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Calcaneus Spurs and Plantar Fasciitis: causes, symptoms and treatment
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10 August 2018

Calcaneus Spurs and Plantar Fasciitis: causes, symptoms and treatment

Calcaneus Spurs and Plantar Fasciitis: causes, symptoms and treatment

When practicing sport without an adequate heating, overload may occur to the twin calf muscles and to the Achilles tendon, which is inserted into the calcaneus.


Calcaneal spur (or heel spur) is an orthopedic problem that arises due to the abnormal growth of a portion of the heel bone, which can cause severe pain in the sole of the foot.


During the march, each of the heels supports the weight of the whole body alternately. This load is relieved by layers of fabric under the heel.
Plantar fasciitis is one of the most common causes of dora in the heel. It is an inflammation of a tissue called the plantar fascia, located in the sole of the foot and connecting the calcaneus (bone that forms the heel) to the fingers.


The main risk factors for calcaneal spur are related to stiffness and increased traction of the fascia in the calcaneus.


Causes of Calcaneus Spurs and Plantar Fasciitis:
• Age above 40 years;
• Increased training intensity or sudden onset of high impact activities (such as running), which overload and increase the rigidity of the fascia and create a lot of traction in the spur area, increasing the likelihood of its appearance;
• Unsuitable footwear for sports;
• Excessive use of high heels;
• Excess weight, which overloads the foot and heel;
• Type of feet, such as bare feet and flat feet, that lack the efficiency to adequately cushion the impact. The foot I dig because it is very rigid and the foot flat because it is flat



Symptoms:
Calcaneus spur:
• Pain well located on the sole of the heel, with greater intensity during the morning and after or during physical activities;
• Pain in the arch of the foot and pain when stretching the twins (stiffness of the muscles of the region);
• There may be reduction of joint amplitude of the feet and limitation of the normal activities of the individual;
Attention: Not all pain in this region is spur and there are cases where the problem is asymptomatic.

Plantar fasciitis:
• The pain of plantar fasciitis develops gradually, affects only one foot (although it may affect both at the same time);
• It is triggered and aggravated by the first morning steps, long periods of standing or transition from the sitting to the vertical position. This pain resembles a stitch in the heel.
• When climbing stairs;
• After intense physical activity.


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Treatment: 

Calcaneus spur:
• The spur of the calcaneus can be difficult to treat. However, in many cases, the changes are mild and recover over time.
• Rest;
• Cryotherapy (ice application);
• Compression of the affected area and elevation of the lower limb;
• In some cases, heat is beneficial in relieving pain;
• The best form of treatment is physiotherapy that offers very specific exercises and stretches for the feet and twins. The vast majority of patients respond very well to treatment with physiotherapeutic techniques.



Plantar fasciitis:
Treatment for plantar fasciitis is usually done on the basis of medications and physical therapy.
Drugs recommended by doctors are analgesics to reduce pain and anti-inflammatories to decrease inflammation. Stretching, resting, and wearing more appropriate shoes are other common medical recommendations.

Prevention of Calcaneus Spurs and Plantar Fasciitis:
• Heating before the start of any sporting activity is essential;
• Reduce the burden of high impact activities and activities;
• Wear appropriate footwear in sports and day-to-day practices. Whenever possible avoid shoes with high heels;
• Regularly strengthen the musculature of the sole of the foot. Seek professional guidance before beginning exercise;
• Losing weight to decrease musculoskeletal system overload;
• Use insoles;
• Be aware of posture when standing and walking slowly;
• Avoid walking with tiptoes;
• Physiotherapy, which will help reduce symptoms with specific exercises and devices (ultrasound, laser).