Definition
An ossification and calcification resulting from traction
of plantar fascia upon the periosteum (covering of bone) of the
inferior surface of the calcaneum
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Radiographic Appearance
Radiographs will show a spur. The lateral radiograph is
the best view for visualization of this condition, the spurs are
frequently bilateral and may be asymptomatic, most centres image
both sides.
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Pathology
MECHANISM OF INJURY
There is stress at the plantar(bottom of the foot) aspect of the
calcaneus(heel bone) at the attachment of the plantar aponeurosis.
This stress is caused by excessive running, standing, or walking,
especially when the individual is unaccustomed to the activity.
SYMPTOMS
Constant pain on the undersurface of the heel, which sometimes
radiates from the anterior portion into the rest of the plantar
aspect of the foot.
Pain occurs on standing or walking, and is relieved by rest.
SIGNS
Localized tenderness is found over the medial portion of the spur.
Slight swelling may be observed.
Passive dorsiflexion (bringing toes toward head) of the toes may
accentuate the pain.
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Treatment:
Manipulation of the calcaneus to increase the calcaneal incline
angle.
Manipulation of biomechanical foot faults.
Ankle and arch strengthening.
FirmFlex Plus orthotics ( with shock-absorbing Zorbacel heel pads).
Therapy modalities, including ultrasound.
Surgical removal for non-responsive conditions to conservative care. |
Image 1
Lateral Calcaneum with spur
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Useful Link
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