Therapy of a calcaneal spur
Conservative therapy of heel spurs
The conservative therapy of the upper and lower heel spur does not differ.
Of the Heel spur is a domain of conservative therapy. Of course, a symptom-free heel spur does not have to be treated. The aim is to eliminate the soft tissue inflammation surrounding the heel spur.
The general measures of heel spur therapy include everything that contributes to a reduction in pressure and tension on the heel spur.
These include:
- Correction of misaligned feet (Supply of insoles).
- Heel pad with perforated insert / Gel inserts over the heel spur area
- Weight reduction
- Reduction of physical stress.
Heel spur insert
A Heel spur can with insoles treated so that if the insoles are successful, an operation on the heel can be dispensed with.
The pain occurs mainly when Occur after a long period of rest, this is often the case in the morning after getting up and after sitting for a long time. The insoles are intended to help close the painful area where the heel spur is in the foot relieve.
To adjust the insert, the Orthopedist the Measure the foot and make an insole specially tailored to the foot. The point is marked on the material at the level of the heel spur to be inserted later trough to be able to fit in.
The insoles help relieve the painful area of the heel spur. There is a possibility one Sales increase to be manufactured in the insert or to adapt the insert so that it Longitudinal arch of the foot relieves and thus changes the distribution of forces on the foot so that it relieves the Heel spur can come. Another advantage of the relief through the insoles is that a cure can be achieved in the area of overload.
Through the permanent Overstimulation in the area of the heel spur there is a Inflammation, which is maintained continuously through pressure (such as when walking). The relief reduces the irritation and the Inflammation can heal.
Insoles have the advantage over health shoes that they are in different shoes can be worn. The insoles are available in the most varied of shapes and variants and also from different materials.
The offer ranges from Silicone inserts up to specially made insoles from the orthopedic technician. The silicone pillows are inexpensive, easy to use and very easy to get. An adjustment of the foot not applicable and so is a Doctor visit unnecessary. The silicone pillows are Wedges which are inserted into the back of the shoe in the heel area. This results in a soft Pressure relief and shock absorption in the area of Heel spurso that there is a relief of discomfort when walking while rolling over the foot. In general, these silicone pillows are very helpful for frequent use Running and walking and supports the relief in the heel area.
If the complaints do not respond adequately to the silicone cushion, it may be wearing Insoles to recommend. Here, too, there is a very wide range of soles that can be purchased.
Simply kept insoles are in the without further visits to the doctor and without adjustment Internet or Health food stores available. In the case of severe long-term complaints, it is always advisable to see a doctor and to adjust the feet and the complaints professionally.
At the beginning of an examination, the foot will be examined carefully Risk factors recognized and in the best case changed (Obesity, long standing and Go Etc.). To measure the foot, the orthopedic technician takes an impression of the foot. To do this, the patient steps into a soft, resilient substance which after entering the Shape of the foot maintains. From these indentations in the blocks, a detailed insert of the foot can now be modeled and the areas to be relieved can be carefully buffered and cushioned.
Special Foam rubber linings be worked into the sole or lined other areas to undercut the actual painful area. There are various ways to adjust the insoles. The cost of the insoles and the treatment are borne by the Health insurance accepted, there may be additional payments.
Please also read: Insoles in the 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.
You can find me in:
- Lumedis - your orthopedic surgeon
Kaiserstrasse 14
60311 Frankfurt am Main
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert
The physical therapy measures include Cold and heat applications as well as ultrasonic treatments.
An accompanying drug therapy of the calcaneal spur with NSAIDs and cortisone (e.g. Voltaren®, Ibuprofen ®) in tablet form and ointment dressings can provide symptom relief. However, the active ingredient concentration in the area of the heel spur is too low for an adequate anti-inflammatory effect. Local ones become more successful Infiltrations of narcotics and cortisone used. The pain-relieving and anti-inflammatory effects last longer, but the infiltration in this sensitive area is unpleasant for the patient.
That will also be successful Shock wave therapy used. Very energetic mechanical waves are directed towards the heel spur. The inflammation is supposed to be transported away by the sprouting of blood vessels. This process takes time 6 weeks. Is treated in 3-5 sessions at approx. weekly intervals.
The costs of the individual sessions add up to 50-100 euros and are not covered by the health insurance.
In the literature, good to very good results are reported in up to 80-90%. Contrary to the expectations of many patients, the shock wave does not completely shatter the heel spur. As a rule, the heel spur persists as asymptomatic even after successful shock wave treatment Heel spur.
Dr. Nicolas Gumpert has become in Orthopedicum Frankfurt specialized in the treatment of heel spurs with the focused shock wave. You can find more about this at: Shock wave therapy in the Orthopedicum Frankfurt.
Another tried and tested therapeutic method in the treatment of heel spurs is radiotherapy. For this purpose, ionizing radiation (e.g. gamma rays) aimed at the heel spur region (e.g. total dose of 6 Gy with single doses of 1 Gy).
Figure heel spur
Heel spur - calcaneus spur
(bony outgrowth)
- Lower (plantar) heel spur
- Upper (dorsal) heel spur
- Calcaneal tuberosity -
Calcaneal tuberosity - Heel bone - Calcaneus
- Achilles tendon -
Tendo calcaneus - External calf muscle -
M. gastrocnemius,
Caput laterale - Shin - Tibia
- Fibula - Fibula
- Ankle bone - Talus
- Scaphoid bone - Navicular bone
- External sphenoid bone -
Os cuneiform laterale - Cuboid bone - Os cuboideum
- Sole tendon plate -
Plantar aponeurosis
A - picture of heel with a lower one
and upper calcaneal spur
B - Left foot from the outside
You can find an overview of all Dr-Gumpert images at: medical illustrations
Appointment with ?
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, soccer players, etc.) are particularly often affected by diseases of the foot. In some cases, the cause of the foot discomfort cannot be identified at first.
Therefore, the treatment of the foot (e.g. Achilles tendonitis, heel spurs, etc.) requires a lot of experience.
I focus on a wide variety of foot diseases.
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.
You can find me in:
- Lumedis - your orthopedic surgeon
Kaiserstrasse 14
60311 Frankfurt am Main
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert
