A heel spur is a calcium deposit on the underside of the heel bone. My foot X-ray showed two heel spurs extend forward by almost a half-inch. Although they can be painless, mine were not. It felt like a knife or pin sticking into the bottom of my feet when I stood up. The sharp pain returned when standing up after sitting for a prolonged period of time. The cause of the pain was not the heel spur itself but the soft-tissue injury from the bony growth as it digs into the heel pad and plantar tissue. Bekelman became interested in the issue several years ago after treating a man who came to the hospital in terrible pain on New Year's Eve. Bekelman prescribed multiple radiation treatments. As he got to know the man and his family better, Bekelman realized how difficult the many trips to the hospital had been for them. While his study focused on prostate cancer patients, Bekelman said single treatments are also recommended for patients with other cancers that spread to bones, such as breast or lung. Doctors still should use multiple treatments for some metastases, especially those in the spine. The plantar fascia is a tissue band supporting the foot arch by connecting the heel bone with the ball of foot and toes. The tension on the fascia causes pain and in chronic conditions there are bony growths due to which the plantar fascia meets the heel spur. In heel spur, a hook bone is formed on the heel bone and that is why a majority of patients with plantar fasciitis have a heel spur. Plantar fasciitis could be caused by problems with the arch of your foot (too flat or too high). It could also be caused by obesity, running, or problems with the Achilles tendon. Tears of the plantar fascia are a less commonly found injury than either a heel spur or plantar fasciitis. They usually involve larger and more abrupt forces than the forces which allow for plantar fasciitis to develop. High speed activity develop these forces more often. The force needs to be applied to the ball of the foot. Sprinting places the foot in a position in which this could happen. Soft shoes that bend in the arch may contribute. Plantar fascia tears may also occur in baseball or softball players when sliding in to a base with the foot making contact with the base. The pain from plantar fasciitis is described as being dull, aching or sharp (all three for me) and can usually be reproduced by flexing the toes upwards and tensing the fascia. Plantar fasciitis also tends to worsen after standing or exercising for prolonged periods or after getting out of bed in the morning. Morning heel pain from plantar fasciitis is one of the most common symptoms and occurs because the fascia becomes tense after a protracted rest. As the person walks, the fascia "warms up" and lengthens slightly, reducing the tension on the ligament and lessening pain. Plantar fasciitis occurs when the plantar fascia is extended because of increased or over activity, inadequate foot biomechanics or in combined with the normal aging process. The function of the plantar fascia is to act as a shock absorber and hold the arch of the foot. The ligament is typically overextended repeatedly before any pain is noticible. The pain is caused by repeated very very small tears occurring in the plantar fascia, generally where it attaches to the heel itself. A diagnosis of plantar fasciitis means you have inflamed the tough, fibrous band of tissue (plantar fascia) a thin layer of tough tissue supporting the arch of the foot. Other common interventions to combat Plantar Fasciitis include deep heating ultrasound therapy to warm the tissue and help improve its elasticity. Graston technique has proven effective to help elongate the tissue, remove adhesion and draw blood into the area. Graston is based on a Chinese acupuncture technique called Guasha. Graston technique utilizes stainless steel tools to create friction and release adheasion in a particular tissue segment. Rest and Ice Application. Rest whenever possible. Avoid engaging in activities or sports that makes your symptoms worse. Wrap an ice pack with towel and apply to your affected foot for about twenty minutes at a time, three to four times a day. On examination, there may be pain with palpation (pressure) along the course of the tendon, behind and below the inside bump of the ankle. Pain can be provoked if the patient is asked to turn the foot in against resistance. While posterior tibial tendonopathy can present in one foot only, about three-quarters of the time it may be present in both feet. While the diagnosis may be suspected on clinical grounds, diagnostic ultrasound or magnetic resonance imaging (MRI) should be done to better assess the condition of the tendon. Icing the Foot – Applying ice to the area can help with the severity of the pain and lessen the symptoms. There are a few simple maneuvers that may bring relief without need for further intervention. 3 Many sports medicine practitioners suggest placing a frozen bag of corn or even a cold beverage can under the affected foot and rolling it back and forth using the foot. This method provides a stretch and an ice massage simultaneously. However, if these strategies are ineffective, the problem may require referral for Physiotherapy. The mainstays of Physiotherapy include myofascial release and scar tissue breakdown of the plantar fascia, and supervised stretching. People with plantar fasciitis should be careful to wear supportive and stable shoes. They should avoid open-back shoes, sandals, and flip-flops.