Heel Spur (Épine de lenoir)
Heel spurs can be associated with intermittent or chronic pain. The problem is the tension that the plantar fascia exerts on the heel bone. My patients describe the pain as a knife or pin that’s sticking in the bottom of the heel upon waking in the morning. The affected area can be warm to the touch and the symptoms can extend into the arch of the foot.
Dr. Darrell Bevacqua, Podiatric surgeon
25 ans d'expérience professionnelle
Doctor of Podiatric Medicine
Post Doctoral Surgical Residency,
Hôpital Vétérans, Brooklyn, New York
Clinicien | Chargé de cours
Département des Sciences de l’activité physique
Université du Québec à Trois-Rivières
3351, boul. des Forges,Trois-Rivières (Québec)
Clinique podiatrique de Verdun
3954a Wellington, Verdun (Montréal)
Tél : (514) 768 - 5060
Podiatry services and custom-made orthotic devices are often reimbursed by most private insurance plans.
No medical referral is necessary to consult a Podiatrist in Québec.
Thank you for your confidence!
Services: Flat Feet, Heel Spurs, Plantar Fasciitis, Custom made Orthotics, Ingrown Toenail Treatments, Foot Care, Warts, Corns & Calluses, Thick Nails / Yellow Nails (Fungus), Cortisone Injections, Biomechanical / Postural Exams, Podiatry for Children, Diabetic Foot Care. Surgeries: Ingrown Toenail (Permanent Correction), Bunions & Hammertoes, Neuromas, Plantar Fasciitis, Second opinions and more!
Our team is only comprised of Doctor’s of Podiatric Medicine. All treatments and diagnoses will be done by a certified Podiatrist and never auxiliary personal.
Did You Know?
Bone spurs can also form on the back of the heel where the Achilles Tendon inserts into the Calcaneus (Heel Bone). The Achilles tendon is the largest and strongest tendon in the body and can exert an immense force on the heel bone. Over time a calcium deposit (Spur) may form in this area and create chronic pain.
Heel Spurs (Calcaneal Spurs) are calcium deposits (exostoses) that form on the bottom of the heel where the plantar fascia attaches. Most people who suffer from Plantar Fasciitis also have concomitant Heel Spurs. The spurs are often caused by the tension the plantar fascia exerts on the Calcaneus (Heel Bone). The Heel Spurs themselves are not painful but create inflammation and swelling to the soft tissue structures around them.
The perspectives for Calcaneal Heel Spurs are positive. Surgery is rarely needed and conservative treatments such as rest, ice, and custom-made orthopedic insoles are very effective. A custom-made orthotic device can isolate the pressure that is exerted on surrounding soft tissue structures. The inflammation and pain disappear, and the corrective orthotics prevent the discomfort from returning.
Treatments for the Achilles Heel Spurs are pretty much the same as listed above except for cortisone injections and surgery. Cortisone injections may increase the incidence of Achilles Tendon rupture and should be avoided. In the case where a cortisone injection is performed the patient should wear a Cam Walker boot (Control Ankle Motion) to immobilize the area. Surgery is performed as a last recourse. Fortunately, Custom made orthotic insoles resolve the pain and inflammation issues in most cases as the problem is often due to biomechanical deficiencies.