Toes so ugly want to hide
after Vitek´s surgery full of pride !

Lower heel spur

This is the "right" heel spur, popularly known as such, and more often than the upper heel spur.

The load-dependent bright heel pain, located in the middle of the heel or somewhat inside, traces its origin almost always to the so called heel spur.

It is actually a bone formation, which presses on the plantar longitudinal ligament under load, where it causes inflammation and pain. A radiographic detection of the heel spur size is irrelevant, as the size has nothing to do with the pain scale.

This typical pain may also occur in complete absence of the spur, in this case we talk about the plantar fasciitis (see the inflammation of plantar).

Often even a small nerve, whose passage is hindered due to adhesions, is involved in the pain syndrome.

Treatment principle

The heel spur should be treated conservatively:

  • calf stretching, special inserts
  • buffer heels
  • targeted infiltrations
  • physiotherapy
  • X-ray irradiation
  • possibly shock wave therapy 
  • (the latter hurts and does not help much, although it is very popular lately due to good marketing)

Only in a few cases, surgery is indicated, in which the fibers of the longitudinal ligament running over the spur (plantar fascia) are split. The spur itself is removed there. It is also sought to interrupt the nerve fibers.

Aftercare

Relief with two forearm crutches for two weeks.

Ability to work

Office work after two weeks, hard physical work can be started after about six weeks.

Results

Only about half of the operated patients are truly symptome-free, approximately 15 percent of the operations result in no improvement in terms of pain.

Therefore, in the treatment of a calcaneal spur, conservative treatment is to be fully exploited, an operation should be performed only after a treatment period of at least six months.

Conversely, the operation is a good chance to get rid of the discomfort in "desperate" cases, in which the conservative treatment does not remove the pain and further detailed investigations suggest no other diagnosis.

Complications

Infections in about 2 percent, rarely wound healing disturbances, very low risk of thrombosis.

Example:

A spur-rich foot:

Unterer Fersensporn

Yellow arrow: The actual heel spur is the lower one: yellow arrow

Red arrow: upper heel spur

Green Arrow: additionally a small lower heel spur.

Address

Michael Vitek Dr. Prof inv. UAG
Meidlinger Hauptstraße 26
(1st floor without elevator)

Vienna,  1120

Opening hours

Monday 12:00 - 16:00

Tuesday 12:00 - 16:00

Thursday 12:00 - 16:00

Private and insured patients

Phone reservation required!

 insured patients: +43 1 815 52 75

 private: +43 664 849 81 00

Information about Cookies and Data Protection:

This website uses cookies. Cookies are small pieces of text, a web browser stores on the user’s device. They cause no harm.

Cookies that are required for the functionality of the website are set in accordance with Art 6 para. 1 lit b) GDPR (legal basis). All other cookies are only stored providing that you give consent according to Art 6 para. 1 lit a) GDPR (legal basis).


You have the right to withdraw your consent at any time. The withdrawal of consent does not affect the lawfulness of processing based on consent before its withdrawal. You are not obliged to give your consent in order to use the website. You can use the website irrespectively of your given, refused or withdrawn consent. However, the functionality of the website may be limited, when you refuse or withdraw your consent.


The offered information on this website is not addressed to children and persons below the age of 16.


To withdraw your consent or to restrict cookies, you have particularly the following possibilities:

Necessary Cookies:

This website could use the following cookies that are essential for operating the website:


Optional cookies for marketing and analysis purposes:


Cookies that are set for marketing and analysis purposes usually are stored longer than for the particular session; the precise storage time can be learned from the guidelines of the respective providers.

Additional information about the utilization of personal data in connection with the usage of this website can be found in our Data Protection Guidelines in accordance with Art 13 GDPR.