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For heel spurs is defined as a calcification of the plantar fascia at its insertion heel. It 'very frequent, especially men suffer from it after forty years, especially if carrying a flat foot or foot cable and sports. The clinical picture is characterized by the presence of pain reported alive in the middle of the heel, awakened by acupressure. Radiographs are essential: they show the presence of a few millimeters long spur that developed at the center of the heel with the tip oriented towards the fingers.
However, one should be fooled by this aspect because the heel spur is simply a manifestation of a much more complex picture. The fact 20% of people with heel spurs do not complain any pain and can live with this anomaly without reporting problems. In addition, most patients complain that a talalgia from heel spurs, performing a radiograph of both feet, is the bearer of even plug in the foot is not sore.
This is because the symptoms are the result of a biomechanical problem that affects the plantar fascia, a fibrous structure robust taut as a bowstring, between the heel and toes. This structure protects the foot from impact and ensures, with its tension, the arch shape of the foot. If too tight, like wires or very flat feet, or too stressed, who make sport, distorts its anchor point at the heel spur to form. In this case, the athlete is asymptomatic coexistence more difficult because the plug increases the likelihood that inflame the plantar fascia inserts into the heel.
Rest sport is highly recommended since it is closely linked to the movement disorder of the structure concerned, in sedentary if conservative therapies are possible anti-inflammatory, tecarterapia, plantar fascia to reduce tension and weight on the critical point, cryotherapy, local corticosteroid injections, in athletes and runners in particular can not only advise the mechanical removal of the spine, otherwise a sharp reduction in training load. The techniques range from shock waves to the second surgery, more or less invasive techniques.