Heel spur, heel spur treatment, physical therapy, Fokus fizikal, Vračar, Belgrade

Heel spur

Physical therapy | Heel spur

Feeling pain in your heel and wondering if there is anything to worry about?

It started after excessive stress on the feet (after long walking, standing, intensive physical activities), wearing uncomfortable shoes (ballet shoes, flat shoes) or as a result of microinjuries or chronic inflammation of the plantar fascia.

How is it created?

A heel spur is caused by the deposition of calcium salts. Calcium deposits form a bony protrusion on the underside of the heel bone. In the formation phase, it causes the most pain.

The heel spur is formed due to excessive load on the foot muscles and ligaments, chronic inflammation of the plantar fascia. The heel spur can be diagnosed with an X-ray. The process of calcium deposition lasts for several months.

Where does it most often occur?

  • an athlete
  • people who have shortened lower leg muscles
  • in people with an irregular walking pattern (in people who inadequately carry their body weight)

Statistically speaking, women are more susceptible than men and it most often occurs in middle age.

Heel spurs can also occur in obese people as a result of being overweight, which can subsequently cause inflammatory processes.

It has also been proven that heel spurs occur more often as we age. Namely, the cushions in the heel wear out, they lose their ability to absorb shock effectively.


If the heel spur irritates the surrounding tissue, the pressure causes pain.

The pain can be acute or chronic, and it can also be accompanied by a sensation of heat in the heel area.

Acute pain - intense, sudden, stabbing pain in the heel that most often occurs after standing for a long time, when getting out of bed in the morning or after sitting for a long time

Chronic pain - low-intensity heel pain that occurs gradually when walking and lasts throughout the day.

As we mentioned earlier, we determine the existence of a heel spur through X-rays.

Heel spur - treatmentYou must be wondering what is the best treatment for heel spurs?

It is successfully treated without surgery, which is certainly good news. Resting in heel spurs does not significantly solve the problem, but only momentarily, because it significantly worsens when the person stands up. Depending on the case, as part of the treatment of heel spurs, the following can be useful:

  • Analgesics
  • Ice packs
  • Special stretching exercises
  • Orthopedic insoles that provide support and reduce pain (insoles with perforated heel)

Physical therapy

Physical therapy works locally, treats the heel spur and acts on the cause of the pain. It tends towards the removal of calcifications, not just the remediation of symptoms. One of the most effective methods of treating heel spurs is Shockwave therapy.

Shockwave therapy is an acoustic therapy (sound) that has its frequency in Hz and strength in Bars.

It has sufficient penetration and is a very safe method. The treatment itself can be painful, but it is nothing that the patient cannot endure. The therapy is strictly controlled and the intensity is determined individually. It promotes tissue regeneration, stimulates metabolism and circulation. Shock therapy causes the breakdown of calcium and promotes vascularization.

As part of physical therapy, other agents can be used: laser, underwater ultrasound, EF dexazone, Tecar therapy, all with the aim of calming inflammation.

Manual therapy can also help, as can exercises to strengthen the feet, which reduces the load. The use of cryomassage also helps as well as stretching exercises of the posterior vine.

How long does treatment take?

On average, it lasts from 3-5 sessions, although it is individual and SHOKWAVE therapy itself lasts a short time, but as mentioned, it is necessary to combine it with other forms of physical therapy for faster and better results. Shockwave therapy is done in intervals every other day, and classic physical therapy therapy is performed every day.

Having a heel spur problem?


The most important thing is to contact an expert who will refer you to further treatment, call us.