Heel spurs are no longer something to be afraid of!

Heel spur is a condition that is accompanied by pain in the area where the plantar fascia meets the calcaneus, and its incidence increases with age. Symptoms begin to appear with the appearance of spikes on the tuberosity of the calcaneus in the lateral X-ray film. Although its etiology is not fully elucidated, rheumatoid arthritis or Marie-Strümpell’s arthritis may be causative agents. Another reason is the increase in tension at the junction of the plantar fascia with the calcaneus. Surgical approach can also be applied to these patients for whom conservative treatment is generally recommended.

Conservative methods such as heels and non-steroidal anti-inflammatory drugs are the first preferred approach to relieve symptoms of heel spurs. However, surgery is an alternative when there is a problem in the patient’s normal functioning. One recommended form of surgery is elevation of the entire heel pad with a horseshoe-shaped incision. In the meantime, neurolysis of a single nerve can also be achieved. Osteotomy of the calcaneus or decompression can be made by opening multiple holes in the calcaneus. Another method is resection of the thorn, as suggested by Du Vries. However, a decrease in symptoms is observed at a rate of 75% to 82% after the operation. In addition, it is necessary not to step on the feet for two weeks. Complete recovery can be observed after six months.

Radiotherapy In the patients we applied, the symptoms disappeared in the third month in 94% and in the sixth month in 100%, and they were able to continue their normal lives immediately after the treatment. Although epin calcanei is included in the group of benign diseases, the use of radiotherapy in benign diseases is not uncommon. Seegenschmiedt et al. In their study of 170 heel spurs in 141 patients, they applied radiotherapy at doses of 3-12 Gy and relieved symptoms in all patients. They reported a longer symptom-free period when higher doses (10 Gy and above) were given.

As a result, radiotherapy can relieve symptoms safely and in a short time in patients with heel spurs who do not respond to conservative treatments. However, the profit-loss ratio should always be considered, and radiotherapy should be avoided as much as possible in benign diseases in childhood and young patient groups.

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