Heel Spur Syndrome


    

The most common disorder found in the heel and ankle area. It makes up about 12% of injuries in the foot.

Pain is located in the region of the plantar surface of the medial tubercle of the calcaneus. The pain is often described as deep and aching, or burning. It is due to overuse traction of the thick medial band of the plantar fascia, which originates at the medial tubercle of the calcaneus.
Nerve entrapment syndrome can produce pain in the heel area.
Enthesopathy is a term which describes inflammation that occurs at the junctions between a muscle tendon and ligament. Insufficient fat pad on the plantar surface of the hell can produce pain.

Mechanical heel spur syndrome is produced by excessive pronation at the subtalar joint and subsequent supination of the midtarsal joint round its longitudinal axis. An Orthoses is necessary if a mechanical anomaly is present in the foot to stabilize the medial column. This stabilization of foot function may need shock-absorbing material such as heel pads (Poron).

       Equinus State


Equinus is defined as limitation of ankle dorsiflexion to less than 10 degree. Normal gait requires 10 degree of dorsiflexion and without it the function of the foot and structures within the lower limb are radically altered.

Equinus Causes: Congenital Shortness of the Gastrocnemius muscles Obliquity of the ankle joint, Dorsal lipping may occur at the neck of the talus, preventing free movement within the ankle mortise in sports that require jumping.

Patient complains: Leg cramps, digital deformities, and hindfoot pain

Treatment: Heel Lifts, Soft tissues deformity can be helped with heel lifts and stretching exercise.