The heel spur, or calcaneal spur, is a bony growth of calcium that projects from the calcaneus, or heel bone, to the area where ligaments and tendons connect. These spurs are most commonly seen in arthritic individuals over 40 years old, affecting men and women equally.

Heel spurs are brought on by various diseases like arthritis, degenerative illnesses, or prolonged stresses upon the heel bone. They're associated with inflammation of the Achilles tendon. In the end, an anatomical change results, then the heel bone copes by depositing calcium on the soft tissue attachments. Once afflicted, it becomes a persistent problem, even in spite of heel spurs treatment.

Pain from heel spurs is most severe upon starting to walk from rest, and after straining the foot the previous day. This pain would ease slightly during walking, but constant exertion would eventually aggravate the inflammation and make the entire heel painful. It all originates from swelling around the heel area, and is thus the target of most treatments.

Most heel spurs treatment simply relieves the pain, and are short-term in nature. The first method is to stretch and raise the foot. This will lessen the blood flow around the area and reduce the swelling, relieving the pain. The next option in heel spurs treatment is to place a shoe insert on the heel area of one's footwear. It serves to both shift the weight away from the heel as well as to cushion the heel attachment itself. Another heel spur treatment is to use night splints to keep the heel stretched when sleeping.

Other heel spurs treatment involves therapies. One is diathermy, where heat is produced on the heel to alleviate inflammation. The other is ultrasound, where sound waves promote blood circulation on the heel by simulating a massaging action. Then there are whirlpool baths, where the massaging motion is simulated by a jet stream of water. There are also home therapies, such as ice packs, borax solution, chlorinated water, and apple cider vinegar, which allegedly ease the pain.

When the other heel spur treatment failed, injections of cortisone around the heel may also be done to relieve the swelling and pain. ESWT or extracorporeal shock wave therapy, may also be done to induce better tissue repair processes, and can be considered prior to surgical removal which is the most definitive heel spurs treatment. It may be done via open or endoscopic methods. Surgery is risky however, and is recommended only as a final resort, such as when nerves are already being compressed, and only after the more conservative methods have been tried.

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