What are the symptoms of heel spurs / plantar fasciitis? First of all of course this is the typical pain under the heel. Most patients especially suffer from this after they get up from bed or after longer periods of inactivity when the pain feels really sharp. Then the pain often eases out a bit, becoming more dull and remaining all day. Increased activity may cause the pain to become worse again. Especially if your profession forces you to stand on your feet a lot, this can be very inconvenient. There are many known cases where people have to look for other work as theyy simply can'stand the pain anymore.
Symptoms really differ from patient to patient, so let's sum up all possible symptoms:
If a doctor closely examines the heel, he may often find a small spur under the heel, hence the name. In the photo below, you see it in the circle:
The funny thing is, though, that not all patients with heel pain suffer have a bony spur, while there are also many people that have a spur without any pain whatsoever. Actually, the spur looks like a sharp object, but actually what you see is calcium deposit in the fascia attachment to the heel. As the fascia is quite a broad band, from the side the calciam deposits sem to form like a dagger, but this is not actually the case.
The real problem is the inflammation that often occurs. To correctly diagnose this, you need to check the area with other techniques, like radiography, echo's or MRI. These techniques are better capable of checking the tissues in the foot as opposed to the bony area's that an X-ray looks for. Esecially a thickened attachent of the fascia is a clear symptom of an inflammation.
Certain groups of people have more risk of getting heel spurs then others. These are the main ones:
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