Calcar calcanei

Calcar calcanei or spur is a deformity in the area of ​​the heel bone. It most often arises between the ages of 40. and 60. and is present bilaterally .

Etiology
It is caused by calcification and ossification of inflammatory changes in the attachment of the short muscles of the leg and the plantar aponeurosis on the hump of the heel bone.

Clinical picture
Clinically, pain  is present in the middle of the tread surface of the heel. Pain can limit or even make walking impossible. During the examination, palpable pain appears at the attachment of short muscles and the plantar aponeurosis to the heel bone.

On the X-ray we can see a pointed exostosis of various sizes, which extends from the processus medialis calcanei towards the front.

Therapy
We choose conservative treatment, which consists in relieving the heel with a special insole. The insole will lighten the step at the point of the spur, it is advisable to use a soft heel. Spraying of the painful area, physical treatment or X-ray irradiation can also be used.

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