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What is a Heel Spur? Symptoms and Treatment Methods
Heel pain is one of the common orthopedic problems that negatively affects daily life. One of the most frequent causes of this pain is the condition known as a heel spur. Associate Prof. Dr. Harun Mutlu and Associate Prof. Dr. Serhat Mutlu explain everything you need to know about heel spurs.
What Is a Heel Spur?
A heel spur is a bony protrusion that forms where calcium deposits accumulate at the attachment point of the plantar fascia ligament to the heel bone. It typically develops due to prolonged stress, improper footwear, and excessive tension in the sole of the foot.
What Are the Symptoms of a Heel Spur?
The most common complaints in patients with a heel spur are:
- Severe heel pain during the first steps after getting out of bed in the morning
- Pain that increases after standing for long periods or walking
- A feeling of stiffness and tenderness in the heel area
If you experience these symptoms, Associate Prof. Dr. Harun Mutlu and Associate Prof. Dr. Serhat Mutlu recommend consulting an orthopedic specialist without delay.
What Causes a Heel Spur?
Factors that contribute to the formation of a heel spur include:
- Improper footwear selection (unsupported, flat-soled shoes)
- Overstrain of the connective tissue in the sole of the foot
- Flat feet or high arches
- Standing for long periods or walking on hard surfaces
- Obesity and excessive body weight
How Is a Heel Spur Diagnosed?
The diagnosis of a heel spur is made based on the patient's complaints and a physical examination. An X-ray is taken for a definitive diagnosis. In some cases, MRI or ultrasound imaging may also be required.
How Is a Heel Spur Treated?
Treatment is planned according to the severity of the patient's symptoms. Associate Prof. Dr. Harun Mutlu and Associate Prof. Dr. Serhat Mutlu recommend the following methods:
1. Medication and Pain Management
Painkillers and anti-inflammatory drugs are used to control pain.
2. Orthotic Support and Footwear
Using orthotic insoles with heel support reduces the load on the foot.
Footwear that supports the arch should be preferred.
3. Physical Therapy and Exercises
Stretching exercises for the sole of the foot and calf muscles can prevent the progression of a heel spur.
Physical therapy modalities can reduce inflammation and pain.
4. Shock Wave Therapy (ESWT)
Extracorporeal shock wave therapy (ESWT) increases blood flow and accelerates the healing process in heel spur treatment.
5. CoolRF (Cold Radiofrequency) Therapy
In recent years, CoolRF (Cold Radiofrequency) has emerged as an effective treatment for heel spurs.
CoolRF uses low-temperature radiofrequency energy to control pain and speed tissue healing.
It is a minimally invasive procedure that can be performed quickly, allowing patients to return to their daily lives rapidly.
It is especially recommended for chronic heel spur cases that do not respond adequately to other treatments.
6. Cortisone Injection
For severe pain, a cortisone injection may be administered. However, this method should not be repeated frequently.
7. Surgical Treatment
Rarely, surgical intervention may be necessary if other treatments fail.
How to Prevent Heel Spurs
- Choose appropriate footwear and use heel-supported insoles.
- Perform regular exercises to strengthen the sole of the foot and calf muscles.
- Avoid standing on hard surfaces for prolonged periods.
- If overweight, take steps to reach and maintain an ideal body weight.
Conclusion
Heel spurs are a condition that can be controlled with early diagnosis and proper treatment. In particular, CoolRF (Cold Radiofrequency) therapy holds an important place among next-generation treatment options. If you suffer from heel pain that affects your quality of life, you should consult an orthopedic specialist without delay. Associate Prof. Dr. Harun Mutlu and Associate Prof. Dr. Serhat Mutlu provide personalized solutions in heel spur treatment to help their patients lead healthy lives.
For detailed information and appointments, please consult a qualified orthopedic doctor.