Fw: Calc Spurs
Richard Ziegeler
Description
Collection
Title:
Fw: Calc Spurs
Creator:
Richard Ziegeler
Date:
12/19/2000
Text:
Part One responses
----- Original Message -----
From: Richard Ziegeler
To: <Email Address Redacted>
Sent: Thursday, December 14, 2000 2:51 PM
Subject: Calc Spurs
Thankyou to all who responded to my call for assistance with a recalcitrant medico. All replies have served to reinforce my own ideas and in fact we have educated the Doc.! He is now referring all of his patients with plantar fasciitisThankyou again to all for the support. I wish you all a safe and happy Christmas. Richard Ziegeler (Australia)
I have fitted in the last month a pair of medium density EVA foot orthoses to a patient who had calcaneal spurs and who had had one steroid injection with no pain relief. He has also been stretching 5+ times a day, calf stretching, over a step. Since wearing the foot orthoses he has had no pain and doesn't even have pain on weightbearing in the morning.Hope this helps. Kaisha Gurry
What I found to help also, is to cut out the affected area on the plantar surface of the heel, and replace the cut-out plastic with PPT, or Poron and the entire length of the orthosis with a foam cover. I have great success with this technique in onjunction to agressive calf stretching.
> It has been my experience that most patients don't suffer necessarily from a calcaneal spur but rather plantar fasciitis or calcaneal nerve entrapment.
> There are many patients with heel spurs who are pain free. Often the spur develops secondary to inflammation in the tendon at the insertion into the calcaneous due to a calcium deposit released as part of
> the inflammatory process. There are a lot of papers on the podiatry sites on the internet and medscape which support conservative treatment of these
> conditions. In fact it has been thought that a good stretching program can reduce pain by up to eighty percent. Many patients reinjure constantly because they go from a rest situation like sleep where the tendons contract, immediately into a full stretch situation. ie walking. I give all my patients advice on stretching as well as fitting them with good foot orthoses. Often my patient's report improvement even in the short time between casting and fitting of the orthosis. I would expect about a fifty percent improvement within two weeks and then a slower improvement to recovery. In some patients steroid may work. In many it doesn't. This may be due to the fact that steroid reportedly does not work with everyone, may be due to the accuracy of the delivery or the fact that the person's biomechanics are such that it is only taking care of symtoms not the cause. Occasionally with some of the more chronic cases it is necessary to utilise a night splint to maintain a stretch on the plantar fascia in addition to the other treatments. I hope this is of some use. Feel free to contact me to discuss further. Michael Gurry
..........
i too have been using hard inserts to treat calcaneal spurs (usually w/ a horseshoe pad and spenco covering) for me this has been the most effective treatment. the key is keeping the plantar fascia stretched out. also a night splint is helpful in keeping the foot in dorsi-flexion so that the tell-tale morning pain is kept in check. some of the local pt's here are also using athletic tape to tape the arch, and have found this to be very succesful. john mckinley,
..........
One of the most efficaous uses of orthotics is to solve the problem of heel pain. The orthotics act to minimise the extension of the Plantar Fascia and
thereby reduce the tension at the calcaneal insertion point. True clinical studies are difficult to find but you may be able to locate references through the articles of some magazines. Podiatry Today featured heel pain in the October issue www.podiatrytoday.com).Seamus Kennedy ..........
----- Original Message -----
From: Richard Ziegeler
To: <Email Address Redacted>
Sent: Thursday, December 14, 2000 2:51 PM
Subject: Calc Spurs
Thankyou to all who responded to my call for assistance with a recalcitrant medico. All replies have served to reinforce my own ideas and in fact we have educated the Doc.! He is now referring all of his patients with plantar fasciitisThankyou again to all for the support. I wish you all a safe and happy Christmas. Richard Ziegeler (Australia)
I have fitted in the last month a pair of medium density EVA foot orthoses to a patient who had calcaneal spurs and who had had one steroid injection with no pain relief. He has also been stretching 5+ times a day, calf stretching, over a step. Since wearing the foot orthoses he has had no pain and doesn't even have pain on weightbearing in the morning.Hope this helps. Kaisha Gurry
What I found to help also, is to cut out the affected area on the plantar surface of the heel, and replace the cut-out plastic with PPT, or Poron and the entire length of the orthosis with a foam cover. I have great success with this technique in onjunction to agressive calf stretching.
> It has been my experience that most patients don't suffer necessarily from a calcaneal spur but rather plantar fasciitis or calcaneal nerve entrapment.
> There are many patients with heel spurs who are pain free. Often the spur develops secondary to inflammation in the tendon at the insertion into the calcaneous due to a calcium deposit released as part of
> the inflammatory process. There are a lot of papers on the podiatry sites on the internet and medscape which support conservative treatment of these
> conditions. In fact it has been thought that a good stretching program can reduce pain by up to eighty percent. Many patients reinjure constantly because they go from a rest situation like sleep where the tendons contract, immediately into a full stretch situation. ie walking. I give all my patients advice on stretching as well as fitting them with good foot orthoses. Often my patient's report improvement even in the short time between casting and fitting of the orthosis. I would expect about a fifty percent improvement within two weeks and then a slower improvement to recovery. In some patients steroid may work. In many it doesn't. This may be due to the fact that steroid reportedly does not work with everyone, may be due to the accuracy of the delivery or the fact that the person's biomechanics are such that it is only taking care of symtoms not the cause. Occasionally with some of the more chronic cases it is necessary to utilise a night splint to maintain a stretch on the plantar fascia in addition to the other treatments. I hope this is of some use. Feel free to contact me to discuss further. Michael Gurry
..........
i too have been using hard inserts to treat calcaneal spurs (usually w/ a horseshoe pad and spenco covering) for me this has been the most effective treatment. the key is keeping the plantar fascia stretched out. also a night splint is helpful in keeping the foot in dorsi-flexion so that the tell-tale morning pain is kept in check. some of the local pt's here are also using athletic tape to tape the arch, and have found this to be very succesful. john mckinley,
..........
One of the most efficaous uses of orthotics is to solve the problem of heel pain. The orthotics act to minimise the extension of the Plantar Fascia and
thereby reduce the tension at the calcaneal insertion point. True clinical studies are difficult to find but you may be able to locate references through the articles of some magazines. Podiatry Today featured heel pain in the October issue www.podiatrytoday.com).Seamus Kennedy ..........
Citation
Richard Ziegeler, “Fw: Calc Spurs,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/215472.
