Calcaneal Spur (Heel Spur): Causes, Symptoms & Treatment

 

 

 

Heel pain can be frustrating and disruptive — especially when it starts affecting your daily movement. One common cause of persistent heel discomfort is a calcaneal spur, also known as a heel spur.

At DrLuigi®, we understand how important proper support is when managing heel conditions. Wearing the right footwear can make a significant difference in relieving pressure and improving comfort.

What Is a Calcaneal Spur?

A calcaneal spur is a small bony growth that forms on the underside of the calcaneus (heel bone). It typically develops due to repeated stress, strain, or long-term inflammation of the tissues attached to the heel.

Over time, excessive pulling on the plantar fascia and surrounding soft tissues can lead to calcium deposits forming along the heel bone.

Heel spurs are common in:

  • People who stand for long hours

  • Athletes and runners

  • Dancers

  • Individuals who are overweight

  • People wearing unsupportive shoes

The spur itself is not always painful. Pain usually occurs when surrounding soft tissues become irritated or inflamed.

Symptoms of Heel Spur Pain

Symptoms may range from mild to severe and can include:

  • Dull, aching heel pain

  • Sharp pain with the first steps in the morning

  • Increased discomfort after prolonged standing

  • Redness and swelling in the heel area

  • Pain that improves with rest

  • Difficulty walking or standing for extended periods

Many people describe the sensation as “stepping on a nail” during the first steps after waking up.

Diagnosis

A healthcare provider can diagnose a calcaneal spur through:

  • Physical examination

  • X-rays

  • MRI scans (if soft tissue damage is suspected)

Imaging helps confirm the presence of a bony growth and rule out other causes of heel pain.

Treatment Options for Calcaneal Spur Pain

Most heel spurs can be treated without surgery.

Non-Surgical Treatment

Common conservative treatments include:

  • Resting the affected foot

  • Ice therapy to reduce inflammation

  • Anti-inflammatory medications

  • Stretching exercises for the foot and calf

  • Strengthening exercises for improved stability

Wearing properly structured, supportive footwear is one of the most important steps in managing heel pain.

DrLuigi® supportive shoes are designed to provide cushioning, arch support, and pressure redistribution — helping reduce strain on the heel and plantar fascia.

Orthotics

Custom orthotics or supportive insoles help:

  • Distribute body weight more evenly

  • Reduce pressure on the heel

  • Improve arch support

  • Correct foot alignment

This can significantly reduce irritation and improve comfort during walking.

Physical Therapy

Physical therapy focuses on:

  • Improving ankle mobility

  • Strengthening surrounding muscles

  • Reducing plantar fascia tension

  • Enhancing overall foot mechanics

A structured therapy program can help prevent recurrence.

Surgical Treatment

In severe or persistent cases, surgery may be recommended to remove the spur and release tension in the surrounding soft tissues. This is typically an outpatient procedure and considered only when conservative treatments fail.

Lifestyle Changes That Help Prevent Heel Spurs

Prevention plays a key role in long-term relief. Consider the following steps:

  • Wear supportive shoes with proper arch support and cushioning

  • Maintain a healthy body weight

  • Stretch feet and calves regularly

  • Avoid repetitive high-impact activities like excessive running or jumping

  • Replace worn-out shoes regularly

Supportive footwear is essential for individuals who spend long hours standing or walking.

The Importance of Proper Footwear

Unsupportive, flat, or worn shoes increase heel stress and worsen inflammation. Choosing ergonomically designed footwear helps:

  • Reduce pressure on the heel bone

  • Absorb shock during walking

  • Improve foot alignment

  • Enhance overall comfort

DrLuigi® medical footwear is designed to support natural foot mechanics and reduce strain on sensitive areas like the heel.

When to See a Doctor

If heel pain persists, worsens, or interferes with daily activities, consult a healthcare professional for proper diagnosis and treatment.

With early intervention, supportive care, and proper footwear, most individuals with calcaneal spur pain can return to normal activities and enjoy long-term relief.

Back to blog