Physical Therapy Nest

Heel spurs are typically diagnosed through:

• Medical history review (activity level, footwear, and history of heel pain).

• Physical exam to check for tenderness and pain points.

• Imaging:

  • X-rays to confirm the presence of a heel spur.

  • Ultrasound or MRI may be used to evaluate soft tissue involvement like plantar fasciitis.

Physical therapy helps manage heel spur pain and address the underlying causes, like plantar fasciitis or poor biomechanics. Treatment may include:

• Manual therapy to relieve soft tissue tension in the foot and calf

• Stretching routines for the plantar fascia, Achilles tendon, and calves

• Strengthening exercises for foot and ankle muscles to support arch stability

• Taping or orthotics to improve alignment and reduce pressure on the heel

• Pain management with ice, ultrasound, or electrical stimulation

• Education on proper footwear and activity modification
  In severe or chronic cases, medical interventions such as injections or surgery may be recommended, with PT crucial for recovery afterward.

Not all heel spurs cause symptoms, but when they do, patients may experience:

• Sharp, stabbing heel pain, especially when standing after rest

• Dull aching pain throughout the day with prolonged activity

• Swelling or inflammation near the heel

• Pain that worsens after running, jumping, or long walks

• Relief when resting or wearing cushioned shoes

To lower the risk of heel spurs or recurring pain:

• Wear supportive, well-cushioned footwear

• Stretch calves, Achilles tendon, and plantar fascia regularly

• Avoid prolonged standing on hard surfaces without proper support

• Maintain a healthy weight to reduce pressure on the heels

• Use orthotics if you have flat feet or high arches

• Address heel pain early before it worsens