Heel Spur in Runners

The Causes of Heel Spurs

Heel spurs, a condition that commonly affects runners, is caused by a variety of factors. The most common cause is due to insufficient or improper cushioning, leading to increased pressure and friction on the plantar fascia. This continued stress and strain on the heel can result in a calcium deposit, forming a bony outgrowth over time. Other causes of heel spurs include overuse and excessive running, inadequate stretching, dramatic changes in surface or terrain, and improperly fitting shoes. Furthermore, athletes who are physically inactive, those who put on extra weight, and those with structural abnormalities may be at an increased risk of developing heel spurs. In order to reduce the risk of developing this painful condition, it is important to ensure that the feet are properly cushioned and supported, and that any physical activity is performed in an environment with a stable surface and proper fitting shoes.


The Symptoms of Heel Spurs

heel-spurs-in-runners Common symptoms may include heel pain, tenderness and stiffness around the heel, and even swelling and tenderness of the arch of the foot. There may also be a visible bump present, usually at the point of the spur. If the pain is severe, walking or running can become practically impossible. It is important to recognise the symptoms of heel spurs in order to obtain the proper treatment before the condition becomes too aggressive. If left untreated, heel spurs can cause long-term damage to the feet and ankles. Recognising and treating the problem early is essential to protect against future complications.


Treatment for Heel Spurs in Runners

Heel spurs can be painful for runners, but there are several treatment options to help manage the condition and reduce discomfort. It’s important to consult with a healthcare professional for a proper diagnosis and personalized treatment plan. Here are some common treatments and strategies for runners with heel spurs:

  1. Rest and Activity Modification:
    • Give your feet and heels time to rest and recover.
    • Reduce or modify high-impact activities like running and replace them with lower-impact exercises such as swimming or cycling.
  2. Proper Footwear:
    • Invest in running shoes that provide good arch support, cushioning, and stability.
    • Consider custom orthotics or insoles to provide additional support.
  3. Stretching and Strengthening Exercises:
    • Stretch the calf muscles and plantar fascia regularly to reduce tension on the heel.
    • Strengthen the muscles of the foot and ankle to provide better support.
  4. Ice:
    • Apply ice to the affected area for 15-20 minutes at a time to reduce inflammation and pain.
  5. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs):
    • Over-the-counter NSAIDs like ibuprofen can help manage pain and inflammation. Consult your doctor before using them.
  6. Physical Therapy:
    • A physical therapist can design a program to address biomechanical issues and improve your running gait.
  7. Night Splints:
    • Wearing night splints can help keep your foot dorsiflexed, which can prevent the plantar fascia from tightening overnight.
  8. Shock-Absorbing Insoles:
    • These can help absorb some of the shock during running and reduce the stress on the heel.
  9. Corticosteroid Injections:
    • In some cases, a healthcare provider may recommend corticosteroid injections to reduce inflammation and pain. However, this should be used with caution as it may have side effects.
  10. Extracorporeal Shock Wave Therapy (ESWT):
    • ESWT is a medical procedure that uses shock waves to stimulate healing in the affected area. It can be effective in some cases.
  11. Surgical Intervention:
    • In rare cases where conservative treatments fail, surgery to remove the heel spur or release the plantar fascia may be considered.

It’s important to note that treatment outcomes can vary from person to person, and what works best for one runner may not work for another. Also, addressing the underlying causes, such as gait abnormalities or improper footwear, is crucial for long-term relief. Consult a healthcare professional, preferably one with experience in sports medicine or podiatry, to create a tailored treatment plan that addresses your specific needs and goals as a runner.


Preventing the Development of Heel Spurs in Runners

Fortunately, there are steps runners can take to help prevent the development of Heel Spurs and reduce their risk of facing this type of condition. Here are some tips for preventing heel spurs:

  1. Proper Footwear:
    • Choose running shoes with good arch support, cushioning, and shock absorption.
    • Replace your running shoes when they show signs of wear, as worn-out shoes can alter your gait and increase the risk of heel spurs.
  2. Maintain a Healthy Weight:
    • Excess body weight can increase the pressure on your heels, so maintaining a healthy weight is essential for preventing heel spurs.
  3. Stretching and Strengthening Exercises:
    • Perform regular calf and Achilles tendon stretches to keep these areas flexible.
    • Strengthen the muscles in your lower legs and feet to provide better support to your heels.
  4. Gradual Increase in Intensity:
    • Avoid overtraining and excessive strain on your feet. Gradually increase the intensity and duration of your runs to allow your body to adapt.
  5. Proper Running Form:
    • Pay attention to your running form to minimize stress on your heels. Make sure your foot lands under your center of gravity and avoid overstriding.
  6. Terrain and Surface:
    • Vary your running terrain and try to run on softer surfaces like grass or dirt paths to reduce the impact on your heels.
  7. Orthotics:
    • If you have abnormal foot mechanics, consider using custom or over-the-counter orthotic insoles to provide additional support and correct alignment.
  8. Rest and Recovery:
    • Allow your feet to rest between runs to prevent overuse injuries, including heel spurs.
  9. Ice and Anti-Inflammatory Measures:
    • If you experience heel pain or inflammation, use ice packs and anti-inflammatory measures to reduce the discomfort.
  10. Listen to Your Body:
    • Pay attention to any early signs of foot discomfort or pain. Address issues promptly to prevent them from developing into more severe problems.
  1. Professional Assessment:
    • If you experience persistent heel pain or suspect the development of a heel spur, consult a podiatrist or orthopedic specialist for a proper diagnosis and treatment plan.

Remember that prevention is key, but if you already have heel spurs, it’s essential to work with a healthcare professional to manage and treat the condition effectively. They may recommend physical therapy, custom orthotics, or other treatments to alleviate the pain and discomfort associated with heel spurs.


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Question and Answeres  patients can ask their healthcare provider, along with potential answers:

  1. What is a heel spur, and how does it relate to my running pain?
    • Answer: A heel spur is a bony outgrowth on the heel bone caused by calcium deposits. It can be associated with long distance running pain due to inflammation or irritation of the surrounding tissues.
  2. What are the common symptoms of heel spurs in runners?
    • Answer: Common symptoms include pain, tenderness, and a sharp or achy sensation in the heel, especially when running.
  3. What causes heel spurs in runners, and could my running form be a contributing factor?
    • Answer: Heel spurs can result from repetitive stress on the foot, which can be exacerbated by long distance running, poor running form or improper footwear.
  4. How can I confirm if I have a heel spur, and what diagnostic tests might be necessary?
    • Answer: An X-ray is typically used to confirm the presence of a heel spur. A physical examination and discussion of symptoms are also important for diagnosis.
  5. What are the available treatment options for heel spurs in runners?
    • Answer: Treatment options may include rest, icing, physical therapy, custom orthotics, nonsteroidal anti-inflammatory drugs (NSAIDs), and, in severe cases, surgical removal of the spur.
  6. Can I continue running while being treated for a heel spur, and if so, what modifications should I make?
    • Answer: You may need to reduce your running or temporarily switch to lower-impact activities while receiving treatment. Your doctor or physical therapist can advise on any necessary modifications.
  7. Are there specific exercises or stretches that can help alleviate my heel spur pain?
    • Answer: Yes, there are stretching and strengthening exercises that can help. A physical therapist can provide a tailored exercise program to address your condition.
  8. What type of footwear should I wear to reduce heel spur pain while running?
    • Answer: Supportive running shoes with cushioning and arch support are essential. Custom orthotics may also be recommended.
  9. How long does it typically take to recover from a heel spur, and what is the expected timeline for returning to normal running activities?
    • Answer: Recovery time varies, but with proper treatment and adherence to recommendations, many runners can return to their regular activities within a few months.
  10. Are there any preventive measures I can take to reduce the risk of developing heel spurs in the future?
    • Answer: Maintaining good running form, wearing appropriate footwear, and performing regular foot and calf stretches can help reduce the risk of developing heel spurs.

Remember, these questions are a starting point for discussing heel spurs in runners with a healthcare provider. It’s important to have an open and detailed conversation to understand your specific condition and develop a personalized treatment plan.