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Heel Spur and Physiotherapy



A heel spur is the formation of a bony hook that forms on the calcaneal bone in the heel, and can be rather painful. Unfortunately, this condition can be similar symptoms-wise to plantar fascitiis but they're not the same at all.

(Heel spur is a bone-related condition of the calcaneus bone whereas plantar fasciitis is related to the plantar fascia, a soft-tissue).

Causes of heel spurs

Heel spurs happens when calcium deposits build up on the underside of the heel bone, a process that usually occurs over a long time.

They are often caused by strains on foot muscles and ligaments, which stretches and strains the plantar fascia, and repeated tearing of the membrane that covers the heel bone.

Unfortunately...heel spurs are especially common among athletes whose activities include large amounts of running and jumping.

Risk factors for heel spurs include:

  • Abnormal walking gait patterns that causes abnormal/unequal stress on the heel bone, ligaments and nerves near the heel
  • Running or jogging, especially on hard grounds/surfaces
  • Poorly fitted shoes (or very worn out ones), especially those that don't provide enough arch support
  • Being overweight

Symptoms of heel spurs

Heel spurs by itself usually doesn't lead to any symptoms.

BUT heel spurs can be linked to intermittent or chronic pain - especially pain, discomfort or aches in the heel while walking, jogging, or running if inflammation develops at the location of the spur formation.

Generally, the cause of the pain is not the heel spur itself but the soft-tissue injury and inflammation around and associated with it.

Many patients often describe the pain of heel spurs and plantar fasciitis as a stabbing knife or pin sticking into the bottom of their feet when they first stand up in the morning, and this pain gradually morphing into a dull ache later in the day.

Patients also report that the same sharp pain returns after they stand up after sitting for a prolonged period of time.

Physiotherapy Treatment of heel Spurs

Physiotherapy treatments of heel spurs are very similar to physiotherapy treatments of plantar fasciitis.

Before any treatments can start, we first need to diagnose (differential diagnosis) to tell if it's plantar fasciitis or heel spur.

Our senior physiotherapists will perform:

  • palpation
  • medical history taking
  • biomechanical tests
  • review your X-ray and scan reports

Physiotherapy intervention may be a combination of:

  • Decreasing Swelling and Inflammation: using a combination of cold therapy, retrograde massage, lymphatic drainage, ultrasound therapy, RICE method etc

  • Joint, Muscles & Soft Tissue Management: using a combination gliding, stretching, positioning, manipulation to decrease tightness, stiffness and decreased range of motion to increase range and natural movements. We may also employ deep tissue release to release tight knots in muscles.

  • Taping: Taping (eg using Rocktape) has been clinically and research-proven to be effective for plantar fasciitis and heel spurs management. The taping spreads out force and load for the plantar fascia.


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At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session. Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

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