Orthopedics-Online

Heel spur pain

Synonyms

Calcaneus spur, Calcaneus spur, lower heel spur, upper heel spur, dorsal heel spur, plantar fasciitis

Causes of pain

The main symptoms of heel spur are mostly moderate to severe pain. These come about because the Heel spur, which is a bony projection in the area of the Heel bone is, exerts mechanical pressure on the surrounding tissue. Depending on the type of heel spur it is, other areas of the foot are affected. As a rule, all heel spurs are closely related to the attachment points of the Achilles tendon socialized. If upper or lower heel spur, always becomes an increased pressure on the Achilles tendon, the associated one muscle or the Nerve tracts exercised. Heel spur pain is caused by two different factors: Through pressure and through Impaling.

Appointment with an expert in calcaneal spur?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

Athletes (joggers) are particularly often affected by the disease of the heel spur. In many cases, the cause of the inflammation of the heel spur cannot be identified at first. Therefore, the treatment requires a lot of experience. I focus on the heel spur.
The aim of every treatment is treatment without surgery with a complete recovery of performance.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

Lumedis - your orthopedic surgeon
Kaiserstrasse 14
60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert

Release of pain through pressure

A heel spur is additional tissue that is not naturally intended in terms of its shape and space requirements and that can develop over time. In short, the place that a Heel spur required is not available. The structures in the area of the Ankle and the heel. There are those to be mentioned Outer bands of the ankle, which on both sides are close to the terminal runners of Shin and Heel bone to rest on the foot Lower leg to fix. There would be numerous blood vessels like that Dorsalis pedis artery and the Posterior tibial artery and finally numerous responsible for sensitive and muscular care Nerve tracts. Important, and especially affected by heel spurs, are the end branches of the rear Calf musclewhich is attached to the heel bone as a tendon.
Almost everyone knows the term Achilles tendon, which is named as a representative of this muscle attachment. If a heel spur develops slowly, there is less and less space in the area of this tendon. The tendon in turn rubs directly over the heel spur with every foot movement. For one, it can make the tendon dangerous thin on the other hand, a heel spur formation almost always runs with a inflammatory Change in this tendon. The rubbing on the one hand and the inflammatory changes on the other hand lead to sometimes very severe pain. As the pressure on the tendon increases, the pressure is transmitted to other areas of the foot and the surrounding tissue. The Achilles tendon always tries to escape the pressure of the heel spur to a certain extent and is pushed in the opposite direction, which in turn leads to an increase in pressure on nerves, blood vessels, ligaments or muscles.

Pain triggered by impaling

In addition to the pressure increase due to the slow growth of the heel spur, it is in the Art and the shape of the spur, which is another cause of pain. In contrast to other bony protrusions in the human body, which are anatomically adapted so that they do not constitute an obstruction for other parts such as muscles, nerves or tendons, the slowly growing heel spur is a species foreign body. Bone processes that are anatomically desired form roundings, cavities or formations similar to placeholders so that nerves, muscles or blood vessels can pass through this area unhindered. The "foreign body" heel spur, however, is mostly angular limited, sharp and pointed and protrudes into important body systems that are responsible for mobility. In addition to the pressure-increasing causes due to its size and space requirements, its sharp-edged areas can seriously disrupt the surrounding tissue. In extreme cases, the edges of the bone are so pointed and sharp that it becomes one Impaling the tendon comes. In many cases the pointed heel spur protrudes down from the heel and spikes through what is necessary for the arch of the foot Plantar fascia. With every kick, the body weight is directed onto the heel and, in this case, the heel spur, which can lead to deep penetration and severe pain.

Pain character

The pain due to spatial displacement is mostly from dull, oppressive Character who is in the field of heel and the Sole of the foot spreads. The pain can extend into the calf or up to the Toes pull. In many cases, this is associated with impaired movement, which in a Relieving posture are justified. Also Sensory disturbances occur in many cases. The impaling is often called stabbing described. Similar to stepping on a thorn, every movement of the foot results in sometimes unbearable pain, which also causes those affected to move into a relieving position. Impaling can also lead to sensory disturbances, because sensitive nerve pathways also pass the sole of the foot, which can be irritated and damaged by the heel spur. It is often the case that a heel spur Mixed pain triggers consisting of burning, pressing, and stabbing pain. In rare cases, large heel spurs damage the tendon to such an extent that there is a risk of instability in the Achilles tendon and even sudden severing. This case would be with a sudden Loss of movement connected (lifting the foot would only be possible to a limited extent).

Figure heel spur

Heel spur - calcaneus spur
(bony outgrowth)

Lower (plantar) heel spur
Upper (dorsal) heel spur
Calcaneal tuberosity -
Calcaneal tuberosity
Heel bone - Calcaneus
Achilles tendon -
Tendo calcaneus
External calf muscle -
M. gastrocnemius,
Caput laterale
Shin - Tibia
Fibula - Fibula
Ankle bone - Talus
Scaphoid bone - Navicular bone
External sphenoid bone -
Os cuneiform laterale
Cuboid bone - Os cuboideum
Sole tendon plate -
Plantar aponeurosis

A - picture of heel with a lower one
and upper calcaneal spur
B - Left foot from the outside

You can find an overview of all Dr-Gumpert images at: medical illustrations

Appointment with ?

I would be happy to advise you!

Athletes (joggers, soccer players, etc.) are particularly often affected by diseases of the foot. In some cases, the cause of the foot discomfort cannot be identified at first.
Therefore, the treatment of the foot (e.g. Achilles tendonitis, heel spurs, etc.) requires a lot of experience.
I focus on a wide variety of foot diseases.
The aim of every treatment is treatment without surgery with a complete recovery of performance.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in: