What Causes Heel Spurs and How They’re Diagnosed

Heel pain can interfere with everyday activities, from walking and exercising to simply standing for long periods. One potential cause of this discomfort is a heel spur—a calcium deposit that forms on the underside of the heel bone. At Centreville Foot & Ankle & Sports Medicine, located in Centreville, VA, Dr. James Hurst helps patients understand what heel spurs are, what causes them, and how they can be properly diagnosed and treated.

Understanding Heel Spurs

A heel spur is a bony growth that forms where the plantar fascia—a thick band of tissue running along the bottom of the foot—connects to the heel bone. These spurs often develop gradually and may be painless at first, but over time, they can lead to inflammation and chronic discomfort, especially during the first steps in the morning or after long periods of rest.

Heel spurs are often associated with plantar fasciitis, though the two conditions are not the same. While plantar fasciitis involves inflammation of the tissue, a spur is an actual bone growth that can be seen on an X-ray.

Common Causes of Heel Spurs

Several factors can contribute to the development of heel spurs, including:

• Repetitive stress from walking, running, or standing for long periods
• Poorly fitted or worn-out footwear
• Flat feet or high arches
• Obesity, which puts extra pressure on the heel
• Age-related changes in foot structure
• Tight calf muscles that strain the plantar fascia

People who are active, particularly those who run or play sports on hard surfaces, are at a higher risk for developing heel spurs.

How Heel Spurs Are Diagnosed

At Centreville Foot & Ankle & Sports Medicine, diagnosis begins with a thorough medical history and a physical examination. Dr. Hurst will evaluate the heel for tenderness, swelling, and any limitations in movement. If a heel spur is suspected, imaging such as an X-ray may be ordered to confirm the presence and size of the bony growth.

In some cases, other conditions like arthritis or nerve irritation may need to be ruled out to ensure accurate treatment.

Getting the Right Care in Centreville

Once diagnosed, treatment for heel spurs typically begins with conservative measures such as custom orthotics, stretching exercises, anti-inflammatory medications, or physical therapy. In more persistent cases, advanced options like injections or surgical intervention may be discussed.

For patients in Centreville, VA, Dr. James Hurst offers personalized care to help relieve heel pain and restore mobility. To schedule an appointment, call 703-830-3338 and take the first step toward lasting relief.