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Heel Spurs. What is a Heel Spur?  An abnormal growth on the heel bone  It is usually associated with Plantar Fasciitis  As the Plantar Fascia pulls.

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Presentation on theme: "Heel Spurs. What is a Heel Spur?  An abnormal growth on the heel bone  It is usually associated with Plantar Fasciitis  As the Plantar Fascia pulls."— Presentation transcript:

1 Heel Spurs

2 What is a Heel Spur?  An abnormal growth on the heel bone  It is usually associated with Plantar Fasciitis  As the Plantar Fascia pulls away from the bone, the space is filled with calcification

3

4 Predisposing Factors  Pronated foot (flat foot)  Supinated foot (high arch)  Obesity  Improperly fitted or worn shoes  Women  Dancers  Gout

5 Facts  The heel strikes the ground with 2,000 lbs of force for every 100 lbs of body weight

6 Signs and Symptoms  Pain on center or inner side of the bottom of the heel  Pain could radiate into arch or ankle  Inflammation  Swelling  Painful first step in the morning

7 Examination  Palpate bottom of the calcaneus  X-rays

8 Treatment/Management  Over-the-counter anti-inflammatories  Ice compress  Ultrasound  Muscle stimulation  Stretching  Orthotics  Cortisone injections

9 Orthotics Arch Support Night Splint Heel Cups

10 Surgery  Preformed in the podiatrist’s office  Requires only a puncture under slight anesthesia  Piece of calcified bone is removed  No stitches neccessary

11 Post Surgery  Patient can walk and is usually pain free after about a week  Slight pain may persist for up to 6 months  Can return to sitting job but no heavy lifting for 8 weeks

12 Surgery

13 Non-evasive surgery  Extra-corporeal Shock Wave Therapy (ESWT)  Uses sound waves to stimulate blood and oxygen flow to the injured area which causes the break down of diseased tissue and growth of new healthy cells  The machine is called the Orbasone machine which consists of a portable vacuum machine with a movable arm  A jarsized electrode is placed on sight of pain and patient receives 1,000 to 4,000 high energy pulses every 2 seconds

14 Non-evasive surgery  Patient only experiences minor pain and bruising on the heel  Recovery time is only a few days

15 References   el.shtml el.shtml el.shtml  %20Relief&srccode=IP59 %20Relief&srccode=IP59 %20Relief&srccode=IP59  jsp?source=overture jsp?source=overture jsp?source=overture

16 References  purs.html purs.html purs.html   


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