Plantar fasciitis is aggravated by tight muscles in your feet and calves. A calcaneal spur which is commonly known as a heel spur, occurs when a bony outgrowth forms on the heel bone. Precise Location. 2. Like plantar fasciitis, calcaneal spurs can occur alone or may be . Calcaneal spurs may be asymptomatic or symptomatic. Heel spurs are small lumps of excess bone that grow and stick out on the calcaneus, aka heel bone. This is a picture of the suture placement in the Achilles tendon to reattach the tendon to bone. Bone spur and Plantar fascitis in left foot from accident that fractured entire left side of body. but the plantar facsii that is attached to it can be inflamed. Could Cuboid Syndrome Be The Source Of Your Foot Pain? 2002;29 (9): 1957-64. Osteophytes can grow from any bone, but they're most often found in the: It is caused by small tendon injuries that calcify. Very [] thank you so much. Conclusions: Based on the results that we present, the dorsal wedge calcaneal osteotomy can be considered an alternative procedure for insertional Achilles tendinopathy in patients with a high calcaneal inclination angle. Exercises for activation and strengthening. ? Common causes include repetitive movement. The dorsal spurs are often associated with achilles Tendinopathy, while spurs under the sole are associated with Plantar fasciitis. Plantar calcaneal spurs are thought to be a result of enthesophytic changes involving the origin of the plantar aponeurosis 5. For this stretch: With the hands on a wall, place one leg forward with a slight bend in the knee. When symptomatic, calcaneal spurs are usually seen in conjunction with plantar fasciitis. The aim of this study is to analyse the incidence of calcaneal spur in relation to morphological variations of talar articular facets of calcaneus. In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability? iStock Human Foot Bones Plantar And Dorsal Spur Vector Illustration Stock Illustration - Download Image Now Download this Human Foot Bones Plantar And Dorsal Spur Vector Illustration vector illustration now. It is common Usually a podiatrist or orthopedic surgeon is the physician that treats heel pain. Plantar calcaneal spur. The feet, hands, knees and spine often develop bone spurs. Radiological characteristics of the calcaneal spurs in psoriatic arthritis. Answer (1 of 2): Plantar and Dorsal flexion are the movements of the ankle joint. Saunders. observed (calcaneal or heel spur) extending along entire width, for about 2-2.5 cm. Unable to process the form. ? Scientists believe that this calcium deposit that causes a bony protrusion on the heel bone's underside occurs due to many reasons. A calcaneal spur is also called as a heel spur, it is a bony outgrowth from the calcaneal tuberosity. Classically seen on plain radiographs, CT and MRI as a bony spur on the sagittal image projecting inferomedially from the calcaneus. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. The pain due to the issue can restrict your mobility. Plantar calcaneal spurs tend to usually occur in older men and women and may be related to obesity, osteoarthritis and current or previous heel pain. no other abnormality.could you please tell me what this all mean. Heel cord stretch. Calf stretch. Calcaneal spurs: plantar and at the Achilles tendon insertion. Triggering deep stress points. To compensate for missing. There is a chance that the bone spur will return in the future. Calcaneal spur of bilateral feet Calcaneal spur of left foot Left calcaneal (heel) spur Left calcaneal spur ICD-10-CM M77.32 is grouped within Diagnostic Related Group (s) (MS-DRG v40.0): 564 Other musculoskeletal system and connective tissue diagnoses with mcc 565 Other musculoskeletal system and connective tissue diagnoses with cc Bone spur and plantar fascitis in left foot from accident that fractured entire left side of body. Feel the stretch along your back calf. Rheumatol. 8. The gap thus formed is filled by the proliferation of bone resulting in formation of a bony spur to secure the detached attachment. Your midfoot . calcaneal Spur 7. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Homoeopathic applicability in these cases would be beacon light in improving the bony exostosis. With this condition, cartilage between bones can deteriorate over time. Mri is the best available. Objective Treatment of Achilles insertional calcific tendinosis through a longitudinal midline incision approach with optional resection of the retrocalcaneal bursa and calcaneal tuberosity (Haglund's deformity). Check for errors and try again. Plantar flexion is when you bend your ankle away from your body or towards the floor, the normal range is 50 degrees from a neutral position, muscles behind your legs are contracting to provide the movement, heel ra. Illustration about Dorsal spur calcaneal spur. Woman suffering from heel pain. A heel spur or bone spur is a bony growth that pokes out from the bottom of your heel, where your heel bone connects to the ligament running between your heel and the ball of your foot (the plantar fascia). How the diagnosis did was done? Part of the Medical Radiology book series (Med Radiol Radiat Oncol) Abstract Painful heel spur (plantar fasciitis) is a major part of the heel spur syndrome. Result: Out of the 350 calcanei 128 presented with spurs among them planter spur in 21.4%; dorsal spur in 10.2% and both spurs in 4.8%. Stress fracture should be healed by know? Chundru U, Liebeskind A, Seidelmann F et-al. 2. small osteochondral dissecans without free fragments of the medial talar dome 1 Up to date, there are limited number of studies about incidences of plantar calcaneal and dorsal calcaneal spur in normal population. J Foot Ankle Res. Calcaneus Author: Ed Madeley Reviewer: Dimitrios Mytilinaios MD, PhD Last reviewed: November 23, 2022 Reading time: 8 minutes The calcaneus, also known as the heel bone, is found at the back of the foot near the ankle, just below the talus, tibia, and fibula bones of the lower leg.The calcaneus is the largest bone in the foot. This is caused by repeated micro-trauma at the insertion of the plantar fascia into the calcaneus leading to inflammation and tenderness under the medial heel during weightbearing activities. Skeletal Radiol. Fusion of the Midfoot Joint - If the bone spur is due to severe midfoot arthritis, joint fusion may be your best bet. Offering virtual care. A heel spur forms where the plantar fascia (the ligament along the bottom of the foot) connects to the heel bone. (2019) Journal of the American Podiatric Medical Association. They also occur above the sturdy tissue . J. Rheumatol. Illustration about Human foot bones. Newest results. Wall . (2010) ISBN:1608317064. Plantar fasciitis and calcaneal spur formation are associated with abductor digiti minimi atrophy on MRI of the foot. 1. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. A posterior calcaneal spur, also known as a dorsal heel spur, grows on the back of the heel at the attachment of the Achilles tendon. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. A posterior calcaneal spur, also known as a dorsal heel spur, grows on the back of the heel at the attachment of the Achilles tendon. 5284 Foot injuries, other is only 10%. Plantar calcaneal and dorsal calcaneal spur were detected together in 9.8% (131 patients) of the patients. No other abnormality.Could you please tell me what this all mean. change. Plettner P. Exostosen des Fersenbeins. By using our website, you consent to our use of cookies. Plain x-rays of the foot will usually reveal a bone spur in the top part of the midfoot. Inflammation or sprain of the. And search more of iStock's library of royalty-free vector art that features Calcaneus graphics available for quick and easy download. 2014;32 (3): 401-3. 5020 Synovitis is only10%. They develop over time in patients with arthritis or joint damage. Doctors typically provide answers within 24 hours. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Calcaneal spur Clinical Information A bony outgrowth on the lower surface of the calcaneus. Maximum incidence of calcaneal spurs were found . Though often presenting along with plantar fasciitis (fasciitis, plantar), they are not considered causally related. On: July 7, 2022. Generally it does not cause any problem to the person, but when the calcium deposits exceed certain level, it can cause complications. Case Discussion Plantar calcaneal spurs,or sometimes simply referred to as calcaneal spurs, are a commonly seen finding in radiology practice. The symptomatic relief of . The body compensates by growing bone in the affected area. Weiss E. Calcaneal spurs: Examining etiology using prehistoric skeletal remains to understand present day heel pain. Fascitis Plantaris EXCLUSION CRITERIA: . Heel spurs are typically detected by a radiographic examination which is commonly referred to as an "x-ray". Calcaneal spurs are bony projections that form around the calcaneal bone, the strongest, most significant, and posterior-most bone in the feet. They usually develop in response to friction, tightness, inflammation or injury when the body lays down extra layers of bone to try and protect itself. A plantar calcaneal enthesophyte refers to an osteophyte which is located anteriorly to the medial tuberosity of the calcaneus. Although plantar calcaneal spur and dorsal calcaneal spur (Achilles) are usually concomitant with plantar fasciitis and Achilles tendinitis, they may not present a clinical sign in all cases. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Symptomatic calcaneal spurs are often found in association with plantar fasciitis. One of the more common causes of heel pain is plantar fasciitis; s your symptoms. 5. There is a plantar calcaneal spur associated with minor calcifications on the projection of the plantar fascia. 3-5 times a week. If you have no symptoms, these x-ray findings mean very little. Also called a heel spur, a calcaneal spur is a bony outgrowth from the heel bone (calcaneal tuberosity). Plantar calcaneal enthesophytes occur at the calcaneal attachment point of the flexor digitorum brevis, a muscle that flexes the toes, and the abductor hallucis, a muscle that moves the big toe sideways away from the rest of the toes, according to the American Journal of Roentgenology 1. The cause of Achilles tendon enthesopathy is chronic traction of the Achilles tendon on the calcaneus. They grow slowly over time and often have no symptoms. Skeletal Radiology, The Bare Bones. Mpressions: 1. mild plantar fasciitis as above without calcaneal spur. The spur on the retro-calcaneal region is due to traction /pulling of the insertion of the achilles tendon. Radiographics. 1 Up to date, there are limited number of studies about incidences of plantar calcaneal and dorsal calcaneal spur in normal population. When a foot bone is exposed to constant stress, calcium deposits build up on the bottom of the calcaneal bone. Thank you very much Quote Join the conversation You can post now and register later. They can result from stress caused by an inflamed foot ligament, an injured . Case study, Radiopaedia.org (Accessed on 11 Dec 2022) https://doi.org/10.53347/rID-39162. This differentiates a tarsal boss from a ganglion cyst, which is a fluid-filled sac that is usually softer and mobile. 5. Calcaneal spurs can be located at the back of the heel (dorsal heel spur) or under the sole (plantar heel spur). The concept of diseases and pains in the leg. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Calf stretch. Treatment aspect ranges from initial conservative methods . 2008;37 (6): 505-10. Video chat with a U.S. board-certified doctor 24/7 in a minute. Heel Spur Causes With a heel spur, walking or standing can be very painful. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. you need a good ortho evaluation What's a large plantar and dorsal calcanneal spurs on the foot? The apex of spur seen embedded in plantar fascia, directly anterior to its origin. The main cause of bone spurs is the joint damage associated with osteoarthritis. There are two areas where heel bone spurs tend to develop: ADVERTISEMENT: Supporters see fewer/no ads. Imaging. Osteophytes can cause pain if they impinge on other structures or grow so large as to restrict movement in a joint. Narvez JA, Narvez J, Ortega R et-al. Brower AC, USNR DJFMDCDRMC. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Heel Spur or Calcaneal Spur: Treatment, Causes, Symptoms, Prevention 497,903 views Apr 23, 2015 1.8K Dislike Share ePainAssist 308K subscribers Source: https://www.epainassist.com One of the. Stiffening can occur at joints, further limiting the . {"url":"/signup-modal-props.json?lang=us\u0026email="}, Weerakkody Y, Knipe H, Hacking C, et al. Im in pain, had to move real fast, I felt a pop in my foot and it radiated severe pain. Never disregard or delay professional medical advice in person because of anything on HealthTap. 9. Foot discomfort can result from a variety of factors, the most prevalent of which are heel spurs and plantar fasciitis. It projects posterior to the tibia and fibula and acts as a . Not just heels. Posterior/dorsal calcaneal spur - bony out growth located at the back of the heel and Plantar/inferior calcaneal spur - located on the inferior aspect of calcaneus. Created for people with ongoing healthcare needs but benefits everyone. been on crutches 4 months. The dorsal spurs are often associated with achilles Tendinopathy, while spurs under the sole are associated with Plantar fasciitis. Stretching your calves and plantar fascia is the most effective way to relieve the pain that comes with this condition. Stand near a chair or wall for balance before getting started Place the foot you want to stretch on the center of the calf stretcher 2008;1 (1): 7. I come back from a run-my feet ache. Why is that i still have pain in my big toes when i lift off my both my feet to walk? Doctors typically provide answers within 24 hours. A heel spur is a pointed bony outgrowth of the bone of the heel (the calcaneus bone). Mehmet Arican, Yalcin Turhan, Zekerya Okan Karaduman. This lump is often hard from the underlying bone. Check for errors and try again. There is also a irregular and heterogeneous calcification at the insertion of the calcaneal (Achilles) tendon, which is also referred as insertional calcific tendinopathy. 6. Dorsal and plantar calcaneal spurs A 35-year-old member asked: What's a large plantar and dorsal calcanneal spurs on the foot? What could be a numb like sensation on the plantar surface of my foot between my big toe & second. The spur to the back of the heel can frequently be very painful with standing. Call your doctor or 911 if you think you may have a medical emergency. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Lean forward against a wall with one knee straight and the heel on the ground. A bone spur on top of the foot is sometimes due to osteoarthritis, a type of arthritis. When the pain becomes unbearable, and medicine and non-surgical methods fail to . I have plantar fasciitis and heel spurs. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Not plantar fasciitis? For these, please consult a doctor (virtually or in person). Heel spurs bony protrusions that grow at the bottom of the heel, on the sole of the foot. Bone spurs, or osteophytes, are smooth, bony growths, usually near joints. Calcaneal spur, an abnormal bony outgrowth at the inferior and dorsal part of calcaneus has a huge impact on QOL of patients with chronic suffering. A calcaneal spur, or commonly known as a heel spur, occurs when a bony outgrowth forms on the heel bone. A precription, can have spurs or bone build up in many areas but most commonly to the back of the heel and to the bottom of the heel. What Is Posterior Calcaneal Exostosis? 4.9k views Answered >2 years ago I had an xray which showed calcaneal spur fracture at the back of my heal what is best treatment? Bone spurs are bony projections that develop along bone edges. Heel spurs affect about 15% of people. Can not walk on it. Although plantar calcaneal spur and dorsal calcaneal spur (Achilles) are usually concomitant with plantar fasciitis and Achilles tendinitis, they may not present a clinical sign in all cases. illustration Isolated on a white background. 109 (2): 172-173. Heal spur and plantar fasciitis , I banged the bottom of my foot really hard and now I am in excruciating pain. Clin. X-ray bilateral feet a tiny calcification is present adjacent to the lateral aspect of the 4th metatarsal head,and a small left plantar calcaneal spur. It is often bulky and easily palpable through the skin and may need to be surgically removed as part of the treatment of insertion Achilles tendonitis. Calcaneal spur is also called as heel spur. It is reportedly the most common cause of pain in the inferior heel and is estimated to account for 11% to 15% of all foot symptoms requiring professional care among adults [ 17 ]. PRE-SURGERY, left foot rear calcaneus heel spur, Achilles repair Since a calcaneal spur rarely causes any pain, people suffering from this condition often ignore the symptoms. Mri or bone scans? There is also a irregular and heterogeneous calcification at the insertion of the calcaneal (Achilles) tendon, which is also referred asinsertional calcific tendinopathy. Osteophyte (bone spur) Osteophytes are bony lumps (bone spurs) that grow on the bones of the spine or around the joints. There are anchors in the bone that have the suture already attached. I have sever pain in my knees lower back and the plantar of my feet i bearly could walk what type of specialist should I see ? Medications, physical therapy and surgery may help. Place the other leg slightly behind the body and keep it straight. 7. Woman suffering from heel pain. A calcaneal spur, or commonly known as a heel spur, occurs when a bony outgrowth forms on the heel bone. A precription orthotic can help in both cases as well as stretching and a night splint. I would like to know how to tape it for some relief. Tiger Woods Hoping To Avoid Surgery For Plantar Fasciitis, 4 Signs You Should Replace Your Orthotic Inserts, Dr. Silverman Presents To A Global Audience At Greek Surgical Convention. Reasons for such injuries are usually incorrect and overloaded loads. They are also referred to as calcaneal spurs. Achilles heel spur surgery recovery time might vary depending on how the treatment worked. How common is it to get bone spurs and plantar fasciitis in both feet? To learn more, please visit our, The spur on the plantar surface of the calcaneus is duwe to chronic, of the plantar fascia. I have plantar fasciitis, as well as history of gout. Calcaneal spurs can be located at the back of the heel (dorsal heel spur) or under the sole (plantar heel spur). You can use Radiopaedia cases in a variety of ways to help you learn and teach. The calcaneus spur is mostly located under your heel (beneath the sole of the foot) or at the back of your heel. Most bone spurs cause no symptoms and can go undetected for years. Dont think its stress fracture since its both feet. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. It helped for awhile and now that we have started back to work my foot is starting to hurt again. Get answers from Podiatrists and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. Arthritis in Black and White. Exp. A Heel spur, or also known as a calcaneal spur, occurs when a bony outgrowth forms on the heel bone. What does this mean a right plantar calcaneal spur is present without reactive Heel spurs occur when calcium deposits build up on the underside of the heel bone, a process that usually occurs over a period of many months. Gladman DD, Abufayyah M, Abuffayah M et-al. Epidemiology Plantar calcaneal spurs tend to usually occur in older men and women and may be related to obesity, osteoarthritis and current or previous heel pain. The heels . Chronic local inflammation at the insertion of soft-tissue tendons or plantar fascia is a common cause of bone spurs (osteophytes).Heel spurs can be located at the back of the heel or under the heel, beneath the arch of the foot. I iced it..Help!? Hence, the study of calcaneal spurs has been undertaken. The calcaneus is the primary weight bearing bone in the heel, and its many surface contours render it a relatively difficult bone to visualize in its entirety. Menz HB, Zammit GV, Landorf KB et-al. The classic symptom of the calcaneal spur. Do each side two to five times. A calcaneal spur is a small bony projection that is formed on the calcaneus or heel bone, either at the back of the heel or under the sole of the heel. It refers to the bone outgrowth of your heel. An examination will demonstrate a lump on the top (dorsal aspect) of the midfoot. You should be up and walking in approximately 6 weeks. Calcaneal spurs are usually asymptomatic, but when they are painful, the condition is generally the result of inflammation of the insertional fibers of the plantar fascia at the medial tuberosity. Myofascial self-massage. Dr. Jeffrey Ross answered 43 years experience Calcaneal spurs: The spur on the plantar surface of the calcaneus is duwe to chronic traction of the plantar fascia. Treatment is designed to decrease the inflammation and avoid reinjury. Human foot bones. Calcaneal Spurs: 5015 Bones, new growths of, benign. Calcaneal spurs and plantar fasciitis can occur alone, or they can be related to underlying diseases that cause arthritis, such as reactive arthritis and ankylosing spondylitis. Illustration of lower, arthritis, muscle - 155910695 Osseous spurring of the plantar aspect of the calcaneus was first documented in 1900 by the German physician PPlettner, who coined the term Kalkaneussporn (calcaneal spur) 7. Your plantar fascia is the bow string of your foot which helps maintain the arch. A calcaneal spur (also known as a heel spur) is a bony outgrowth from the calcaneal tuberosity (heel bone). The spur on the bottom of the heel is not normally the source of. ISBN:1416055959. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Indications Calcific Achilles tendinosis, dorsal heel spur, insertional tendinosis. The presence of tendon spurs on postoperative x-rays was not related to the clinical improvement. The pointed bony outgrowth can cause immense pain in the foot region. Chew FS. Newer studies with larger and more age-appropriate samples, with lateral ankle X-rays of 1335 patients with a mean age of 46.5 years, showed an increased occurrence of either X-ray bilateral feet a tiny calcification is present adjacent to the lateral aspect of the 4th metatarsal head,and a small left plantar calcaneal spur. Calcaneal spurs: The spur on the plantar surface of the calcaneus is duwe to chronic traction of the plantar fascia. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. 20 (2): 333-52. Find out what causes heel pain and calcaneal . The calcaneal spur is also known as the heel spur. Where Do Heel Spurs Occur? ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. There are two types of calcaneal spur based on their location, dorsal surface of the calcaneum is the dorsal calcaneal spur, and on the plantar surface, plantar calcaneal spur [1]. Painful heel: MR imaging findings. Bone spurs (osteophytes) often form where bones meet each other in your joints. Woke up and both heels hurt too. Spurs result from chronic stress or injury to the heel bone. Unable to process the form. Website by Oil Can Marketing. A heel spur is a hook-shaped bony outgrowth that forms on the bottom or back of the heel bone, or calcaneus. I took an x ray for my left calcaneus/ heel. Illustration of isolated, plantar, bones - 155911001 Fast facts on enthesopathy: The main symptom is pain in the affected joint or area of the body. there is a tiny plantar spur. severe pain left outside of foot,under+behind heel. 10. Heel spur - short overview Plantar Fasciitis: 5276 Flatfoot acquired can be as much as 50%. Plantar and dorsal spur calcaneal spur. Heel Spur. To learn more, please visit our. The fascia connect to the inner aspect of your heal . The calcaneal spur is also known as an enthesophyte which is a bony outgrowth from the calcaneum at the plantar fascia insertion. Heel spurs take a long time to grow. Thank you so much. ADVERTISEMENT: Supporters see fewer/no ads. Do the heel spur exercises also as pain prevention. Calcaneal spurs are fibro-cartilaginous triangular projections that vary in size present on the calcaneum. I have calcaneal stress fracture right where my plantar fascia muscle connects to heel. The Y-shaped ligament with its two . By using our website, you consent to our use of cookies. The spur is often hook-shaped and grows in the direction of the plantar fascia. Calcaneal Spur Heel Spur/Calcaneal Spur is one of the most common causes of heel pain. Continued overstrain of plantar fascia results in stripping of periosteum from its origin at the calcaneus. There is a plantar calcaneal spur associated with minor calcifications on the projection of the plantar fascia. This case illustrates a common X-ray finding when assessing calcaneal pain: plantar spur and calcanealinsertional calcific tendinopathy. Reference article, Radiopaedia.org (Accessed on 11 Dec 2022) https://doi.org/10.53347/rID-18859, Case 2: with concurrent Haglund deformity. {"url":"/signup-modal-props.json?lang=us\u0026email="}, Di Muzio B, Calcaneal spurs: plantar and at the Achilles tendon insertion. Calcaneal spurs can be located at the back of the heel (dorsal heel spur) or under the sole (plantar heel spur). 3. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Contracted or shortened calf muscles (resulting from a sedentary lifestyle and obesity) and athletic overuse are factors. Mobilization and stretching exercises. It is often bulky and easily palpable through the skin and may need to be surgically removed as part of the treatment of insertion . Methods: Calcaneal spurs are scored as present or absent on the dorsal or plantar side; they are analyzed in regards to their relationships with age, sex, osteoarthritis, cortical index, femoral head breadth and muscle markers. Material . The proximal attachment of the bifurcate ligament, an important stabilizer in plantar and dorsal flexion of the ankle, attaches to this process. 30 related questions found. The anchors are driven into the bone to allow the Achilles tendon to reattach to the heel. Results: Dorsal and plantar spurs frequencies increase with age (chi-squares=16.90, 7.268, Ps<0.05, respectively). HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Severe pain left outside of foot,under+behind heel. [1] Calcaneal spurs are typically detected by x-ray examination. Calcaneal spurs can be located at the back of the heel (dorsal heel spur) or under the sole (plantar heel spur).The most common etiology is thought to be abnormal pronation which results in increased tension forces within the structures that attach in the region of the calcaneal tuberosity. 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