Heel Spur vs. Plantar Fasciitis: How to Effectively Treat at Home

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When I see patients in my office with heel pain, most assume that they have a heel spur. My name is Dr. Andrew Schneider, and I'm a podiatrist in Houston, TX. While that may or may not be true, the heel spur rarely is the cause of pain. Your pain is most likely caused by plantar fasciitis In today's video. I'm going to discuss how they tell the difference between pain from a heel spur and plantar fasciitis. I'll also share some effective home remedies to get you feeling better.
When I show my patients their x-ray when they come in for heel pain, they may see a big heel spur on the bottom of the heel bone. While it looks like it hurts, would you believe that a heel spur is not usually the cause of your heel pain?
In fact, that's the reason people don't come to get their heel pain checked when they have pain. They assume that they have a heel spur and it needs to be removed. They already decided that they need surgery and don't want it. Here's the good news, surgery is rarely needed to cure your heel pain less than 5% of the time.
So if the spur is not causing your pain, what is? It's usually plantar fasciitis. I'm sure you've heard of it. It's extraordinarily common. Plantar fasciitis and a calcaneal spur go hand in hand. If you pull back your big toe, you'll see a band of tissue become prominent on the bottom of your foot. That's the medial band of the plantar fascia and it attaches to your heel. If you have plantar fasciitis, doing this maneuver may reproduce the pain you typically feel. And that's what happens with every step you take. The thick, elastic, fibrous, plantar fascia pulls on your heel. Each time it happens, it causes microtrauma that your body tries to heal. That's what inflammation is, your body sends up a flare that something's wrong and sends resources to heal it.
The first thing you can do to reduce inflammation is to ice your heel. You can do this by applying an ice pack to your heel for 15 - 20 minutes. Try to ice at least twice a day. You're probably feeling the most pain when you first step out of bed at night. You can help this by stretching your foot with a towel before you get out of bed. You should also roll a tennis ball beneath your foot for 30 seconds. Doing this should improve your pain approximately 50% of the time.
Make sure you're wearing a well-fitting, supportive shoe. I like running shoes since they typically provide the most support. You should also consider an off-the-shelf insole. Remember, you want insoles that support your foot so they can't be floppy. Get a good insole from a running shoe store.
You should also try a stretching splint or a night splint. If you can't wear the splint all night, then wear it for an hour before you go to bed and then 15 minutes when you wake up and before you step out of bed. Additional stretches would be helpful. In addition to stretching with a tennis ball and ice bottle, stretch your calf and hamstrings. Doing this will help approximately 75% of the time.
If you still have pain, it's time to come into the office for treatment. There we can consider treatments such as cortisone injection to drop anti-inflammatory medication where the inflammation is. We can consider Shockwave therapy and non-invasive treatment to enable the body to resolve the inflammation. Custom foot orthotics are also very helpful to treat plantar fasciitis. It's next-level, customized support that you move from shoe to shoe. This allows you to have customized support to allow your feet to function optimally.
The remaining 5% or less of people still having pain may need surgery to address the problem. Your odds of not having surgery are very much in your favor. Let's go back to that heel spur. How do you know if the heel spur is causing your pain? The heel spur causes pain when the fat pad in your heel wears away. Unlike plantar fasciitis, where you feel pain when you first step out of bed, you typically have no pain with those first steps with the heel spur. You can expect increased pain as the day goes on and you're on your feet. Don't be discouraged, you can add artificial fat beneath your heel by using a gel heel cup. That will cushion the heel spur and resolve your pain.
#HeelSpur #PlantarFasciitis #homeremedies
00:00 Introduction
01:04 Does a Heel Spur Cause Heel Pain?
01:41 How Plantar Fasciitis causes Heel Pain
02:46 How to reduce inflammation of plantar fasciitis
03:48 What shoes and insoles to wear for plantar fasciitis
04:33 Stretches for Plantar Fasciitis
04:51 In-office treatment for heel pain
05:24 Surgical correction of plantar fasciitis
05:35 Heel pain from a heel spur
06:24 How to connect with Houston podiatrist Dr. Andrew Schneider

Пікірлер: 38

@janeanakdripin5249 5 ай бұрын

Very informative and helpful. Thank you for sharing.

@vimalajose4252 Жыл бұрын

Very informative message

@claudinepillay-smith831 6 ай бұрын

Thank you so much for all the remedies

@user-mk8ms3de9j 5 ай бұрын

Thank you for sharing this information

@godivabaker6622 3 ай бұрын

I needed this!

@rkafuumatracknfield8041 11 ай бұрын

Very informative. Thank you so much

@jojo090994 Жыл бұрын

Very good!

@hellie_el 2 жыл бұрын

very encouraging information. thank you.

@DrAndrewSchneider 2 жыл бұрын

Glad it was helpful! Thanks for watching!

@jenniferp7749 11 ай бұрын

Thank you awsome video!!

@beverlylacek1750 8 ай бұрын

Fantastic information!!

@DrAndrewSchneider 8 ай бұрын

Glad it was helpful! Thanks for watching!

@nadiaabid7554 Жыл бұрын

Thanks v informative

@AnjelitaVelasquez-tj7ee 4 ай бұрын

Thanks

@claudinepillay-smith831 6 ай бұрын

Its so true....i have a heel spur but my pain is to right of my heel not in my heel.

@ybe7011 7 ай бұрын

I'm having burning shooting pain on the inside (not the bottom) of the heel on the right foot. It doesn't stop when walking. I have no idea what it is.

@jenm3514 Жыл бұрын

The website doesn’t work. I really wanted your book 😢

@dondontabzon9421 Жыл бұрын

If you decided for surgery how many weeks the healing period? Ty

@CrankyPantss 2 жыл бұрын

Thanks, Doc. I didn’t like the frozen water bottle, but do like those elastic arch bandages that you wear over your foot. I don’t wear regular shoes in the house, so I put those elastic arch bandages on. I also put raised insole inserts in my slippers for support that I wouldn’t normally get without them. Too much time barefoot definitely makes it worse for me.

@DrAndrewSchneider 2 жыл бұрын

The elastic arch bandages help some people and not so much for others. But you're right...barefoot is not your friend while you're having heel pain!

@traceyrychewhite1874 10 ай бұрын

How about reflexology??

@shabnams_kitchen 3 ай бұрын

m suffering frm both n dont want to go fr injection surgery bec too costly😢😢😢

@sally1777-r5e 2 ай бұрын

I have done everything what you said in the video, but nothing is working out. Don't know what to do, it's been a year I suffering from this, please help me for this, it is very painful

@user-cg2jz3bi7e 4 ай бұрын

My heel always pain

@utoo45 5 ай бұрын

Very informative stuff there.....but I have tried all of these and others. 5 months in and still in pain. I guess I'm one of those 5%ers.

@jp3711nc1 10 ай бұрын

I have flat feet soxthe pain is 10 times

@elisabass6769 Жыл бұрын

I have been operated in tendon Achilles lengthened I can’t walk due to flantar faciatys

@DrAndrewSchneider Жыл бұрын

Believe it or not, lengthening your Achilles’ tendon can put more pressure on the plantar fascia. If you don’t already wear orthotics, pick up a good supportive insole like Superfeet. That should help.