Heel pain is really annoying, as the heel spur causes soft tissue irritation and thus inflammation. Every step is painful, every pressure is unbearable and there is nothing we can do to make this pain in the heel go away. Is the heel spur really such a stubborn injury? Physiotherapy knows different solutions.
Why does a heel pain and heel spur occur?
Quite a few people suffer from heel pain because of heel spur. Most often, heel pain occurs in the morning when we get out of bed and take the first few steps. That’s when we feel a prickling sensation in the heel, almost like walking on small Lego bricks.
Morning stiffness and pain subside, but constant pain accompanies a person throughout the day, especially when putting constant weight on it.
We can say from everyday practice, that some people don’t even feel pain when loaded. They only feel severe pain when the foot calms down or is no longer under load. Remember, people are different, everyone feels different and no injury is the same.
Plantar fasciitis as a result of soft tissue irritation
The heel spur forms because calcium begins to accumulate on the heel bone. This in turn irritates the soft tissue. The heel spur itself doesn’t cause pain, the pain occurs when inflamed plantar tissue rubs against the bony outgrowth – heel spur.
This condition of the foot is also called plantar fasciitis. It is a term for inflammation of the tendon of the arch of the foot.
Plantar fasciitis can develop on its own without a heel spur. A heel spur can also occurs without previous pain or other foot problems.
You can read more in the blog about plantar fasciitis.
Heel pain and heel spur in pregnancy
Pregnant women belong to the risk group
Are you also one of those who, due to the nature of your work, stand on your feet a lot?
Then you are among those people who have a higher risk factor for developing heel pain due to fascia irritation. Overweight and flat feet further increase the possibility of heel spur.
Let’s not forget about pregnant women. Heel pain is another thing that can happen to them during pregnancy and is really not pleasant.
Overweight and flat feet increase the possibility of heel spurs.
Prolonged walking on hard surfaces and standing work is a risk factor too.
Physiotherapy for heel spur and long-term relief of problems
Extracorporeal Shockwave Therapy (ESWT) – the only effective therapy?
Shockwave therapy is not the only therapy when it comes to heel spurs, but it is certainly the most effective therapy. In fact, it is the only “invasive” or strong enough that physically causes a change on hard structures like bones. And yet this is no guarantee of a full recovery. The heel spur has been proven to eliminate only in 50%.
Shock wave therapy is a non-invasive treatment of chronic as well as acute inflammatory changes in the musculoskeletal system. ESWT therapy is using pulsed action of high-energy waves. There have been clinically proven effects of high-energy waves. Shock waves are applied with the help of a shock gun locally to the affected area.
ESWT therapy reduces pain, positively regulates the inflammatory process, stimulates the activity of stem cells, which in turn improves tissue regeneration and healing.
Heel spur pain relief
We physiotherapists effectively alleviate or eliminate problems with a combination of different devices, such as Tecar therapy and IASTM, and ESWT therapy. It is also important to relax the soft tissue and properly massage the foot for the greatest possible analgesic effect.
Anti-inflammatory injection into the heel – yes or no?
There are other solutions that relieve heel pain, including injecting the medicine right next to the heel spur. Conservative physical therapy measures are always used first. These methods are extremely mild and have short-term effect.
Fast, but also only symptomatically effective, in case of very severe pain is blockade. An anti-inflammatory and analgesic mixture of drugs applied to the place where the tendons attach to the bone, relieves pain, but does not eliminate the heel spur.
Custom shoe insoles
Based on specialist examination and measurements, orthopedic engineers also make custom insoles. Orthopedic insoles are the most common device for relieving problems or correcting irregularities.
Using modern materials, they can make insoles colorful for your skin, for maximum comfort and usability.