Hi. I want to talk for a few minutes aboutheel spurs, mainly because I keep getting patients coming into my office that have beentold they have a heel spur and they think they need surgery for it. So, before we talk about heel spurs, we haveto spend a minute talking about the condition, plantar fasciitis, which is the most commoncause of heel pain in the foot. Now, the plantar fascia is this thick ligament that runs fromhere up to your toes. If your foot is flattening more than it should, as it flattens, it getslonger. And as it gets longer, if you look at these bottom pictures, that plantar fasciagoes from quite loose to quite tight. So,
it tugs back here on the heel and causes painin that region. Now, over many years, tugging on that plantarfascia can result in a heel spur. There’s a law of physiology called Wolff’s law thatsays, if you tug on bone for a long enough period of time, you’ll develop a spur here. So, you have a lot of patients that have heelpain. They go somewhere, maybe an urgent care , and get an xray, and it’s seen thatthey have a heel spur. They’re told that the heel spur causes the pain. But in fact, thespur doesn’t cause any pain. The spur is just a reaction to the bone. What’s causing thepain is the tight plantar fascia.
So, if you’ve been told you have a heel spurand you’re told you need surgery for, get a second, third or fourth opinion. You probablydo not need surgery. This problem rarely, rarely needs surgery. What we do need to do is to take tension offof the plantar fascia so it is not tugging so hard on this region. And there are somesimple ways to do that. You want to wear good shoes. So, if you just go to our website anddo a search for quot;shoes,quot; you’ll find our list of recommended shoes. We update it every year.There are athletic shoes, basketball shoes, hiking boots, sandals and dress shoes; anytype of shoe you’re looking for.
Number two is, we want to make sure we’vegot good arch support under the foot to stop that foot from going down. By doing so, youtake tension off the plantar fascia, and then it doesn’t matter if you have a heel spur.You won’t have pain down there. So, this is a good overthecounter support. If you justgo to our website and do a search for, quot;home care or self care of heel pain,quot; you’ll findour recommendation on the best overthecounter arch supports for heel pain and plantar fasciitis.You’ll find some for athletic shoes. You’ll find others that are made for dress shoes. And then if that’s not enough, you’d see apodiatrist. There are a lot of ways to treat
heel pain. Again, on the website, we go overthat in great detail. I don’t want to oversimplify this right now. But one of the things we mayend up doing is making you a custom orthotic that grabs the arch tighter so it takes moretension off of the plantar fascia. Again, by stopping that tugging, in most cases, youcan eliminate the pain in that region. Or at least it plays a big role in helping peopleget over the problem. Again, I don’t want to oversimplify that.There are a lot of different treatments for plantar fasciitis. But the big one I wantto emphasize here is you probably do not need surgery, even if you do have a heel spur.Heel spurs do not cause pain.
All right, so that is it right now on heelspurs. Like I said, there are a lot more information on the website. Just search for, quot;heel pain.quot;And if you like these tutorials, please subscribe.