Your doctor will schedule appropriate lab tests, X-rays and advanced imaging studies, if necessary. A heel spur may not be present on an X-ray. Not all heel spurs hurt. It is the inflammation of the plantar fascia that causes the pain. Treatment is directed at reducing stress on the plantar fascia. It usually involves rest, heel cups, stretching physical therapy modalities, strapping orthotics, steroidal injections and non-steroidal, anti-inflammatory medications.
In a minority of cases when the above conservative measure fail to give relief, surgical intervention becomes necessary. The plantar fascia is released in part from its origin. when a large spur is present, reduction or removal could become necessary. Advances in surgical technology now permit plantar fascial release via the endoscope. This procedure is known as Endoscopic Plantar Fascial release or EPF. Extracorporeal Shockwave Therapy is also a new modality that is available. Remember your podiatrist will guide you as to the manner of treatment that is best suited for your individual case.
Nail Care
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