heel spur (osteophyte)

Introduction

An osteophyte that forms on the bottom or back of the calcaneus.

Etiology

• may be associated with plantar fasciitis

Pathology

• calcification of the attachment of the plantar fascia, generally at the medial plantar tuberosity of the calcaneus
• Ca+2 deposits as osteophyte when fascia breaks away from the calcaneus
• the spiur projects anteriorly
• consequence of chronic repetitive trauma or stress
• when calcification of ligament(s) occurs, inflammation & pain result

Clinical manifestations

• often asymptomatic
• may be painful

Laboratory

no testing indicated

Radiology

X-ray will confirm osteophyte

Management

• treat associated plantar fasciitis
  • RICED
  • glucocorticoid injections
• reduce trauma to heel
  • heel insert
  • shoes with shock-absorbing soles
  • weight reduction
• referral to podiatrist
• surgery rarely indicated

More general terms

• osteophyte (bone spur)

Additional terms

• plantar fasciitis