Heel Spur vs Plantar Fasciitis

Heel Spur

Heel spur is a bony growth that caused by calcium deposit underneath your heel bone, and are diagnosed as Heel Spur Syndrome. Heel spurs are often painless; however, they are frequently associated with plantar fasciitis. Heel spurs can happen when there are stress or inflammation on the plantar fascia.

Plantar Fasciitis

The plantar fascia is a fibrous connective tissue that helps to maintain the arch of the foot, mainly for foot stability and movement. Plantar Fasciitis is caused by inflammation of the plantar fascia and it happens when you overuse, overstretch, or tear the plantar fascia. The pain usually comes after prolonged rest especially when you are getting out of bed or chair after a long period of time. People often describe the pain as achy, stabbing, numbness or tingling.

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Physiotherapy

Do you know the pain arises from your heel is not always due to the heel spur itself, but the injured plantar fascia. Bone spurs commonly found in heel in X-ray imaging but they can be asymptomatic. The symptoms are generally due to plantar fasciitis.

Who’s at risk of heel pain ?

1. Tightness in the calf muscles.
2. Prolonged standing/ walking.
3. Repetitive stress from jogging/ sports activities (especially on hard surfaces).
4. Inappropriate arch support (high arch/ flat foot).
5. Overweight / Obesity.
6. Increasing age (lesser flexibility of the plantar fascia and more prone to injury).
7. Too active or not enough activity. 

What Can You Do For Yourself ?

1. Reduce or stop the activities that make the pain worse.
2. Use ice pack/ cold water bottle to roll over your foot for 15 to 20minutes. It can be done 3 to 4 times per day.
3. Do simple and gentle home stretching (eg: calf stretch/ plantar fascia stretch) to release the tight muscles.
4. Supportive shoes and foot orthotic.
5. Maintain a healthy weight.

What Can You Do For You ?

1. Physical therapy. Our chiropractor or physiotherapist will assist you on releasing the tight muscles and reducing the inflammation around the plantar fascia.
2. Extracorporeal Shockwave Therapy (ESWT). The high energy shockwave impulses will stimulate the healing process in damaged tissue and generate new cells for recovery.
3. Therapeutic Ultrasound. To reduce inflammation and pain, in addition to promote the healing process. 

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