Calcaneal Spur - How to manage it effectively

Dr. Ishwar Chandra Rai., BAMS, MD AYURVEDA

Dr. Sandeep Singh
General Practitioner

Give supportive management frst
Soft shoes or sandals.. Painkillers., febustat, control blood sugar nd lipids nd most important is regular physiotherapy..

12.May, 11:36pm

Dr. Ishwar Chandra Rai
Ayurveda Specialist

Thank you Doctor to your valuable suggestions.

Which kinds of physiotherapy we can do?

13.May, 09:31am

Dr. Agroya Anand Vijaykumar
Orthopaedician And Traumatologist

Can you upload the xray image ?
Is she diabetic ?

13.May, 10:17am

Dr. Sandeep Singh
General Practitioner

Physiotherapy means.. Active foot movements in all directions nd stretching nd strengthening the muscles of limb... Under water exercises for foot preferred mostly.... Due to inflammation there is restricted range of movement leads to constriction nd weakening of muscles....

13.May, 10:27am

Dr. Patel Jwalant Yogeshbhai
Orthopaedician And Traumatologist

Start with soft sleeper like Ortho rest ....
Start contrast bath with hot and cold water...
Start routine analgesics accordingly....
Reduce weight....

13.May, 10:51am

Dr. Iftekarali Mohd
Orthopaedician And Traumatologist

It is better to go for calcaneum spur excision

13.May, 11:30am

Dr. Ishwar Chandra Rai
Ayurveda Specialist

I'm attaching here that X-ray photograph

13.May, 12:04pm

Dr. Ishwar Chandra Rai
Ayurveda Specialist

Next file.

13.May, 12:05pm

Dr. Agroya Anand Vijaykumar
Orthopaedician And Traumatologist

Analgesic and anti-inflammatory medicines for 15 days ... Check sr.creat first.
Silicone insole
Change of sleepers to soft one
Hot water fomentation twice a day 20 minutes each
Physio - ankle dorsi and plantar flexion exercises

Give trail of this therapy for 1 month. If symptoms persists, go for excision if non diabetic.

13.May, 12:29pm

Dr. Arvind Guru
General Surgeon

Hello Doctor

Try conservative measures for around 6 months (upto a year)---> if not better ---> Surgery

Conservative measures
1) Weight loss - Daily walk for 30 min and diet control
2) Well fitting and padded footwear at most times. - like Dr.Scholl
3) Take a tennis ball and roll it below the soles 5-10 min in the morning before bearing weight on the feet. Repeat the same twice a day.
4) Sugar control for diabetes ( will help prevent diabetic foot from minor injuries)
5) Alternate Warm and Cold fomentation of feel in the evening.

Hope that helps.

You took very good x ray pics, by the way.

13.May, 12:30pm

Dr. Atul Prakash
Orthopaedician And Traumatologist

Please treat patients the way that you are trained to treat, if you can't get him better thru Ayurveda please refer him to am Orthopedic Surgeon
Online learning of Orthopedics is tricky ????

13.May, 02:51pm

Dr. Ishwar Chandra Rai
Ayurveda Specialist

Thanks to all Doctors to provide your experiences and valuable suggestions.

13.May, 03:32pm

Dr. Pratibha Jain
Ayurveda Specialist

Give her hot and cold water dip. Gokshuradi gugglu, and calcium supplement can give u result in 15 days.

24.May, 06:32pm

Dr. Vineet Maheshwari
Orthopaedician And Traumatologist

Needs Physiotherapy.. 90% patients are benefitted if they do physiotherapy religiously.. most of the patient have plantar fasciitis and complains of early morning heel pain that decreases on activity..
Basic physio plan that I advice:
Shld b done 1st thing in morning
1) Dorsi Flex the ankle hold for 10 sec and realese to neutral x 5times
2) Plantar Flex the ankle hold for 10 sec and realese to neutral x 5times
3) Plantar flexion and dorsiflexion at tarsometatarsal joint.
4) Heel raises
5) Rolling of foot over a bottle or ball

Exercise from 1-3 can b performed with foot immersed in warm water..

23.Mar, 10:11pm