ROMMER
Condition

Heel Spur

By submitting this form, you acknowledge that you have read and accepted our Patient Information Noticeand Commercial Electronic Message Notice.

What is a Heel Spur?

A heel spur is a bony outgrowth that develops on the heel bone (calcaneus), usually forming at the point where the plantar fascia meets the bone. It is often seen together with or confused with plantar fasciitis; however, incidentally detected spurs without symptoms on imaging are also quite common. Sharp, stabbing pain in the heel upon the first steps in the morning, and discomfort felt when starting to walk again after long periods of sitting, are typical signs.

Causes of Heel Spurs

  • Prolonged excessive stretching of the plantar fascia
  • Short and tight Achilles tendon and calf muscles
  • Excess weight and obesity
  • Standing on hard surfaces for long periods
  • Footwear with insufficient support and sole thickness
  • High foot arch (pes cavus) or flat foot (pes planus)

Heel Spur Treatment at ROMMER

The aim of heel spur treatment is to reduce tension in the plantar fascia, heal the tissue and eliminate pain. The evidence-based conservative approach at ROMMER includes:

  • Plantar Fascia and Calf Stretching Exercises: Stretching the plantar fascia and gastrocnemius/soleus muscles is one of the most effective methods of reducing pain. Stretching exercises performed before getting out of bed in the morning significantly alleviate first-step pain.
  • Manual Therapy: Manual mobilisation of the plantar fascia and ankle eliminates tissue restrictions.
  • ESWT (Shockwave Therapy): A non-invasive treatment with a high success rate in chronic plantar fasciitis and heel spurs.
  • Orthopaedic Insoles: Specialised insoles with heel cushioning and arch support reduce the load on the plantar fascia.
  • Night Splint: A night splint that keeps the plantar fascia stretched during sleep dramatically reduces morning pain.
  • Appropriate Footwear Selection: Guidance is provided on choosing footwear with adequate heel support, cushioning soles and appropriate width.

Treatment Response

More than 90% of patients recover with 6–12 months of conservative treatment. In resistant cases, PRP injection or surgery is rarely considered. At ROMMER, early intervention enables most patients to return quickly to daily life and sport.

Frequently Asked Questions

Does a heel spur resolve on its own?+
Some mild cases may improve with rest and change of footwear; however, in cases that become chronic, pain can persist for months or years without rehabilitation. Early treatment shortens the process.
Can I continue running with a heel spur?+
With mild pain, continuation with activity modification is possible. With severe pain, temporary restriction and rehabilitation are required. Appropriate insoles and stretching exercises facilitate return to running.
Is shockwave therapy (ESWT) effective?+
Yes. ESWT provides significant pain reduction in the vast majority of patients with chronic plantar fasciitis and heel spurs. It is preferred as an alternative to surgery.
Is surgery inevitable?+
No. More than 90% of patients recover with conservative treatment. Surgery is only considered in resistant cases that do not respond to 6–12 months of comprehensive treatment.

Would You Like to Book an Appointment?

Our specialist team will create the most suitable treatment plan for you.

Contact Us