Heel Spurs

What Is a Heel Spur?

A heel spur is a calcium deposit that forms a bony growth on the underside of the heel bone. Some heel spurs are visible on X-rays, while others cause pain through soft tissue inflammation. They often occur alongside plantar fasciitis, a condition involving inflammation of the ligament that connects your heel to your toes.

Not every heel spur is painful, but when inflammation develops, it can feel like you’re walking on a pebble with every step.

What Causes Heel Spurs to Form?

Heel spurs typically develop over time due to repetitive stress on the heel and arch. Common contributing factors include:

• Long-term inflammation from plantar fasciitis
• Wearing unsupportive footwear
• Running, jumping, or standing for long hours
• Flat feet or high arches
• Excess body weight increases heel pressure

These repeated stresses cause calcium deposits to form, gradually creating a spur.

What Causes Heel Spurs to Form?

Heel spurs can cause:

• Sharp pain under the heel, especially with the first steps in the morning
• A dull ache after standing or walking for long periods
• Swelling or tenderness at the bottom of the foot
• Pain that improves with movement but returns after rest

If these symptoms sound familiar, it’s time to have your feet evaluated.

How Heel Spurs Are Diagnosed

Diagnosis begins with a physical exam and a review of your symptoms. To confirm the condition, your podiatrist may order X-rays to identify the presence of a spur. It’s also important to distinguish whether your pain is from the spur itself or from plantar fasciitis, as treatments can differ.

Non-Surgical Treatment Options for Heel Spurs

Most heel spur cases respond well to conservative care. We focus on reducing inflammation, supporting proper foot mechanics, and relieving heel pressure.

Common treatments include:

• Custom orthotics to improve alignment and reduce strain on the heel
• Anti-inflammatory medications or corticosteroid injections for pain and swelling
• Supportive footwear with proper cushioning and arch support
• Stretching and strengthening exercises for the calves and plantar fascia
• Night splints to keep the plantar fascia lengthened overnight
• Activity modification during flare-ups to prevent irritation

These treatments work together to relieve pain and promote long-term healing.

When Is Surgery for Heel Spurs Necessary?

Surgery is only recommended if pain persists after 6–12 months of conservative care. Procedures may include:

• Removal of the spur
• Plantar fascia release to reduce tension and inflammation

Recovery typically involves rest, gradual activity, and physical therapy to restore comfort and mobility.