Also known as painful plantar heel spur, is described as a benign disorder with painful heels as a result from growing of a plantar calcaneal bone spur (Koca et al., 2014).
Interestingly the bony heel spurs found are generally associated with soft tissue including loose connective tissue, fibrocartilage, muscle and aponeurosis; also, the spur is not aligned in the direction of the soft tissue traction, but rather in the direction of stress on the calcaneus during walking and
standing (Li and Muehleman, 2007).
Calcaneal heel spur is the most common cause for heel pain and refers to a bone formation at the plantar insertion of the plantar fascia muscles (Koca et al., 2014). Although research has been done on this pathology, no clear factors are given regarding its origin (Koca et al., 2014).
Management of this condition involves utilising the PRICE regime, correcting abnormal biomechanics of the foot, altering footwear and training; In severe cases surgical intervention is required
Koca T. et al., 2014, Painful plantar heel spur treatment with Co-60 teletherapy: factors influencing treatment outcome, SpringerPlus, 3 (21); doi: 10.1186/2193-1801-3-21
Li J. and Muehleman C., 2007, Anatomic relationship of heel spur to surrounding soft tissue: Greater variability than previously reported, Clinical Anatomy, 20(8), pp: 950-955