Insoles for a calcaneal spur


Of the Heel spur is a bony extension on the heel bone (calcaneus). Often the spur is at the bottom of the Sole of the foot (plantar heel spur) as ossification at the attachment of a tendon plate running there. That is rarer rear Heel spur, which is on the posterior edge of the calcaneus at the base of the Achilles tendon is localized.

Symptoms and causes

Not every patient with a calcaneal spur also shows symptoms. Most of all, these are typical exercise-related pain in the heel area. One is characteristic morning start-up pain immediately after getting up, which initially improves after a few steps. Whether the pain occurs permanently during the day or only after prolonged exercise (walking distance) depends on how advanced the disease is. Those affected describe the pain as bright and piercing, radiating into the entire hindfoot or down to the calf is possible.

The heel spur arises on the bottom of a degenerative Wear of the calcaneus, which is why it occurs in the population with increasing age increases. Heel spur is a very common disease, so roughly every second elder Person is affected by a calcaneal spur. A heel spur develops due to increased pressure and tension the tendon attachments on the calcaneus. As a result of this permanent stimulus, the tendon fibers are transformed into bones, resulting in one spur-like new bone formation at the start of the tendon. The response is often Inflammatory response in the surrounding tissue.

In addition to age, obesity and unsuitable footwear as the main suspect risk factors. Various foot malformations (especially a Arched arches) contribute to the development of a heel spur.

Appointment with an expert in calcaneal spur?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

Athletes (joggers) are particularly often affected by the disease of the heel spur. In many cases, the cause of the inflammation of the heel spur cannot be identified at first. Therefore, the treatment requires a lot of experience. I focus on the heel spur.
The aim of every treatment is treatment without surgery with a complete recovery of performance.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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    Kaiserstrasse 14
    60311 Frankfurt am Main

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Further information about myself can be found at Dr. Nicolas Gumpert


If the doctor suspects a heel spur based on the medical history, he can try to locate the relevant area a tenderness to pressure trigger. The X-ray is used for confirmation, which shows a heel spur well. In the early stages, the X-ray can be seen despite the onset of symptoms still inconspicuous be. In such cases, MRI or ultrasound can be used to assess an incipient ossification the tendon structures can be helpful.


Especially in the early stages, heel spur deposits can occur rapid relief procure. Over the counter Gel cushion can be placed under the heel of the shoe and cushion the weight on the heel when walking and standing. Such gel pillows are for little money available and must not from the doctor be prescribed. However, they don't eliminate the heel spur trigger like one Misaligned feet and so alleviate just the symptoms (Pain) rather than treating the cause.

Alternatively you can get an insole according to the specifications of an orthopedic surgeon Orthopedic technician get made. The insoles are often provided with cavities or padding in the heel area. Because often a Buckle foot or a Arched feet or a combination of both is the cause of the heel spur, an orthopedic insole should be used additionally treat this deformity. The aim here is to support the arch of the foot and the Body weight pressure to distribute sensibly on the foot. This can relieve the heel. The deposits should as long as possible and can be worn in different shoes can be used. So the pain should follow 4 to 8 weeks Regular wearing of the insoles will significantly decrease or even disappear completely.

It is important that the deposits even after healing in the sense of a temporary freedom from symptoms continue to be worn regularly to a Recurrence to prevent. The insoles are not only used for treatment, but also also of prophylaxis (Prevention) of heel spurs. If the heel spur is very pronounced, so that adequate relief cannot be achieved with insoles, then on orthopedic health shoes can be used. Just like the insoles, they can compensate for a misalignment of the foot to a greater extent and alleviate the discomfort caused by the heel spur by relieving the heel. Both the cost of custom made insoles and the cost of Health shoes are from the statutory and private health insurance taken over, a low cost share must be taken over by the patient. In any case, it should be remembered that insoles and orthopedic footwear are only symptomatic therapy, whereas the cause of the heel spur is unaffected by it remains.

For this reason it should be paralleled always exercises to strengthen the muscles which can be carried out initially as part of physiotherapy and later independently. In acute phases of pain, pain relievers and anti-inflammatory drugs (NSAIDs such as diclofenac, ibuprofen) can be taken. However, since these the Damage stomach lining, they should in this case not as permanent medication can be used. Furthermore is one for overweight sufferers Weight reduction strongly recommended as this reduces the weight on the heel.

Healing prospects

Of the Heel spur is clearly an area of conservative orthopedicsso can a majority of patients without operational Intervention can provide significant relief. However, the duration of therapy differs from patient to patient. Especially the conservative measures like wearing insoles are mostly rather tediousas they significantly less risky than are an operation. For some patients, wearing custom-made insoles can already help after a week there is a clear improvement, with others it takes time up to 6 weeks. The heel spur usually arises from a Foot malposition and evolves over the years, it is easy to imagine that healing also takes time.

Means a cure in the sense of conservative therapy long-term freedom from symptoms by Irritation relief and relief in the surrounding Soft tissue. In many cases it is possible to completely heal Years pass away. In order to maintain long-term healing, it is important to continue wearing the insoles regularly even after the symptoms have temporarily disappeared and to perform special exercises Strengthening the muscles to be carried out conscientiously over a longer period of time.