• Rest and application of ice (10-12 minutes every hour) 
  
• Better shoes which a thicker shock-absorbing sole 
  
• Anti-inflammatory medications
  
• Physical therapy and stretching
  
• Cortisone Injections​
  
• Custom-made Orthotic insoles 
  

Dr. Darrell Bevacqua, Podiatric 
25 ans d'expérience professionnelle​

Doctor of Podiatric Medicine

Post Doctoral Surgical Residency,

Hôpital Vétérans, Brooklyn, New York 

Clinicien | Chargé de cours  
Département des Sciences de l’activité physique

Université du Québec à Trois-Rivières
3351, boul. des Forges,Trois-Rivières (Québec) 

Clinique podiatrique de Verdun  
3954a Wellington, Verdun (Montréal) 

Tél : (514) 768 - 5060

• Pain on the bottom of the heel when waking in the morning  
  
• Followed by persistent dull pain for the rest of the day
  
• Bony bump under the skin on the bottom of the heel
  
• Sharp pain making it difficult to walk​
  
• The sensation of heat radiating from the painful area

For more information: Click Here

Heel Spur Symptoms (Calcaneal Spurs)

Bone spurs can also form on the back of the heel where the Achilles Tendon inserts into the Calcaneus (Heel Bone).  The Achilles tendon is the largest and strongest tendon in the body and can exert an immense force on the heel bone. Over time a calcium deposit (Spur) may form in this area and create chronic pain.

Achilles Heel Spur - Bone Spur On The Back Of The Heel

Heel Spurs - Symptoms Causes & Treatments

Treatments for the Achilles Heel Spurs are pretty much the same as listed above except for cortisone injections and surgery. Cortisone injections may increase the incidence of Achilles Tendon rupture and should be avoided. In the case where a cortisone injection is performed the patient should wear a Cam Walker boot (Control Ankle Motion) to immobilize the area. Surgery is performed as a last recourse. Fortunately, Custom made orthotic insoles resolve the pain and inflammation issues in most cases as the problem is often due to biomechanical deficiencies.

​​Heel Spurs (Calcaneal Spurs) are calcium deposits (exostoses) that form on the bottom of the heel where the plantar fascia attaches. Most people who suffer from Plantar Fasciitis also have concomitant Heel Spurs. The spurs are often caused by the tension the plantar fascia exerts on the Calcaneus (Heel Bone).  The Heel Spurs themselves are not painful but create inflammation and swelling to the soft tissue structures around them.

Heel Spur Prognosis

The perspectives for Calcaneal Heel Spurs are positive. Surgery is rarely needed and conservative treatments such as rest, ice, and custom-made orthopedic insoles are very effective. A custom-made orthotic device can isolate the pressure that is exerted on surrounding soft tissue structures. The inflammation and pain disappear, and the corrective orthotics prevent the discomfort from returning. 

Heel Spur Causes

Heel Spur (Épine de lenoir)

​Heel spurs can be associated with intermittent or chronic pain. The problem is the tension that the plantar fascia exerts on the heel bone. My patients describe the pain as a knife or pin that’s sticking in the bottom of the heel upon waking in the morning. The affected area can be warm to the touch and the symptoms can extend into the arch of the foot. 

Heel Spur Treatments

Did You Know? 

Podiatry services and custom-made orthotic devices are often reimbursed by most private insurance plans.  

No medical referral is necessary to consult a Podiatrist in Québec. 
 
Thank you for your confidence!  

Services: Flat Feet, Heel Spurs, Plantar Fasciitis, Custom made Orthotics, Ingrown Toenail Treatments, Foot Care, Warts, Corns & Calluses, Thick Nails / Yellow Nails (Fungus), Cortisone Injections, Biomechanical / Postural Exams, Podiatry for Children, Diabetic Foot Care. Surgeries: Ingrown Toenail (Permanent Correction), Bunions & Hammertoes, Neuromas, Plantar Fasciitis, Second opinions and more!

Our team is only comprised of Doctor’s of Podiatric Medicine. All treatments and diagnoses will be done by a certified Podiatrist and never auxiliary personal. 

• Flat Feet or Hyperpronation (arches that collapse when standing)

• Athletes (Runners, Joggers, Tennis & Soccer Players)

• Bad or worn-out shoes

• People who work standing or work on hard cement surfaces

• Common among women and men 40 years old and more
  

Plantar Fasciitis