A Simple Guide to the Heel Spur, Diagnosis, Treatment and Related Conditions

Description

This book describes The Heel Spur, Diagnosis and Treatment and Related DiseasesRecently I have a patient who had a severe pain in the right heel while walking for the past 6 months.He had seen several doctors and even an acupuncturist without improvement.The first thing after examining his heel was to send him for an X-ray of the heel.The X-ray showed the presence of a bony spur on the underside of the calcaneum or heel bone.The bony heel spur may not cause pain but can produce painful inflammation of the fibrous band of connective tissue (plantar fascia) that passes along the bottom of the foot.This inflammation of the fascia (plantar fasciitis) is what causes the pain in my patient when walking.The treatment is injection of steroid to the inflamed area or surgical removal of the heel spur.The patient improves after several injections of steroid.A heel spur is a small bony outgrowth that is formed on the calcaneum or heel bone, either at the back of the heel or under the sole of the heel.It is caused by injury to the bone that has accumulated over a long period of time as a result of chronic inflammation of the Achilles tendon in the calf or the tough connective tissue called the plantar fascia, which is present on the soles of the feet.An X-ray is often required to verify a heel spur diagnosis.A heel spur may form a bony protrusion on the underside of the heel bone extending by as much as 1.25cm (half an inch).The heel spur is the pointed bony outgrowth of the heel bone that can cause immense pain in the foot region and restrict the mobility of the sufferer.The heel spur can induce swelling or pain in one or more joints and also restrict the joint movement.While the heel spur may not affect the patient’s health, it can cause problems with the mobility.The calcaneus bone of the heel can develop the pointed bony outgrowth slowly over the years.The outgrowth can produce chronic local inflammation by inducing the swelling in the soft-tissue tendons or the fascia.The heel spur can also appear under the heel, back of the heel or underneath the sole of the foot.Inflammation of the Achilles tendon can cause the protrusion of the heel spur at the back of the heel leading to pain and tenderness at the back of the heel.The disorder becomes worse while the person is pushing off the ball of the foot.Risk factors for heel spurs are:Walking gait abnormalities, which put additional stress on the heel bone, ligaments and nerves near the heelRunning or jogging, specifically on hard surfacesPoorly shaped or badly fitting worn out shoes, mainly those having lack of proper arch supportOver weight and obesityThe physical examination can reveal the tenderness at the heel spur.The patient’s walk is monitored to detect the problem.With heel spur, it becomes difficult to walk barefoot on wooden floors, tiles or hard surfaces.To finally confirm the diagnosis and exclude other causes of heel pain like arthritis, the doctor may request other investigations such as X-rays.Non-surgical treatments for heel spursStretching exercisesImproved shoesAnkle taping or strapping to relax stressed muscles and tendonsShoe inserts or orthotic devicesPhysiotherapyExtra-corporeal shockwave therapyA course of steroid injectionsIf conservative treatment does not treat symptoms of heel spurs after 9 to 12 months, surgery may be required to alleviate pain and recover mobility byRelease of the plantar fascia.Removal of the spurTABLE OF CONTENTIntroductionChapter 1 Heel SpurChapter 2 CausesChapter 3 SymptomsChapter 4 DiagnosisChapter 5 TreatmentChapter 6 PrognosisChapter 7 Plantar FasciitisChapter 8 Achilles’ TendonitisEpilogue

About Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours in the afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new WordPress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980’s) starting with the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core. The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:”A Family Doctor’s Tale””Life Lessons Learned From The Study And Practice Of Medicine””Case Notes From A Family Doctor”