The Musculoskeletal System
Lesson 2: Diseases and Disorders of the Feet
Section I: Skeletal and Muscular Structure of the Feet
2-4
2-4. CALCANEAL SPUR SYNDROME (HEEL SPUR)
A calcaneal spur is a bony growth from the plantar surface (sole of the foot) of the calcaneus (heel bone).
a. Pain. Also called a heel spur, this spur can cause an individual pain when he walks. The spur grows forward in the direction of the plantar fascia. The individual may have no specific symptoms, except for pain.
b. Treatment. The spur is treated with corticosteroids and lidocaine injections. Treatment is as follows:
(1) Administer one ml of 10 mg triamcinolone acetonide in 1.5 ml of 2 percent lidocaine with epinephrine.
(2) Strap to relieve strain.
(3) Refer the patient to podiatry for biomechanical evaluation.
Figure 2-8. Calcaneal spur syndrome.
