Bone Spurs

Bone spurs may develop on the heel, toe, or arch of the foot and typically form as a reaction to pressure, tension or arthritis. Bone spurs may form on one or both feet. Those who have suffered from plantar fasciitis for several years, individuals with flat feet or high arches, and those who wear high heels are more likely to developing bone spurs.

Causes of bone spurs

The causes of bone spurs vary based on the location of the spur.

Arch Spur - Bone spurs that form over the arch of the foot are often caused by trauma such as a fracture. However, they may also occur naturally over time as a result of daily wear and tear. In some cases, spurs over the arch of the foot may be caused by arthritis.

Heel Spur - Bone spurs on the heel are often confused with plantar fasciitis, a condition in which the tissue that runs along the bottom of the foot and supports the arch becomes inflamed and painful. As the tension and stress on the plantar fascia increases, it pulls on its attachment to the bone and gradually forms a bone spur. While plantar fasciitis is very painful, it is not the spur itself that causes pain.

Toe Spur - Bone spurs on the toes often develop under the toenail and can be a cause of ingrown toenails.

Bone spur symptoms

Many individuals who have bone spurs never experience adverse symptoms. However, those who do have symptoms usually experience pain, redness, and inflammation in the affected area. A hard bump may also be felt under the skin where the spur is located. In some cases, corns and calluses form over the spur causing further irritation.

Treatment of bone spurs

The goal of treatment is to relieve pain and other symptoms. Basic non-surgical treatments are usually successful in treating bone spurs; however, in some cases more aggressive methods may be needed.

Non-surgical Treatment

Some non-surgical methods of relieving the pain and symptoms of bone spurs include: 

  • Cortisone injections. 
  • Stretching exercises (typically used for heel spurs to relieve tension). 
  • Resting and icing the affected area. 
  • Supporting heel with custom molded orthotics. 
  • Night splints and other wraps and braces.
  • Over-the-counter or prescription anti-inflammatory medication. 
  • Trimming corns and calluses to relieve pain (although they are likely to return if spur is not removed).
  • Extracorporeal Shock Wave Therapy (ESWT) which uses energy pulses to promote healing (usually used after other non-surgical treatments are tried).

Surgical Treatment

If you've pursued all non-surgical treatment options without success, surgery to remove the spur may be considered. Consult Dr. Siegel to learn about the various non-surgical and surgical treatments available.