Description

• Calcaneal spur is a bony projection forwards from the undersurface of the calcaneal tuberosity. It is nothing but the ossification of the plantar fascia at its calcaneal end
• Heal spurs are common and do not always cause pain, pain is caused by contact of the spur with the surrounding soft tissue
• Patients (usually middle-aged adults) frequently complain of pain behind or below the heels which increases in intensity after prolonged periods of rest

Classification:

• Inferior calcaneal spur – located in the inferior aspect of calcaneum, typically a response to plantar fasciitis over a period
• Posterior calcaneal spur – develops on the back of the heel at the insertion of achilles tendon

Types

• Pain in the heel typically increase in intensity after prolonged periods of rest
• Nature of pain –Described as a sharp knife or pin sticking to the bottom of the foot
• Not able to bear weight in afflicted heel comfortably
• Running, walking or lifting heavy weight may exacerbate the issue
• Pain may be due to inflammation of the soft tissue or bursa beneath the spur also

Investigation

• X-ray – Foot lateral view , reveals bony projection from the surface of the calcaneum

Treatments

• Ice cube application to reduce immediate pain
• Strengthening exercises
• Shoe recommendations
• Anti-inflammatory medications 

Ayurvedic Treatment

Internal medicines

• Punarnavadi Kashaya
• Musthadi marma Kashaya
• Rasna erandadi Kashaya
• Rasna sapthaka Kashaya
• Guggulu tiktaka kashaya
• Abha guggulu
• Kaishora guggulu
• Chandraprabha Vati
• Guggulu tiktaka gritha

Procedure

• Lepana - Nagaradi choorna, Jadamayadi choorna, Karuthavattu etc.
• Upanaha - Kolakulathadi
• Agni karma- Ruksha
• Lavana pinda sweda
• Dhara- Murivenna

Department

Salya Tantra