I have reveiwed the data fron the surveys in many different ways to see if any particular sub-group of patients benefitted from certain treatments more than any other subgroup. For example, what would help runners the most? Or if it's not sensitive to the touch and there is no morning heel pain, what would help that type of patient the most? This knowledge would help greatly in deciding a course of action for individual patients. However, the only important differences between any sub-groups were in the male verses female sub-groups. A heel spur is a small protruding piece of bone that forms on your heel bone. It develops where the ligaments and the tendons of the foot attach to the heel bone. It can look like a small nail or a hooked tooth on an X-ray. The spur is usually pointing in the direction of the toes. It may take years for a heel spur to develop in an individual. The condition occurs mostly in people over 40 years old but athletes that are on their feet and do quite a bit of running and jumping are prone to heel spurs. A stress fracture on your heel, tarsal tunnel syndrome and bursitis are additional injuries that can cause significant heel pain, especially during walking or running. A stress fracture is a small crack in your heel bone and may develop due to over-training in high-impact activities such as running and jumping. Tarsal tunnel syndrome is when your nerve is compressed on the back of your ankle and heel, resulting in heel pain and numbness or tingling. Lastly, bursitis is inflammation of your bursa sac - a sac of fluid located underneath tendons to reduce friction. When tendons such as your Achilles tendon become tight and inflamed, you may develop bursitis. The main function of Prescription orthotic therapy is to remove abnormal force on the body structure that is being injured. Excessive tension on the plantar fascia is the main problem occurs by heel spur syndrome. So orthotics needs to decrease the level of this tension in the first half of the treatment. Before prescribing this treatment, you should thoroughly determine why you need it. In case, if there is excessive tension on the plantar fascia, then this treatment can prove worthwhile for you. Sometime jams of the feet turn inside which also become the reason of this pain. The pushes up on the bottom cause the foot to lengthen. These general recommendations may not apply to your friend’s particular condition; however, knowing more about the typical treatment and prognosis for heel spur syndrome can help your friend make an educated decision regarding surgery. Consider encouraging your friend to seek a second opinion if she or he hasn’t already done so. Columbia students can get a podiatrist referral through Medical Services (Morningside campus) or Student Health at the Medical Center Campus. Wishing your friend the best of luck! Surgery for heel spurs involves a similar procedure focused on removing the boney protrusion. When the heel spur is associated with plantar fasciitis, both can be done in a single operation. This disorder is more common than it could seem it is. If this is the first time you got word of it, be aware that it affects people of every age group. You will find it more regularly on the elderly and those that live active lifestyles, for instance nature trekkers and athletes. Your feet start to develop heel spurs as the body's coping mechanism. Once your feet undergo tremendous stress, your bones can suffer damage and compensate by placing calcium deposits around the stressed area. This new layer can build up with time, and that is what comprises a heel spur The plantar fascia is a broad band of fibrous tissue that runs along the bottom of the foot from the heel to the forefoot. This band connects the heel bone to the toes and creates the arch of the foot. Plantar fasciitis is the inflammation of the plantar fascia which happens when the plantar fascia is overstretched or overused. With this condition, the pain is felt in the base of the heel and can make even everyday walking difficult. According to the Mayo Clinic, “about 90 percent of the people who have plantar fasciitis recover with conservative treatments in just a few months. “ In the past, doctors often performed surgery to remove heel spurs, believing them to be the cause of the pain. Most of that pain is now determined to be associated with plantar fasciitis. In treating plantar fasciitis now, doctors rely more on ice, heel cups, arch supports, physical therapy, and pain medications. Heel pain is a common complaint. Although many conditions can cause heel pain, some of the more common causes are exercise-related injuries and/or genetics. Following are some common causes of heel pain. Plantar fasciitis causes pain in the heel and bottom of the foot, especially observed upon first coming in the morning. Visiting learn about peripheral neuropathy fingers Plantar fasciitis is becoming a major problem in this country, as it currently affects upwards of two million people each year. While there is no simple cure, there are an assortment of treatment options that if implemented correctly can help patients reduce pain, regain functionality, and hopefully recover at a much faster rate. Plantar fasciitis is a painful condition of the foot that does not have a simple cure. There are many factors that can cause this condition or contribute to the pain. Fortunately for those who suffer from it, there are several ways to ease the discomfort and prevent further inflammation and damage. Extracorporeal Shock Wave Therapy (ESWT) is a new nonsurgical technique that is now being used in some patients for the treatment of plantar fasciitis and heel spurs. Hartford HealthCare Medical Group is among the first medical organizations to use this technology to treat foot problems. Literally, Extracorporeal Shock Wave Therapy means acoustic or high intensity sound waves delivered from outside the body ("shock" refers to the effect of the repetitive sound waves, not electricity). ESWT systems have been used since the 1980s to focus high intensity acoustic waves on kidney stones within the kidney to pulverize the stones and allow them to pass naturally as tiny grain-sized particles.