Heel spur and Plantar Fascitis

  • Heel spur and plantar fascitis

    It is an extremely common condition where patient complains of heel pain on the inside of the foot. Although the cause is not clear, it is aggravated by flat feet, high arches, obesity, and poor footwear and gait patterns. It is often associated with tightness of calf and thigh muscles. It is also more common in people with rheumatoid arthritis or ankylosing spondylitis.

    X  ray showing heel spur

    Picture showing spot where inflammation occurs

    Treatment

    Plantar fascitis is resistant to treatment and can take a long time to get better.

    Initial treatment hinges on reducing inflammation and imposing rest. Simple anti-inflammatory medicines, wearing soft heel cushions will benefit a lot.

    Area where injection is given for plantar faascitis
    Soft heel cushions
    Soft gel arch support
    Soft gel arch support

    Exercises to stretch the achilles tendon will reduce the load on the tendon and the fascia, resulting in controlling inflammation. In patients having flat feet, an additional arch support is also helpful.

    Injections

    They play a pivotal role in reducing soreness and reduce recurrences. Plain lignocaine mixed with anti-inflammatory given at the tender point can ameliorate symptoms to a large extend, in most cases. Injection can be repeated.

    Area where injection is given for plantar faascitis

    Area where injection is given for plantar faascitis

    Heel spur

    When plantar fasciitis continues for a long time, a heel spur (bone) may form where the fascia tissue band connects to your heel bone. Your foot specialist can show the spur on an X-ray. Treatment is usually the same as for plantar fasciitis: rest until the pain subsides, do special stretching exercises and wear heel cushion shoe inserts.

    We at Happy Feet are one of the few centres offering state of the art treatment for this condition.

    • Platelet rich plasma injection: A blood sample taken from the patient is spun at high speed and cells are filtered using special apparatus. The resulting fluid, rich in growth factors is injected at the inflamed point on the heel. Results are very good.
    • Plantar fascia release: If all else fails, a surgical procedure that is curative, releases the tight fascia known to cause pain. This can be done as a day case procedure.

    X  ray showing heel spur
    X ray showing heel spur
    Plantar fascitis after release surgery
    Plantar fascitis after release surgery