Calcaneal spurs, meaning, causes, treatment, physiotherapy

 Calcaneal spurs 
It is a spike of bone at the anterior edge of the calcaneal tuberosity (usually medial) and is called calcaneal enthesiopathy. 
Causes:-
  • Repeated attack of plantar fascitis. 
  • Repeated trauma
  • Constant pulls of the Shortened plantar fascia. 
  • I'll fitting footwear
  • Fibromatosis of the plantar fascia. 
Treatment:-
Conservative method
Physiotherapy management
Measure to relieve stress on the plantar fascia
  • After prolonged sitting bear weight on the toes instead of the heel. 
  • During walking an appropriate wedge in the heel
  • Alternatively an elongated soft heel-pad. 
  • Walking on outer border of foot with the toes curled up. 
Measures to strength the intrinsic muscles of the foot:
  • As soon as the patient gets up in morning he is instructed to immense his foot in warm water and curl his toes and hold it for sometime. 
  • Faradic stimulation of the foot. 
Measures to strengthen the leg and calf muscle. 
  • SLR exercise
  • Prone lying knee flexion 
  • Isokinetic exercises
  • Gradually - prone kneeling, squatting, climbing, getting down stairs, cross leg sitting spot running, jogging and aerobics
Surgery is indicated when no relief is seen with conservative method. 

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