Institute for Sports Medicine Frankfurt Main

Heel spur/Fasciitis Plantaris

1. Risk kinds of sport:

Sportsmen the high run or jump loads

2. Anatomy

The Fascie of the sole represents the volume, which spans the longitudinal elbow of the arch. It rises at the internal, to the sole convenient portion of the heel bone and reaches up to the toes.

3. Function:

The longitudinal elbow of the arch is stabilized by this Fascie. This applies both while stationary, but above all also with going and running.

4. Injury mechanism:

With strong foot casting it can come to tearing usually in the range of the origin of the chord at the heel bone. Repeated tensile load leads to degeneration (wear) of the chord origin (= Fasciitis plantaris) and possibly to a osseous taking off at the heel bone (= heel spur).

5. Symptoms:

- Pain within the range of the origin of the aponeurosis
- morning rigidity feeling limping course, exposure-, startup pain
- Pain with the conditions on the toes

6. First measures:

- Completion of the sporty load
- concerned in the acute phase cooling the range (with it do not put the ice directly on the skin)

7. Diagnostics:

- orthopedic examination
- Roentgen
- Ultrasound

8. Therapy:

A) Conservative Therapie
- Control of the sport shoes, insert supply
- Gift of anti-inflammatory medicine
- Injections
- Extrakorporale shock wave therapy

b) Operational Therapie
- with chronic pain (more than 6 months) despite conservative treatment groove of the tendons beginning

9. Physiotherapie:

- Elektrotherapy
- Massagen
- Stretch of the calf and the sole of foot
- Physical therapy (Fango, ultrasonic)

10. Prevention:

- Strengthening the arch of foot by appropriate exercises, going and running in the Sand
- optimal sportshoes
- shoe lifts
- avoid sporty load on hard underground if possible

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