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does the spur ever go away?

Posted by watt on 10/17/01 at 19:58 (063193)

I'm new to all this, and a little confused... if a spur is present, does conservative treatment eliminate it? And if so, how does that work?

Re: does the spur ever go away?

Ed Davis, DPM on 10/19/01 at 21:07 (063319)

Watt:

The thing that we call a 'spur' is not really a spur. The plantar fascia attaches to the heel bone. Long term excess tension on the plantar fascia basically pulls the covering of the bone (periosteum) forward. The area pulled forward eventually califies and turns to bone--it is a shelf of bone. X-rays are two dimensional so when we look at a side view of the shelf, it appears to be a 'spur.'

Treatment of the plantar fascia via the various modalities decribed on this site, effectively relieves pain sometimes attributed to the 'spur' so surgical removal of the spur is rarely necessary.
Ed

Re: does the spur ever go away?

Ed Davis, DPM on 10/19/01 at 21:07 (063319)

Watt:

The thing that we call a 'spur' is not really a spur. The plantar fascia attaches to the heel bone. Long term excess tension on the plantar fascia basically pulls the covering of the bone (periosteum) forward. The area pulled forward eventually califies and turns to bone--it is a shelf of bone. X-rays are two dimensional so when we look at a side view of the shelf, it appears to be a 'spur.'

Treatment of the plantar fascia via the various modalities decribed on this site, effectively relieves pain sometimes attributed to the 'spur' so surgical removal of the spur is rarely necessary.
Ed