Spurs (Extosis)
“Spurs” is the common name that describes arthritic bone changes where excess calcium deposits are found on bone. Spurs are frequently found with patients who are prone to any types of arthritis, and are usually not symptomatic unless they either impinge on a joint, or appear at a body point that is pressed or loaded.
Heel spurs are commonly found with patients who complain of pain on the bottom of their heel. Heel spurs on the bottom of a foot are usually symptomatic only when the arch muscle (plantar fascia) is also inflamed. Spurs located on the back of patient’s heel most often hurt from shoe pressure.
Conservative treatment of spurs that are painful includes padding, Cortisone injections, oral anti-inflammation medications, and rest. A custom orthotic is used to treat heal spurs, offloading the area of pain while the patient’s longitudinal arches are supported and balanced. When conservative care is not effective, surgical removal of the spur is considered.
