It is most often characterized by a very localized pain in the heel (pain like a burn, a prick, a sharp tear...). Often described by patients as a "nail" or a "needle" stuck in the heel.

What are the causes of heel spurs?

The calcaneal spur would be the cause of repeated static micro-trauma, resulting in calcium deposits at the level of the lesions leading to calcification of the tendons or the surrounding fascia, over time, growths form along the tendons.

How does heel spur syndrome manifest itself?

it is most often the same picture: a sharp pain (more often unilateral) appearing in the morning from the first support. At the beginning, this pain is intermittent, but is exacerbated by standing, and more or less calmed by rest.

as the syndrome evolves, the pain becomes more and more present and more and more severe.

This pain occurs more frequently in women in their fifties and in overweight subjects.

Excessive effort and prolonged standing are also contributing factors.

How is the diagnosis made?

Most often the diagnosis is made following questioning and clinical examination of the foot (especially the heel), the pain being very specific to the heel spur.

this diagnosis can be completed by a radiological examination, however there is no correlation between the intensity of pain and radiological imaging.

More rarely, an MRI or an ultrasound is requested to exclude other pathologies.

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Treatment?

The heel spur should only be treated in the case of an established symptomatology.

- General Measures:

weight loss

avoid prolonged standing and intensive foot solicitation

wearing of custom-made heel pads by a podiatrist

Rest for a few days or weeks can be imposed in case of hyperalgesic attack.

- Medical treatment:

Analgesics, anti-inflammatory drugs administered locally or by general route, local corticotherapy by infiltration.

Anesthesia of the calcaneal nerve by localized injection (behind the malleolus)

-Physical treatment:

Seismotherapy or shock waves to "break" the heel spur

Radiotherapy

Surgical treatment : it is reserved only in case of failure of the above mentioned treatments and remains exceptional

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