result of osteoarthritis. These smooth growths may not cause any symptoms and some might not need treatment.

People often learn they have a bone spur after having an x-ray for some other health matter.

Types of bone spurs

Bone spurs can affect your:

• Knee (making it hard to straighten your leg).
• Spine (pressing against your spinal cord and causing weakness or loss of feeling in your arms and legs).
• Hip (making it hard to move your hip).
• Shoulder (causing damage to your rotator cuff, a group of muscles and tendons that enable your shoulder to move).
• Fingers.
• Heel or foot.

What causes bone spurs?

Degenerative conditions — such as osteoarthritis or tendonitis — can cause bone spurs.

Damage to a joint from osteoarthritis is the most common cause.

Osteoarthritis breaks down the cartilage that cushions the ends of your bones.

In response, your body attempts to repair the damage by creating a new bone in the damaged area. The swelling stimulates cells that form bone, which eventually grows into a bone spur.

For example, when the Achilles tendon becomes inflamed, a bone spur can form on the back of the heel (calcaneus bone).

Activities, such as running or dancing, can also lead to the growth of bone spurs.

Bone spurs are more likely to form with age. Rarely, a health problem present at birth — called a congenital condition — will cause bone spurs.

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Causes, Symptoms, Diagnosis & Treatment

Overview

What is a bone spur?

A bone spur, also called an osteophyte, is a smooth, bony lump that grows off a bone. Bone spurs develop over long periods of time, usually near joints (where two or more bones meet).

Who gets bone spurs?

Bone spurs are most common in people 60 years or older, but younger people can get them, too. People with osteoarthritis (OA) are much more likely to get bone spurs. OA is a common form of “wear and tear” arthritis that happens when cartilage, which cushions your bones, wears down.

Where can bone spurs grow?

Although they can grow from any bone, osteophytes are particularly common in the:

• Foot, especially the heel (heel spurs or calcaneal spurs), big toe and ankle.
• Hand or finger.
• Hip.
• Knee.
• Neck.
• Shoulder.
• Spine.

Symptoms and Causes

What causes bone spurs?

Joint damage from OA is the biggest cause of bone spurs. OA is a breakdown of cartilage — the firm, flexible tissue that cushions bones and allows joints to move more easily. OA develops as we age or after damage (like a sports injury).

As the body tries to repair cartilage, it creates new bone material. These new bony growths are osteophytes.

Ankylosing spondylitis also may cause bone spurs. This rare arthritis causes spinal inflammation. Over time, ankylosing spondylitis fuses, or connects, the small bones in the spine (vertebrae). The body responds by forming spinal osteophytes.

What are symptoms of bone spurs?

Some people have bone spurs and don’t even know it. Spurs start to create symptoms when they:

• Put pressure on nearby nerves.
• Restrict movement.
• Rub against other bones or tissues.

When that happens, you may feel some:

• Knobby or bumpy areas, especially in the fingers or toes.
• Numbness and weakness, especially in the legs if the spine has spurs.
• Pain near the affected joint, like heel pain.
• Reduced range of motion (how far the joint moves).
• Stiffness.
• Tendinitis (swelling of a nearby tendon).
• Tendon tears (like a rotator cuff tear in the shoulder).

Diagnosis and Tests

How are bone spurs diagnosed?

Without symptoms, you may accidentally discover a bone spur during an X-ray or other test for a different condition.

If you report pain, stiffness and loss of motion to your healthcare provider, he or she will:

• Ask you to describe your symptoms.
• Ask about your medical history and family’s medical history.
• Ask you to rate your discomfort.
• Perform a physical examination.
• Test your joint’s range of motion and strength.
• Order imaging tests, like X-rays to look for arthritis and spurs or CT scans or MRIs to identify damaged ligaments or tendons.

Management and Treatment

When should I talk to my healthcare provider?

If you have bone spurs without symptoms, you don’t need treatment. Tell your healthcare provider if you develop joint pain, stiffness, limited motion or numbness.

How are bone spurs treated?

Some home remedies and lifestyle changes help ease osteophyte symptoms:

• Ice to reduce swelling.
• Over-the-counter pain relievers, such as acetaminophen or NSAIDS like ibuprofen.
• Rest.
• Supportive shoes or shoe inserts.
• Weight loss to decrease joint and bone stress.

If those methods aren’t enough, your healthcare provider can prescribe:

• Physical therapy: Exercises and stretches can reduce pain, improve range of motion and strengthen muscles around joints.
• Prescription pain medications: If over-the-counter pain medicines don’t provide relief, your healthcare provider may prescribe a stronger option or cortisone shot.
• Surgery: If symptoms continue after a year of treatment, surgery can remove the bone spurs.

Prevention

How can I reduce my risk of bone spurs?

There is no certain way to prevent bone spurs. But you can reduce your chance of developing them by following a healthy lifestyle:

• Be physically fit.
• Eat a balanced, nutritious diet.
• Maintain a healthy weight to reduce extra stress on bones and joints.
• Maintain good posture and ergonomics (proper positioning at your desk).
• Prevent joint injuries by stretching and using safe exercise techniques. Don’t overdo it.
• Wear well-fitting, supportive shoes.

Outlook / Prognosis

How long do bone spurs last?

Bone spurs don’t go away unless you have surgery to remove them.

Do bone spurs grow back?

Although bone spurs don’t usually grow back after surgery, more may develop elsewhere in your body.

Living With

What can I do for pain and stiffness from bone spurs?

You can relieve pain and stiffness from bone spurs with rest, ice and over-the counter-medications. Properly fitting shoes and weight loss also reduce joint stress. If symptoms become severe or unmanageable, call your healthcare provider.

Should I avoid activity?

Even with bone spurs, try to stay active and healthy. Avoid activities and movements that hurt. Choose low-impact activities, like walking instead of running.

When you exercise, take steps to minimize joint damage: Make sure you have good footwear, concentrate on proper techniques, and always warm up and stretch.

A note from Cleveland Clinic

Bone spurs may cause no symptoms at all or may drastically affect your day-to-day life. Home remedies and lifestyle choices can help you delay or ease symptoms. If you can’t control your pain or other symptoms on your own, ask your healthcare provider about additional strategies.

How to treat bone spurs

Putting too much stress on your joints? Or maybe arthritis has become an issue?

Athletes, seniors or anyone in these categories could develop a bone spur, or extra bone produced by the body. There are some things to do at home if it causes short-term pain, and a doctor can offer suggestions if the pain doesn’t stop, according to Dr. James Nace, an orthopedic surgeon with the LifeBridge Health Rubin Institute for Advanced Orthopedics and a physical therapist.

What is a bone spur, and why does it form?

A bone spur is extra bone that the body produces in response to an area that is under an unusual amount of pressure or tension. Unfortunately, instead of helping, the process can end up triggering a lot of difficulties. Problematic stress can develop for several reasons, but two of the most common are as follows. First, it can occur if people have a degenerative joint disease, such as arthritis. This causes cartilage, the firm rubbery protein material that acts as a cushion or shock absorber between the ends of bones, to deteriorate. This means that bone can grind against bone, and this undue pressure causes the body to attempt to help by making even more bone, which can turn into an osteophyte, also called a spur. The second most common reason that a bone spur can develop is if a tendon, the tissue that connects muscle to bone, isn’t flexible enough for activities of daily living. The tendon has increased tension or pressure exerted on itself from being stretched. Again, the body tries to reinforce the area with more bone where it shouldn’t be. However, no matter why a bone spur develops, if there is not enough space for the extra bone, it can poke into the soft tissue surrounding it, or it can pull a tendon too tightly to accommodate it, and the results can be very painful.

How common are bone spurs. and where in the body do they most often appear?

Bone spurs are commonplace and most often affect weight-bearing joints, such as the heels and the knees as well as the shoulders. They can form anywhere there are joints, including the spine, hips, hands and ankles. The heels and knees are particularly vulnerable because they help to carry a person’s entire weight. As activity level and age increase, additional wear and tear on tendons and joints can occur. If a person is overweight, that puts additional stress on the knees, the feet and heels. Sports that include a lot of running can also speed up the formation of bone spurs because the legs and feet hit the ground with a lot of force. It should also be no surprise that shoulders are common sites for bone spurs because of the lifting and moving that’s done. In fact, that’s why from time to time, you’ll hear about a baseball pitcher with a rotator cuff issue from overuse or injury.

Are there any symptoms, and are there any home treatments for bone spurs?

If a bone spur juts into the surrounding soft tissues, it can cause irritation and inflammation. This can produce a dull ache, a sharp shooting pain and/or swelling. The mainstay of treatment is stretch, stretch and stretch some more. Initiating a light stretching and strengthening program can restore the appropriate tension to the affected area. There are no rules as far as which modalities are best for bone spurs. All individuals are different, so they should do what works for them. Some people say that applying moist heat to an affected area works well; others claim that using cold packs or ice massage is the treatment that takes their pain away. Over-the-counter pain relievers and anti-inflammatories are also helpful for some sufferers. However, checking with one’s doctor is recommended before they are taken over a long period of time.

When is it time to see a doctor, and what are the treatments available?

It is time to see a doctor if the symptoms persist for more than a week or two, if the pain worsens and/or if a person has not responded to the above treatments. An orthopedist will diagnose the bone spur with an X-ray, and he or she may recommend drug therapies, modalities, stretches or injections to try to alleviate the discomfort. If symptoms persist, occasionally a surgical procedure may be necessary. Options can include removal of part of the bone or osteotomy, lengthening of the affected tendon, or arthroplasty (a joint replacement). The bone spur itself is not the focus of the treatment. Instead, the underlying conditions, such as the degenerative disease or tendon contracture/ inflexibility, must be addressed. Otherwise, the bone spur can develop again, even if it is removed.

Is there anything that can be done to prevent bone spurs from forming?

There are some things people can do to reduce the risk of developing a bone spur like a program of stretching and weight reduction, as well as a low-impact maintenance exercise program that strengthens the core and stretches those tendons most affected, such as the hamstrings, calves, and quads. Walking on a soft surface with cushioned supportive shoes, swimming, using an elliptical machine or bicycling are also good ways to stay fit without adding extra pressure to the joints and tendons. Your body must remain “tuned-up” analogously to your car in order to perform efficiently and without problems.

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What are bone spurs and why do they grow?

A bone spur is a nob of calcium that can grow along the edges of bones such as the vertebrae of the spine. The clinical name for them is osteophytes, or exostoses, both of which mean “bony projection.” The most common location where we find bone spurs is where bones meet each other.

The leading cause for bone spurs is joint damage such as osteoarthritis, untreated herniated or degenerated spinal disc, damage to tendons, or other joint damage.

Other patients who are at higher risk from bone spurs could be athletes. Overuse of joints or repetition movement raises the risk due to physically intense movements over a long period of time. Genes often have the most significant role in the development of spurs; if your parents had them, you’d probably develop them too. Other factors that can lead to this condition include poor diet and obesity (patients with gout are at high risk for bone spurs).

You may think of the bone spur as your body’s way of trying to compensate for any of the conditions I’ve described by growing a little extra bone. The body doesn’t do a great job of planning where to put it. The little nobs of calcium usually develop around the edges of the vertebrae or along the facing surfaces of the joints. Sometimes the “nobs” resemble small beaks.

Most of the time, bone spurs will not cause problems because they grow in areas where we do not notice them. On occasion, however, they can grow in just the right spot where it will impinge onto a fiber of nerve and possibly compounding a protrusion from a herniated disc. In these cases, you may also be diagnosed with spinal stenosis (narrowing of the spinal passages).

When a bone spur begins to rub against other bones or press on nerves, that’s when you may experience pain, stiffness, tingling, and if left untreated over a long term, numbness and muscle weakness. And that’s when you need to seek treatment.

Conservative treatment for bone spurs begins with non-surgical methods such as medication, anti-inflammatories or muscle relaxant pain medications. Treatment may run for 4 to 6 weeks; however, this is palliative because it provides temporary management and relief for the pain. I will often prescribe physical therapy and muscle strengthening to increase movement, fortify the affected area, and encourage joint strength.

The problem is that bone spurs do not go away on their own. Keep in mind also that bone spurs may be an indication of other issues such as degenerating or herniated discs. Eventually, some surgery may be required.

For patients who visit me at my private practice in Beverly Hills, CA, there are two standard minimally invasive surgical procedures we may consider. The first of these is micro-laminectomy where the surgeon creates a small opening in the bone (lamina of the vertebra) to gain access to the nerve area so that we can make more room for the nerve. We may also consider microdiscectomy where we remove the portion of protruding discs that are compressing nerves. During any of these procedures, we may even shave off bone spurs that are also impinging on the nerve.

Both of these procedures are minimally invasive, facilitated by one or more small incisions to gain access to the affected area with microsurgery tools like a microscope. The process is usually performed on an outpatient basis, which means you’ll be in the doctor’s office for a few hours, then back home for recovery.

If the condition worsens or none of the more conservative approaches is successful, then you and your surgeon will consider more invasive solutions such as artificial disc replacement (ADR).

With ADR, we can reverse the effects of joint overuse and injury by merely replacing a degenerated disc with an artificial one. The procedure is exceptionally advanced, and clinical research data shows a very high success rate in pain reduction and restoring the full natural motion of the spine.

Over the years, having now implanted thousands of artificial discs for both the cervical (neck) and lumbar (lower back) of the spine, I have seen the superior effectiveness of artificial discs. Moreover, I have had many of the same procedures to solve my own long-term spinal problems and can relate with my patients based on my personal experience.

Key to success is that every patient must be assessed individually. Everything depends on a thorough examination of the health of the patient and careful reading of test results. The most crucial factor of all is the benefit to the patient.

That’s how we are greater than better!

Bone spurs – Harvard Health

Bone spurs, also called osteophytes, are outgrowths of bone that develop along the edges of bones, often where two or more bones meet. They can form in the back, hip, sole or heel of the foot, spine, neck, shoulder, or knee.

Most bone spurs are caused by tissue damage brought on by osteoarthritis. Many are silent, meaning they cause no symptoms and only detected by an x-ray or other test for another condition. Others cause problems and require treatment.

If a spur breaks off from the bone, it can linger in the joint or get stuck in the lining of the joint. Such wandering bone spurs are called loose bodies. A loose body can make it feel like you can’t move a joint. This “locking” can come and go.

Symptoms of bone spurs

Symptoms vary depending on where the spur is located:

• heel. Pain when standing, walking, jogging, or running. Some people describe the pain as feeling like pins sticking into the bottom of their feet.
• knee. Pain when extending or bend the leg.
• hip. Pain when moving the hip, and a reduction in the hip’s range of motion.
• spine. Weakness or numbness in the arms or legs caused by the bone spur pinching the spinal cord or its nerve roots.
• shoulder. Limited movement of the shoulder; swelling or tears in the rotator cuff.
• finger. Pain when moving the finger; the finger joint may look enlarged and knobby.

Diagnosing bone spurs

Your description of your symptoms and medical history are an important part of diagnosing bone spurs. Your doctor may feel the joint and the tissue around it. Some bone spurs can be felt, others cannot.

An x-ray or other imaging test of the affected bones and joints can show a bone spur and make a definitive diagnosis

Treating bone spurs

There are several ways to treat bones spurs. The treatment that’s right for you depends on how severe your symptoms are. Most experts recommend starting with conservative treatment and moving on to more aggressive therapies if needed.

Resting the injured joint can help ease pain and inflammation.

For pain control, start with an over-the-counter pain reliever such as ibuprofen (Advil, Motrin, others) or naproxen (Aleve, others). These medications also ease inflammation, which can also be helpful.

Physical therapy can improve flexibility and strength.

If the joint is swollen and painful, a corticosteroid injection into the joint may ease pain and reduce swelling. The effects of these injections wear off, and they may need to be repeated.

If these efforts don’t work, surgery may be needed to remove the bone spur.

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should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

NYC Bone Spurs in Elbow Surgery, Symptoms, Treatment

The elbow is susceptible to injury from impact or repetitive use. Injuries to a joint are a catalyst for bone spur growth, a problem common in the elbow. Elbow bone spurs can cause pain and dysfunction in the joint, restricting movement. Dr. Steven Struhl is a respected orthopedic surgeon and sports medicine specialist who offers elbow bone spur treatment at his clinics in NYC or Westchester.

Bones spurs are bony growths that protrude from the bone and are common in joints, including the elbow. Osteoarthritis, tendonitis and other forms of inflammation are the most common cause of bone spur formation. When the elbow joint has inflammation due to arthritis or injury, the body stimulates repair in the area. This can cause bone to form, creating bumps of bone or spurs. Bone spurs can be present without any symptoms. However, some bone spurs can irritate tendons, muscles or nerves in the elbow, causing pain. Bone spurs can also break off the bone, becoming loose bodies in the elbow joint.

Removing Painful Elbow Bone Spurs

When elbow bone spurs cause pain or restrict function, treatment or surgery may be required for relief. Cortisone injections and physical therapy are non-invasive options that may be used for elbow bone spur treatment. If conservative treatments are not effective, arthroscopic surgery may be recommended to remove bone spurs and loose bodies in the elbow. This is a “keyhole” surgery, with only a tiny incision used to access the elbow joint and remove bone spurs that are causing joint aggravation. Elbow bone spur surgery is usually followed by physical therapy to regain range of motion and strength in the elbow.

Elbow bone spurs are common in pitchers and other throwing athletes, as well as those with elbow arthritis. If you have elbow pain caused by bone spurs, contact us at Shoulders & Knees orthopedics to schedule a consultation with Dr. Steven Struhl at our clinic in NYC or Westchester.

Knee Pain 101: What is a Bone Spur? And How Do I Know If I Have One?

Most people have heard of a bone spur (or osteophyte). But,  they don’t know exactly what it is – or how to tell if they have one. If you’re curious, here’s everything you need to know:

Osteoarthritis and Bone Spur Development

Osteoarthritis. Osteoarthritis is the most common form of arthritis. The condition, which usually affects patients over 50, causes the cartilage and soft tissue of the body’s joints to wear away. As wearing occurs, the cartilage thins and becomes frayed and rough. Eventually, cartilage will wear away completely or be torn, which causes bone-on-bone rubbing.  Cartilage is very smooth and intact cartilage on cartilage is smoother than ice gliding on ice.  Bone rubbing on bone has high friction and becomes painful as it catches with motion. 

Illustration 1- An osteophyte (also known as a bone spur)

Illustration 2- An osteophyte as seen on an x-ray

Bone spur development. Bone-on-bone rubbing causes bones to become irritated and inflamed. In order to protect themselves, bones will form new, hard pieces of bone. Because bone spurs protrude into the joint, they can be extremely painful and limit mobility.

Diagnosing and Treating a Bone Spur

In order to determine if patients with knee pain have a bone spur, they need to see an orthopedic specialist. During an appointment with an orthopedic specialist, the following will occur:

1. A detailed medical history will be taken. Pre-existing conditions and/or injuries give clues regarding the development of osteoarthritis.
2. A thorough physical examination will be performed. Knee joint mobility and muscle flexibility and strength will be checked.
3. Medical imaging studies will be ordered and read. X-rays and/or MRIs are used to identify bone spurs as well as cartilage degeneration.
4. A formal diagnosis will be made. The diagnosis of a bone spur helps the orthopedic specialist come up with an appropriate treatment plan.

Bone spur treatment depends on the type of spur and its location. Non-surgical treatment options are always tried first. Activity modification, ice, medications, injections and physical therapy can all be helpful.

If the symptoms of osteoarthritis and a bone spur don’t go away after conservative treatment, an orthopedic surgical procedure may be necessary. This is something that’s best discussed with the orthopedic specialist treating the condition.

Seeking Treatment 

If you have knee osteoarthritis and are in pain, it might be because of a bone spur. Please contact one of our 5 Long Island offices to find out if it is. We’re currently accepting new patients and will get you in ASAP.

The physicians at Total Orthopedics and Sports Medicine focus on both the surgical and non-surgical treatment of bone and joint injuries.  Renowned experts Dr. Charles Ruotolo, Dr. Richard McCormack, Dr. Brett Spain and Dr. Paul Pipitone lead our Knee Team.   Fortunately, many patients can be treated non-surgically with a combination of conservative modalities coordinated by the Total Orthopedics and Sports Medicine Team. If surgery is necessary, the practice uses a multidisciplinary approach to create a treatment plan that focuses on the patient’s lifestyle and activities and helps them get back to those activities quickly and effectively.  When in the hands of one of our expert Orthopedic Surgeons, a full recovery is possible!

How to cure a heel spur? – Evolife Medical Center

A heel spur is a pathological formation of bone tissue in the form of an styloid or hook-shaped growth of 0.5 to 1 cm in size, and in some cases up to 15 mm, on the surface of the calcaneus at the place of attachment of the plantar ligament and Achilles tendon. It can have several locations – both on the upper edge of the calcaneal tuberosity and at the tendon of the triceps muscle. It is often accompanied by inflammation of the plantar fascia and is a common cause of pain in the heel area.

Main symptoms:

1. Morning pains that subside during the day and intensify in the evening.
2. With the progression of the process – constant pain.
3. Acute thorn / nail / needle pain and / or burning sensation.
4. Transition of localization of pain from the foot to the heel area.
5. Increased pain after exercise.
6. Change in gait.
7. Compaction during palpation of the heel area.
8. Restriction of foot mobility.

It is important to remember that patients with a heel spur do not always have manifestations of pain symptoms, and the cause of pain may not be the spur itself, but systematic microtrauma of the calcaneus and foot.

Diagnosis of heel spur

It is important to carry out differential diagnosis of diseases with similar symptom complexes (see Berchterew’s disease, rheumatoid arthritis, Reiter’s symptom, fractures and injuries). On examination, there should be no pathological changes such as redness of the foot area, cracks and calluses.On palpation, the pain is localized at the site of attachment to the plantar fascia, with a characteristic increase in pain with the extension of the big toe. Sometimes one examination and palpation is not enough, you have to confirm the diagnosis with additional research methods:

1. Radiography
2. CT (computed tomography) or MRI (magnetic resonance imaging)
3. Ultrasound (ultrasound)

How to cure a heel spur?

Other diseases:

How to quickly and effectively cure a heel spur?

Many have heard of such an unpleasant disease as a heel spur, and some have even encountered this problem in life. According to statistics, every tenth person on the globe suffers from this pathology.The most effective treatment results are observed at the initial stages of the formation of a build-up, when it has not yet formed. It is better to immediately sign up for the UHT in Ufa and consult with a specialist. This is one of the most effective physiotherapy methods for treating diseases of the musculoskeletal system.

If symptoms appear suggesting the presence of a heel spur, do not delay treatment. With a timely visit to a doctor, it is possible to quickly get rid of the build-up and restore the normal quality of life.

How to recognize a heel spur?

In this disease, salt deposits appear in the area of ​​the calcaneus, which begin to thicken and compress the fascia. As a result of degenerative changes, the following symptoms appear:

• Pain in the heels, worse when walking;
• local edema;
• limping on the side of the defeat;
• The appearance of calluses on the heels due to improper positioning of the foot.

The severity of symptoms depends on the severity of the lesion.With small growths, there is a slight discomfort in the area of ​​the heels, which patients do not attach importance to for a long time. Usually, a specialist is consulted for persistent pain, swelling and lameness.

A heel spur is often mistaken for foot injuries or calluses and is not treated for a long time, so the defect grows rapidly. And it is advisable to contact a specialist at the first concern.

Why does heel spur appear?

Spur is a hard growth of bone-salt osteophytes.If you do not start treatment on time, it will not dissolve on its own, it will only be possible to get rid of it surgically. The reasons for its appearance are not fully understood. It was found that women are more likely to suffer from this disease, which is explained by the anatomical features of the foot.

Identified provoking factors under the influence of which the bone growth appears:

• overweight;
• wearing high-heeled shoes;
• frequent and constant walking;
• increased loads on the legs;
• flat feet;
• leg injuries;
• various systemic diseases: diabetes mellitus, gout, arthritis, etc.d.

Is home treatment possible?

The effect of conservative therapy is noted only at the initial stages and under the supervision of a physician. Most drugs are prescribed to relieve symptoms such as pain and swelling. In order for the growth to dissolve, physiotherapy is carried out under the constant supervision of a doctor.

Fast and effective treatment with SWT

One of the popular methods of treating heel spurs is shock wave therapy, in which ultrasonic waves are applied to the affected area.The method is painless and non-invasive, which eliminates any discomfort and reduces the risk of complications to almost zero. In order for the growth to completely dissolve, several sessions are required, depending on its size and density.

Effect of SWT:

• analgesic – relieving pain in the area of ​​inflammation;
• elimination of soft tissue edema;
• stimulation of the growth of blood vessels;
• improvement of blood circulation and lymphatic drainage.

Under the action of ultrasound waves, the resorption of the heel spur is stimulated and the main symptoms are relieved.Improvement is usually observed after several procedures, with a lasting effect noted by most patients. In the course of treatment, the doctor regularly conducts an examination to assess the results. With the help of UHT, you can quickly and effectively get rid of the heel spur.

Artist: Delmukhametova Nuria Ravisovna

90,000 How to treat a heel spur – articles from Elamed

Heel spur (or plantar fasciitis) is one of the diseases of the musculoskeletal system and a consequence of bipedal locomotion: about 10% of the population in one way or another have symptoms of plantar fasciitis.

The disease requires compulsory treatment: a quarter of all identified cases of disease lead to partial loss of mobility. The disease is characterized by pain in the heel bone, which is caused by microtrauma to the plantar fascia. Painful sensations appear with support or load on the foot, intensify in the morning, after prolonged rest or exertion. According to statistics, more than 70% of those who applied for help are urban women over 40 years old.

It should be borne in mind that heel pain is not necessarily caused by a heel spur. An accurate diagnosis can only be made by a doctor after analyzing the patient’s complaints and radiography.

What is plantar fasciitis?

A dense connective tissue is attached to the calcaneus and the heads of the metatarsal bones of the phalanges of the fingers, which provides support and formation of the longitudinal arch of the human foot. This tissue is called the plantar fascia, and its inflammation at the junction with the plantar aponeurosis is called plantar fasciitis, or heel spur.

Plantar fasciitis is caused by inflammatory-degenerative changes in the tissues of the planar fascia: overstrain and the resulting inflammation of the plantar ligament. Tissue pain is caused by a bony build-up (spur) at the end of the heel, which can range in size from a few millimeters to a centimeter.

The tissues of the plantar fascia experience maximum stress at the points of attachment to the calcaneal tuberosity. Running or walking loads the foot – microtraumas often appear in this place, which are restored on their own.But if the muscles of the foot do not work properly and the connective tissue is overstrained, the recovery function is weakened, and constant injury to the plantar fascia increases the risk of a compensatory reaction: restructuring of the periosteum and bone tissue. The compensatory reaction manifests itself in the form of a characteristic growth: on X-rays, the heel spur looks like a thorn (osteophyte) growing forward.

Plantar fasciitis symptoms

The main symptom of a heel spur is pain in the heel area.The pain manifests itself when resting on the foot or after exertion: walking, jumping or staying in one place for a long time in a standing position.

The pain is sharp and burning, defined by patients as a “nail in the heel”. The manifestation of pain gives the patient a lot of suffering – the patient even changes gait and lameness appears. The pain is localized in the back of the foot and when painful sensations “give” to the fingers and muscles of the lower leg.

One of the manifestations of plantar fasciitis is the shortening of the foot with limited mobility due to cicatricial contraction of the tissues of the plantar fascia, the appearance of cramps in the muscles of the foot and calf muscles.With a timely visit to a doctor and complex treatment, the likelihood of a favorable outcome increases dramatically.

Mechanism of development of the heel spur

With diseases of the musculoskeletal system, a person pays for upright walking, and a high percentage of women susceptible to the disease is explained by wearing high-soled shoes. The mechanism of development of plantar fasciitis is associated with three factors:

• Irritation of the periosteum of the calcaneus with loads on the foot;
• The emergence of microtraumas;
• The development of inflammation in the area of ​​injury.

Chronic overstrain of the foot and microtrauma cause a compensatory reaction – the body’s adaptation to constant irritation and tissue damage. Because of this, the bone tissue grows and, under load, has a stronger effect on the connective tissue.

At an early stage of plantar fasciitis, the patient does not experience discomfort, but further development of the disease inevitably leads to pain. If the heel spur is not treated, then the condition will gradually worsen – up to the complete incapacity of the patient and the acquisition of disability.

Causes of the heel spur

The cause of the appearance of a heel spur is prolonged overloads of the ligamentous apparatus of the sole, which can be caused by many reasons:

• Excess weight;
• Regular wearing of uncomfortable shoes: tight, low-quality or high-heeled shoes;
• Diseases of the spine, osteochondrosis, vascular diseases of the lower extremities, arthritis, arthrosis and other diseases of the joints;
• Congenital or acquired flat feet;
• Excessive stress on the foot during physical exertion, playing sports or a peculiarity of work – for example, working on legs;
• Disruption of metabolic processes, which are caused by gout and lead to excessive deposition of salts in the body;
• Infectious diseases, atherosclerosis and diabetes mellitus;
• Age-related degenerative changes that reduce the thickness of adipose tissue in the heel area and reduce the quality of metabolic processes in the ligamentous apparatus;
• Injuries to the legs.

At risk are all professional athletes, dancers and lovers of an active lifestyle, pregnant women, people with problems with the musculoskeletal system and the circulatory system.

How to treat a heel spur with MAG 30

Self-treatment or prevention of any disease should begin with a visit to the doctor. Also, before using the magnetotherapy low-frequency device MAG-30, you must familiarize yourself with the instructions and features of its use.

For treatment, the device is placed in the heel area, directly above the projection of the focus of the disease, the effect can be carried out through a plaster or gauze bandage. The working surface of the device is fixed motionlessly over the site of pain localization.

The course is designed for 15 procedures, which are carried out with a gradual increase in the exposure time:

• From 1 to 6 procedures – 6 minutes;
• From 7 to 9 procedures – 7 minutes;
• 10-15 procedures – 8 minutes.

A repeated course of treatment can be carried out after 40 days, preventive courses – once every three months.

When treating several diseases, it is necessary to take a break for 10 days after completing each course of a particular disease. After that, the MAG 30 apparatus can be used for physiotherapy of another disease. The maximum effect for the patient is observed when the device is used in the acute phase of the disease.

IMPORTANT: for a more effective recovery process in the ligamentous tissues, it is necessary to ensure their rest for several days.

Therapeutic action of MAG 30

The magnetic field of the MAG-30 apparatus has a high penetrating ability and is able to alleviate the symptoms of plantar fasciitis directly during the physiotherapy period: pain and swelling are relieved from the first minutes of its use. It should be understood that treatment with an alternating magnetic field has a trace character and depends on the characteristics of the organism. In this connection, the expected improvement may come a little later – in 15-20 days.

When the affected area is exposed to an alternating magnetic field MAG-30, blood circulation is improved at the capillary level in the area of ​​the articular tissue. Improving blood circulation allows you to speed up metabolic processes, increase vascular and epithelial permeability, and relieve puffiness.

As a result, the inflammatory process in the tissues of the plantar fascia ceases, and the ligamentous apparatus restores its functions.

Benefits of MAG-30 in the treatment of heel spurs

The magnetic field of the device has an analgesic and anti-inflammatory effect.
The use of MAG-30 does not require special knowledge – it is specially designed for use at home.
The alternating magnetic field of the MAG-30 apparatus is well tolerated by weakened and elderly patients, as well as by people suffering from diseases of the cardiovascular system and allergic reactions.
The physiotherapy procedure for treating a heel spur using MAG-30 can (and should) be combined with other methods of treatment – the recovery process will be more effective.
The device has been proven to be effective for over 25 years (since 1986).
MAG-30 can be used for many of the most common diseases.
The device can be used by all family members – it is reliable and easy to use.

The device MAG-30 has already proved its effectiveness. It is a support for the body and a real home doctor that allows you to stay healthy and full of energy.

90,000 Heel spur treatment in Moscow

The Palikha clinic offers effective treatment of a heel spur in Moscow without surgery.Our medical center has vast experience in successfully treating diseases with shock wave therapy in just 6 sessions.
Do not self-medicate – this can result in serious complications, up to and including dysfunction of the foot.

WHAT IS A HEEL SPUR

Heel spur or plantar fasciitis is one of the most common causes of heel pain. The essence of the problem lies in the fact that on the articular surface of the calcaneus a sharp growth, “spur”, is formed, which injures the surrounding soft tissues.Doctors note a complex of biomechanical factors that stimulate this process. Injuries suffered in the past, falls, overweight, playing sports on hard paths stand out. The architecture of the arch of the foot is of some importance – people with flat feet are more prone to biomechanical injuries.

A heel spur usually appears on one side. Heel pain worse when walking, better at rest. It is very painful to get up in the morning and the first step on the heel.

Tissue injured by bone growth may begin to swell and pain may extend to the entire foot, involving the tendons running from the heel bone to the toes. This is how plantar fasciitis develops.

POSSIBLE COMPLICATIONS

• Ankle edema
• Arthritis / arthrosis of the joint of the big toe
• Severe pain at the site of inflammation

DIAGNOSTICS OF THE HEEL SPUR

First you need to see a doctor. This can be a general practitioner, neurologist, orthopedic traumatologist, or physical therapist.If you suspect you have a heel spur, only a doctor will confirm the diagnosis and prescribe treatment. In this case, no means of traditional medicine will eliminate the problem.

The doctor conducts an initial examination and diagnosis. If pressing in the heel area causes pain, the doctor will make an assumption about the presence of a heel spur, and to confirm its presence, he will issue a referral for X-ray or MRI of the foot. If the study confirms the presence of bone growth, the diagnosis is considered confirmed.

It is important to remember that changes in the tactile sensitivity of the foot or concomitant inflammatory diseases of the joints require additional research, as they may indicate the presence of other diseases.

TREATMENT OF HEEL SPUR

At home, they usually start with pads under the heel and under the arch of the foot, warm baths, rolling a can, and taking conventional pain relievers. All kinds of folk and home remedies for treatment in fact give only a temporary analgesic effect, in no way relieving the cause of the pain.It is better not to delay the visit to a specialist. It is believed that how long a person has suffered a heel spur, so much time will take the recovery process.

If the heel spur is confirmed, shock wave therapy will help get rid of the build-up, gradually eliminating the pain. Spur and associated plantar fasciitis respond very well to shock wave therapy. The usual course consists of 6-10 procedures. An alternative way is to inject a steroid drug.

In all cases, it is necessary to correct the biomechanical factors that led to the occurrence of this problem – the selection of orthopedic insoles, comfortable shoes, weight correction.Prognostically, about 80% of patients stop experiencing pain in the heel after one course of shock wave therapy and well-fitted insoles.

SHOCK WAVE THERAPY FOR HEEL SPUR

Shock wave therapy is a scientifically proven method of treating diseases of the musculoskeletal system. The principle of UHT is the ability of hydroacoustic waves to loosen fibrous bases and calcicates. The generated waves actively interact with damaged tissues.Such an effect triggers an accelerated growth of cells, which contributes to the healing of fractures, pain relief, and restoration of soft tissues. To date, UHT is the most effective and fastest way to treat heel spurs. Under the action of the shock wave, calcium deposits are destroyed and the process of regeneration of damaged tissues is activated, contributing to the restoration and healing of the heel bone. The pain syndrome becomes less pronounced with each subsequent procedure. Upon completion of a course of 6-10 therapy procedures, the heel spur collapses and the pain disappears.

DORNIER ARIES FOCAL SHOCK WAVE MACHINE

In our medical center, shock wave therapy procedures are performed on the latest German Dornier Aries apparatus with patented intelligent shock wave focusing technology. It allows you to change the depth of penetration of waves without changing the nozzle and to act with a directed wave of waves on target areas. This minimizes discomfort while increasing the effectiveness of the shock wave.

INDIVIDUAL ORTHOPEDIC INSOLES FORMTOTICS

Correctly matched insoles allow you to correct the position of the foot during gait, eliminating unpleasant sensations and flat feet. The insoles eliminate the biomechanical cause of the heel spur disease. Individual orthopedic insoles “FORMTOTICS” are made in New Zealand and are rightfully recognized as one of the best insoles by doctors around the world. The selection of insoles is carried out exclusively by trained and certified doctors.

Treatment of a heel spur in Yekaterinburg, removal of spurs on a pad

Increased physical exertion on the ligaments of the feet, improper distribution of the center of gravity lead to the appearance of micro-tears and swelling of soft tissues. The result is plantar fasciitis or heel spur. This disease has its own symptoms and causes, but you can notice it immediately by the severe pain.

Manifestation and symptoms of the disease

Spur on the heel ICD code M77.3 is formed due to:

• obesity;
• longitudinal flat feet – the outer and inner tissue becomes inflamed;
• daily barefoot walking on a hard surface;
• overtones of the calf muscles;
• circulatory problems in the legs;
• arthritis and arthrosis;
• trauma or injury to the calcaneus.

Main symptoms:

• Pain in the heel while walking, as if a nail were in the foot;
• change of gait to reduce pain in the leg;
• Pain in the lower back and neck due to a change in the standard body position for adaptation.

Sometimes the pain is so severe that a person cannot lean on the injured leg at all.

Diagnosis of a heel spur

Diagnosis of a heel spur in a child and in adults is carried out by a doctor. Outwardly, the heel may look completely healthy without visible changes, rarely there may be swelling and calluses on it. But when pressed, severe pain occurs. To confirm the diagnosis, the patient is sent for an X-ray, where a bony outgrowth resembling a thorn is clearly visible.In the early stages of disease progression, X-ray may not even notice the presence of a spur, thereby complicating the diagnosis. In some cases, a spur in patients is discovered by chance when diagnosing other diseases of the feet. If the disease does not bring any discomfort, then treatment will not be required. Perhaps this transformation is within the normal range. But refusal to treat a heel spur can have very serious consequences from partial to complete loss of limb mobility.

Methods of treatment

In the Yekaterinburg Medical Center, specialists offer various quick and effective methods of treating heel spurs:

• Physiotherapy, including massage, exercise therapy, taping;
• laser heel spur treatment;
• ultrasound irradiation;
• phototherapy with ultraviolet light rays;
• magnetic therapy;
• shock wave therapy.

The most effective way to get rid of a heel spur permanently is with a laser.The procedure has no side effects, does not cause allergies, does not require hospitalization, has an affordable price, is painless, relieves swelling, pain and inflammation.

UHT is performed to reduce the size of spurs, eliminate pain, normalize blood circulation and strengthen ligaments. Blockage in the heel with a heel spur will help cure the disease. But only a specialist should give injections.

Heel spur surgery is sometimes prescribed. If it is useless to treat a spur, first aid is powerless, then you can decide on an extreme measure – an operation under local anesthesia or general anesthesia.

Heel spur. Pathogenetic treatment with individual orthoses Formtotics.

Calcaneal spur – bone growth in the form of a thorn or wedge in the area of ​​the plantar surface of the calcaneus tubercle. The clinical picture with a heel spur is typical and is characterized by burning sharp pains when resting on the heel, defined by patients as a feeling of a “nail in the heel”.

Clinical symptoms are primarily due to changes in soft tissues: inflammation of deep mucous membranes and the phenomena of periostitis.The pain is caused by the tension of the inflamed fibers of the plantar aponeurosis in the area of ​​attachment to the heel bone. Moreover, the intensity of pain does not depend on the size and shape of the growth: often large and sharp ones are not felt, and small and flat ones turn out to be very painful.

REASONS FOR THE FORMATION OF THE HEEL SPUR

A heel spur in 90% of cases develops against a background of flat feet. The fact is that with flat feet, the distribution of the load on the structures of the feet changes, the fibers of the plantar aponeurosis are over-tensioned, and some fibers are torn off from the place of attachment to the heel bone.As a result, not only the fibers themselves become inflamed – the inflammation of the surface layer of the bone tissue under them begins. The inflamed periosteum begins to produce bone tissue, which, in the form of a spur, tries to “catch up” with the detached aponeurotic fibers.

DIAGNOSTICS

A heel spur is usually straightforward to diagnose. An experienced specialist is able to do this by carefully probing the foot and listening to the patient’s complaints about the pain that is especially characteristic in this case.According to their description, the doctor determines that they are associated with an emerging spur, and not with something else. An x-ray is taken to confirm the diagnosis.

However, on x-ray examination, heel spurs are detected in a large number of people who do not present any complaints. Therefore, the presence of an anatomical spur does not in itself mean that it develops painfully. Such a person lives normally, without discomfort and pain. Conversely, some people with severe heel pain may not have any spurs on the X-ray.

Consequently, the formation of a heel spur is a compensatory reaction of the body caused by overstrain of the plantar aponeurosis, in turn, due to a violation of the biomechanics of the foot with flat feet.

HEEL SPUR TREATMENT

Treatment of a heel spur is conservative and depends on the cause of the disease. You do not need to get rid of the spur itself. A complex of therapeutic measures is recommended, aimed at eliminating the inflammatory process.

The complex of conservative treatment includes:

– Therapeutic exercises and massage aimed at improving blood circulation.

– Physiotherapy procedures (laser therapy, magnetotherapy, UFO, electrophoresis, ultrasound).

– The most important condition for the effectiveness of treatment is to ensure unloading of the painful area. For this, individual orthopedic insoles are prescribed.

PREVENTIVE MEASURES

Prevention of calcaneal spurs should be aimed at preventing premature aging of the osteoarticular apparatus:

• Fighting overweight

• Active motor mode

• Avoid overload stops

• Timely and qualified treatment of diseases of the spine and joints

• Prevent the development and progression of flat feet

• Wearing orthopedic insoles with flat feet

• Wearing comfortable and physiological footwear

The main pathogenetic method of treatment and prevention of heel spurs is the use of individual foot orthoses.Improving the biomechanics of the foot, the distribution of body weight over the entire area of ​​the foot helps to reduce the overload of the plantar aponeurosis and prevents tears of the aponeurotic fibers from the heel bone. After the acute inflammatory process subsides, the pain disappears.

Orthopedic traumatologist

A.V. Kovrizhnykh

Endoscopic heel spur removal

Dr. med. Thomas Schneider, Orthopedic Surgeon, Ankle Specialist

Modern heel spur treatment © Viewmedica

A heel spur manifests as an acute throbbing pain in the foot and especially in the heel.Usually, acute pain occurs at night or after a long rest. Due to severe cutting pains, the patient transfers weight when walking on the forefoot and begins to limp.

How is heel spur surgery performed?

Using a movable X-ray tube, the position of the heel spur is identified and marked with a cannula (needle). Through two small incisions, a light source and a camera are inserted on one side, and special surgical instruments on the other.Thanks to the marking with the needle, the heel spur can be easily found and displayed. Using a small round bur, the bony prominence of the heel bone is removed and the underside of the calcaneus is completely flattened to prevent further irritation of the tendons.

Are there any specific risks and limitations of this method?

Since the operation is carried out in a minimally invasive method, only a limited view of the inside of the joint is possible. This entails the risk that the plantar plateau (Plantaraponeurose) may be too deeply or not deeply cleaved.With an experienced surgeon, this risk is minimized. The result of the operation is adversely affected by the long duration of the disease before the operation and the patient’s obesity. Along with these, there are general risks, as with any surgery, such as thrombosis, embolism, bleeding, infections, poor wound healing.

Advantages of endoscopic heel spur removal:

• small cuts
• good wound healing
• minor scars
• low risk of infection
• quick mobilization after surgery
• fast postoperative recovery

Postoperative rehabilitation

If leg pain permits, partial leg loading is allowed immediately after surgery.However, for the first two to three weeks, you should not load your leg with your full body weight to avoid interfering with the healing process. In addition, regular examinations of the wound are necessary to detect early and prevent possible infections. After the wound has healed, full load on the leg is allowed. It is often possible to fully assess the success of the operation only after a few months. It is recommended that you continue to wear the special arch support to support the arch of the foot.

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