What is the Pain of the Calcaneal Spine?

 Pain and discomfort with the walking of calcane spines is a common reason for medical consultation. Located on the bone that makes up the heel of the foot, this pain is related to the tension of the arch and prevents it from sagging.

What are the signs of this pathology, Doctor?

People with this condition sometimes describe this pain as a strong feeling of warmth in the heel. The pain usually appears as soon as you get up in the morning, when you stand up. The pain tends to subside or even disappear after a certain amount of walking and activity. But it often reappears vividly and acutely, as soon as walking or activity is resumed after a certain period of rest.

This pain can be along the inner edge or up the inner side of the calcaneus by 1 cm or even 2 cm. The pain can be felt in the inner plantar and/or in the middle of the heel. Podiatrists say there is a “trigger point” of pain. The point is located in the extension of the internal malleole beyond the inner edge of the heel about 1 cm in plantar. This pressure is exerted just at the aponeurotic attachment. You have to put your foot and toes in dorsiflexion; strong pressure recreates the pain.

The diagnosis is essentially clinical, hence the need to consult your treating physician, in the face of disabling pain in the heel, which does not pass. On examination, a strong pressure of the thumb on the center of the heel will awaken the pain. The pain obtained by applying strong pressure with the finger along the entire inner edge of the fascia with the dorsal bending foot confirms the presence of associated inflammation (“fasciitis”).

Although the evidence of a calcaneal spine visible on X-rays confirms the diagnosis, a normal X-ray will not eliminate a calcaneal spine at its onset. Calcaneal spurs rarely are fuzzy and show a simple fluffy-looking bone deformation that can direct other inflammatory problems such as ankylosing Spondylitis or Rheumatoid Arthritis or even a Drop.

However, these inflammatory joint diagnoses can usually be distinguished from local causes of heel pain, by the presence of local heat and swelling more or less marked.

How to treat this pathology?

First of all, some preventive measures are needed: The following tips will prevent the onset of plantar fasciitis and its recurrence, as well as the Lenoir spine that may be associated with it.

Do regular exercises to relax the Achilles tendon as well as the calf and foot muscles and be careful when playing sports. In addition to proper footwear, it is important to consider the following recommendations:

• Doing stretching and warm-up exercises before any physical activity is a little demanding and prolonged.
• Gradually increase distances when jogging.
• Avoid running for long on sloping terrain, on hard (asphalt) or uneven surfaces. Prefer, if possible, dirt roads.
• Respect his need for rest.
• Wear shoes that support the arch and absorb shocks depending on the type of work or physical activity.
• Replace your shoes at the first sign of wear. As for running shoes, they need to be renewed, as the pads wear out.
• Avoid standing for too long, especially if you are wearing hard-soled shoes.

Medical treatments

Treatments almost always work well, but it can take several months to achieve a full recovery

Application of ice

Apply a bag of ice to relieve inflammation for 5 to 15 minutes. Avoid applying the bag directly to the skin. Settle down so that the feet are higher than the body. The best time to apply ice is at the end of the day or after physical activity.

Exercises

The general practitioner, podiatrist (podiatrist) or physiotherapist may recommend stretching exercises of the Achilles tendon and plantar fascia, which promotes both healing and prevention of recurrence.

Sitting

Place a tissue on the floor, then grasp it with your toes. Do this several times.

Place a bottle or tennis ball under the arch. Once the pain has subsided, it is a matter of rolling a golf ball directly under the heel.

Put a towel under your foot as if you were holding it in a scarf, then lengthen the leg while holding the towel securely. Pull on the towel to bring the foot back to you, then release.

Standing

Stand in front of a wall at a distance of about 60 cm. Then lay the palms of your hands against the wall. Then do the next two exercises one after the other and several times

While flexing the left leg forward, slide the right foot backwards, keeping it completely on the foot pillow heel protector.

Fold the knee so that it is aligned with the toes to stretch the Achilles tendon. Stay in this position for 30 to 60 seconds.