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what should I do about painful Heel spurs

Posted by JCleve on 8/14/04 at 22:23 (157918)

4 years ago, I received 3 injections of hydrocortisone for heel spurs. The medication gave me relief until now. What do you suggest I do for this painful heel spur. Should I try the injections again, or proceed to some type of surgery. I am a postal worker and constantly standing on my feet for 6-7 hours daily. I've tried every shoe on the markert from Rockports to SAS. Please advise.

Re: what should I do about painful Heel spurs

Ed Davis, DPM on 8/14/04 at 23:25 (157928)

The first thing to do is to understand why your heel hurts. The best way to do that is to read Scott's heel pain Book on this site. This will show you why use of cortisone does not really cure the problem but can, at times, make the problem worse in the long run because it allows one to ignore the real causes that Scott explains. There is a lot of information there and seeing a foot specialist can get you going in the right direction by showing you what is applicable to you and get the cause of the problem dealt with.

Re: what should I do about painful Heel spurs

Julie on 8/15/04 at 02:30 (157934)

I'm not a doctor, but years of reading on this message board has shown me that people with standing jobs such as yours are prone to plantar fasciitis (PF for short). This is an inflammation of the plantar fascia, the structure that supports the arch from the ball of the foot to the heel. (A heel spur itself - if there is one - is not usually the cause of the pain.)

You should certainly read the heel pain book, as Dr Ed suggested, but you should also consider requesting a change to sitting duties. There are measures that can give relief, orthotics and taping amongst them, but the truth is that you will find it very difficult to heal your feet if you have to continue to stand on your feet all day.