Heel spur and plantar fasciitis – treatment in Freiburg
Sharp pain under the heel, particularly with the first steps in the morning or after rest, often indicates irritation of the plantar fascia. A heel spur visible on an X-ray is not automatically the actual cause of the pain.
Possible causes
In plantar fasciitis, the attachment of the plantar fascia at the heel is overloaded and irritated. Contributing factors may include a rapid increase in running or walking, tight calf muscles, reduced ankle mobility, unsuitable footwear or altered foot mechanics. Other causes of heel pain must also be considered during the examination.
How the assessment works
The diagnosis is usually based on the clinical history and examination. Ultrasound can be useful for assessing the thickness and structure of the plantar fascia and the surrounding soft tissues. X-rays or MRI are not always necessary and are used selectively if the course or findings suggest another cause.
Conservative treatment
Conservative care focuses on activity modification, stretching of the calf and plantar fascia, targeted strengthening, adjustment of footwear or insoles, and physiotherapy. Shockwave therapy may be considered for persistent symptoms. The appropriate measures depend on duration, findings and previous treatment.
When prompt assessment is advisable
Prompt medical assessment is advisable after an acute injury, sudden inability to bear weight, marked swelling, redness, fever or neurological symptoms.
Please note
This information is not a substitute for a medical examination. Effective treatment first requires clarification of whether the plantar fascia is actually causing the symptoms.