HEEL SPUR INSTRUCTION SHEET

As explained by the doctor, Heel Spur Syndrome is an inflammation of the heel due to injury of the plantar fascia. Over time bone formation will become apparent. This is what we call a heel spur. Treatment in the office consists of injection into the heel, and strapping.

1. Avoid slippers, sandals, barefoot, and flats. Try to wear a tie lace shoe preferably a sneaker (running sneaker or walking shoe) by any company.

SUGGESTIONS: Nike Air or New Balance sneakers. Dress shoes should be gum rubber sole with a cushioned heel with a tie lace upper shoe. These shoes should be worn from the time you get up in the morning until the time you go to sleep.

2. Stretching exercises are to stretch out the calf muscles and the plantar arch. This should be done at least 3 to 5 minutes on each foot 4 times a day. The best times are when getting up (most painful) and after sitting for long periods of time.
3. At very painful times, apply ice to the area.
4. Medication- take only what has been instructed to you by Dr. Cappa. SIDE AFFECTS FROM THESE MEDICATIONS MAY INCLUDE UPSET STOMACH AND VOMITING. IF YOU EXPERIENCE ANY OF THESE SYMPTOMS CONTACT THE OFFICE ASAP. REMEMBER TO TAKE THESE MEDICATIONS WITH FOOD, MILK, OR MYLANTA.
5. Wear the strapping
6. Injections can be painful in and around the area of the shot. The injections should show improvement of 40 to 60 percent within the next 2 days. You can ice the area of injection if it continues to hurt.
7. Weight loss is very important to take pressure off your heel. 

Pain in the heel is one of the most common forms of foot pain in the United States. It can largely be attributed to the stress on the feet caused by daily activities and exercise that magnifies misalignments in the feet, particularly if improperly-fitted shoes are worn. Physicians use the terms plantar fasciitis and post-static dyskinesia interchangeably to refer to heel pain.

There are many structures attached to the heel bone (calcaneus). The two structures primarily associated with heel pain are the plantar fascia (band of connective tissue along the bottom of the foot that supports the arch) and the flexor digitorum brevis muscle. Typically, in walking, the arch starts to flatten as the foot absorbs the weight of the body and these structures maintain the arch and stabilize the foot. Normally, they accomplish this effortlessly. Excessive exercise and occupations that require people to spend a lot of time on their feet may stretch these structures beyond their limits. This stretching can lead to muscle tears and bone spurs.

Bone spurs on the heel occur when muscle tension (usually on the flexor digitorum) pulls a piece of bone away from the calcaneus. A bone spur usually appears on x-ray as a fishhook-shaped structure. This sharp-edged deformity irritates the nerves in the heel and, combined with the strained muscles, causes heel pain.

Poorly fitted shoes exacerbate the problem further. Many people who work all day in new or ill- fitting shoes experience heel pain the next day. Ill-fitting running shoes may cause pain for weeks after a single run, as can playing 18 holes of golf in improper shoes. This does not mean that a $100 pair of sneakers is necessarily better than a pair that costs $50; the fit is what is important. Sneakers and athletic shoes should fit properly, have plenty of cushioning to absorb shock, and provide support. There are different types of shoes for different sports. This is more than a marketing gimmick. Certain sports, such as tennis, require shoes that provide lateral support and others, such as cross-training, require shoes with a softer sole that conforms to irregular terrain.

Another cause of heel pain is not warming up before exercise. The feet should be stretched by performing heel raises. Stand next to a wall flat-footed and raise the heels so all of the body weight is on the front of the feet and the toes. Then relax and return the heels to the ground. Repeat this procedure 10 to 15 times before exercising to stretch the foot muscles and prevent overstraining.

Post-static dyskinesia causes heel pain early in the morning that subsides as the day goes on. This occurs because the muscles are tight in the morning, accentuating the strain on the flexor muscle and, if present, bone spurs. As the day progresses, the muscles stretch and the pain subsides. Post-static dyskinesia means "pain after rest." 

Heel Pain