A bone spur is a pointed growth on a bone, most commonly the heel. A bone spur is caused by calcium deposits in unwanted areas of the body. Most people who have heel disorders are middle aged or overweight. Heel spurs are also common in people who have arthritis, neuritis, alkalosis, and tendonitis. Uncomfortable shoes may contribute to the pain.
Bone spurs are of two basic types. One is the kind that arises near a joint with osteoarthritis or degenerative joint disease. In this situation, the cartilage has been worn through and the bone responds by growing extra bone at the margins of the joint surface. These "spurs" carry the formal name "osteophytes." They are common features of the osteoarthritic shoulder, elbow, hip, knee and ankle. Removing these osteophytes is an important part of joint replacement surgery, but removing them without addressing the underlying arthritis is usually not effective in relieving symptoms.
The second type of bone spur is the kind that occurs when the attachment of ligaments or tendons to bone become calcified. Thus can occur on the bottom of the foot, around the Achilles Tendon, and in the coroacoacromial ligament of the shoulder. Thus spurs often look impressive on X-rays, but because they are in the substance of the ligaments, rarely cause sufficient problems to merit excision.
The heel bone is the largest bone in the foot and absorbs the most amount of shock and pressure. A heel spur develops as an abnormal growth of the heel bone. Bone spurs can form on other parts of the foot besides the heel, such as beneath the toenail, between the toes, or on the top sides of the toes and several other areas of the foot. Calcium deposits form when the plantar fascia pulls away from the heel area, causing a bony protrusion, or heel spur to develop. The plantar fascia is a broad band of fibrous tissue located along the bottom surface of the foot that runs from the heel to the forefoot. Heel spurs can cause extreme pain in the rear-foot, especially while standing or walking.
BONE SPURS (OSTEOPHYTES)
Bone spurs, or osteophytes, are bony projections that form along joints, and are often seen in conditions such as arthritis. Bone spurs are largely responsible for limitations in joint motion and can cause pain. Bone spurs can occur in any joint but are often seen in the shoulders, back, and hips.
The reason for bone spur formation is the body is trying to increase the surface area of the joint to better distribute weight across a joint surface that has been damaged by arthritis or other conditions.
Unfortunately, this is largely wasted effort by our body as the bone spur can become restrictive and painful.
Bone spurs themselves are not problematic, but they are a signal of an underlying problem that often needs to be addressed. Bone spurs are often documented to help assess the severity of a condition such as arthritis.
SIGNS & SYMPTOMS
The most common sign of a bone spur is severe pain with the first step in the morning and after periods of inactivity.
Common conditions related to the development of bone spurs include:
Osteoarthritis: Medical providers often refer to the changes as spinal arthritis or osteoarthritis of the facet joints, and this condition is a common cause of back pain in the older patient population (over 55 or 60). This condition can cause stiffness and lower back pain that is usually worse in the morning, gets better after moving around, then gets worse again at the end of the day.
The most common root cause of cervical and lumbar arthritis is repetitive trauma to the spine from recreational or work related excessive strains. Patients may typically develop symptoms in their mid 40s to early 50s. Men are more likely to develop arthritic related symptoms earlier in life, however postmenopausal women with stiffening spines (accelerated bone-spur formation) rapidly approach men in incidence and severity of the malady.
Spinal stenosis: Enlargement of the bone can sometimes lead to narrowing of the spinal canal and result in spinal stenosis. This condition can cause nerve pinching, leading to pain down the legs that is worse when the patient stands and walks, and is better when sitting. Tens-and likely hundreds-of thousands of older Americans are limited from an otherwise active lifestyle because of this condition. Spinal stenosis cannot be prevented but it certainly can be cured.
Clinical symptoms: Back pain or neck pain is very common as the facet joints are inflamed and the neck and back muscles become irritated. Patients usually complain of:
- Dull pain in the neck or lower back when they stand or walk.
- Radiating pain into the shoulders (often including headaches) if the cervical spine is affected, and buttocks and thigh if the lumbar spine is affected.
- The symptoms are made worse with activity and often improve with rest. Lumbar arthritis symptoms often improve when an individual is bending forward and flexing at the waist, such as leaning over a shopping cart or over a cane.
As the nerves become compressed, patients complain of several symptoms including:
- Pain in one or both arms or legs.
- Numbness or tingling.
- Progressive weakness.
If the arthritic processes and stenosis is severe, progressive bowel and bladder dysfunction occurs.
Symptoms described above can also be caused by other medical conditions such as diabetes, poor blood circulation to the arms and legs, spinal tumors, fractures, and spinal infections. Many of the symptoms are similar to generalized arthritis, rheumatism, back strain and muscle fatigue, as well as acute disc ruptures with nerve compression.
Extreme stress and strain on the heel bone and soft tissues are the main causes of heel spurs. The stress results in inflammation of the plantar fascia, a ligament on the bottom of the foot that attaches the ball of the foot to the heel bone. This condition is known as plantar fasciitis. It it is not relieved, the repeated pulling of the ligament aggravates the heel bone and eventually the body, in attempt to protect itself, forms a bone spur.
Heel spurs develop as an abnormal growth in the heel bone due to calcium deposits that form when the plantar fascia pulls away from the heel. This stretching of the plantar fascia is usually the result of over-pronation (flat feet), but people with unusually high arches (pes cavus) can also develop heel spurs. Women have a significantly higher incidence of heel spurs due to the types of footwear often worn on a regular basis.
Bone spurs are caused by repeated trauma to a bone. Bone spurs occur in the back (spinal region commonly in the neck (cervical) or lower back (lumbar) regions, in the shoulders (shoulder-arm joints), elbows, wrists, and hands. The hips (hip-thigh joints) and knees are often areas of arthritis damage and bone spur formation.
Bone spurs can be caused by, or associated with, physical injury, obesity, gout, lupus, muscle inflammation, nerve problems (such as tarsal tunnel syndrome), strain of the plantar arch, or excessive exercise, standing or walking. Heel spurs are also common in people who have alkalosis, arthritis, neuritis, or tendinitis. A bone spur may be caused by calcium deposits in unwanted areas of the body. Most people who have heal disorders are middle-aged or overweight. Shoes that are uncomfortable, fit poorly, or lack cushioning, for the heel may contribute to the pain.
X-rays may reveal a bony spur within the heel. The presence of this may lead to the formation of tiny tumors at the end of the several nerves, and these may be very painful.
Select well-made, rubber-heeled shoes, these are better for the feet than leather. Choose footwear for comfort, not for looks. Some jogging shoes can be very comfortable. Adding heel cushions to footwear helps to relieve pain.
Avoid walking on hard surfaces such as concrete, wood, or hard floors without carpeting. If you walk or jog for exercise, try bicycling or swimming instead.
Diagnosis is usually made by physical examination by your health care provider. Other tests used to diagnose arthritis, trauma, and bone spur formation include:
- Electroconductive tests are commonly performed to document the degree and severity of spinal nerve injury. The EMG and nerve conduction test (EMG/NCV) tests will exclude peripheral nerve compression such as carpal tunnel syndrome.
- Radiographs begin with an x-ray of the spine or other body area to determine the extent of arthritic changes and bone spur formation. With these films the physician may determine if destructive changes are present or further radiographic images are indicated.
- Computerized tomography (CT scans) with myelography and/or MRI scans can provide details about change in the spinal architecture and the degree of nervous system compression. With these films the clinician will correlate clinical symptoms with radiographic findings and recommend the corrective course of action, often seeking the consultation of the spine surgeon.
CONVENTIONAL MEDICAL TREATMENT
The key for the proper treatment of heel spurs is determining what is causing the excessive stretching of the plantar fascia. When the cause is over-pronation (flat feet), an orthotic with rear-foot posting and longitudinal arch support is an effective device to reduce the over-pronation, and allow the condition to heal.
Other common treatments include stretching exercises, losing weight, wearing shoes that have a cushioned heel that absorbs shock, and elevating the heel with the use of a heel cradle, heel cup, or orthotic. Heel cradles and heel cups provide extra comfort and cushion to the heel, and reduce the amount of shock and shear forces experienced from everyday activities.
While some heel spurs are painless, others that are determined to be the cause of chronic heel pain may require medical treatment or surgical removal. It is best not to have a heel spur surgically removed unless it is extremely irritating or painful.
Some health care providers use cortisone injections to temporarily relieve pain. Steroid injections are not without potential complications, however. They may cause loss of the fatty tissue pad at the bottom of the heel and bring about a condition that is painful and irreversible.
If the problem persists, consult your foot health care provider. Food surgery is a last-resort option that is usually reserved for extremely rare, severe cases. An incision is made over the heel to release the attached fascia from the heel bone. Recovery time is approximately 6 to 10 weeks before walking can be resumed comfortably.
HOLISTIC HOME TREATMENT
To alleviate pain, try stretching exercises; deep, localized massage; physical therapy; and anti-inflammatory herbs. To relieve pain, use hot linseed oil packs. Place linseed oil in a pan and heat but do not boil it. Dip a piece of cheesecloth or other white cotton material into the oil until the cloth is saturated. Apply the cloth to the affected area and cover it with a piece of plastic that is larger in size than the cotton cloth. Place a heating pad over the plastic and use it to keep the pack warm. Keep the pack in place for 1.5 to 2 hours, as needed.
Ice massages on the bottoms of the feet can be helpful. Alternate between hot and cold foot baths.
Dimethylsulfoxide (DMSO), applied topically to the affected area, is good for relief of acute symptoms. Note: Only DMSO from a health food store should be used. Commercial-grade DMSO found in hardware stores is not suitable for healing purposes. Using DMSO may result in a temporary garlicky body odor. This is not a cause for concern.
DMSO Cream Complex, (Dimethylsulfoxide) 50%, 99.9% pure DMSO, 4 oz.
DMSO cream contains 50 percent DMSO which is 99.9 percent pure - w/ Aloe Vera, Vitamin E, Jojoba Oil, B-Complex. DMSO is used for various applications.
Select well-made, rubber-heeled shoes; these are better for feet than leather. Choose footwear for comfort - not for looks. Some jogging shoes can be very comfortable. Adding heel cushions to footwear helps to relieve pain.
Use night splints to provide a mild, constant stretching function across the sole of the foot at night while sleeping.
If you normally walk or jog for exercise, try bicycling or swimming instead.
Avoid walking on hard surfaces such as concrete, wood, or hard floors without carpeting.
Use Arnica and Chamomile to bathe the foot (or other joint). You can also wrap the herbs in a cloth and apply it to the affected area as a poultice.
MoonDragon's Health Therapy: Using A Poultice, Compress & Wrap
Bromelain, derived from fresh pineapple and curcumin, from turmeric, reduces pain and inflammation.
Bromelain 2000 GDU Supplement, NOW Foods, 500 mg, 90 Tabs
Do not eat any citrus fruits, especially oranges. Eliminate alcohol, coffee, and sugar from your diet. These inhibit the healing process and upset the body's mineral balance.
Drink steam-distilled or quality water only.
A two-week raw food fast or a cleansing fast can be beneficial.
MoonDragon's Health Therapy: Fasting
Unless otherwise specified, the dosages recommended here are for adults. For children between the ages of 12 and 17, reduce the dose to 3/4 the recommended amount. For children between 6 and 12, use 1/2 the recommended dose, and for children under the age of 6, use 1/4 the recommended amount.
NUTRIENTS Supplement Suggested Dosage Comments Very Important Betaine Hydrochloride (HCl) As directed on label. Needed for proper calcium uptake. A deficiency of HCl is more common in elderly people. Caution: Do not use HCl if you have a history of ulcers or heartburn.
Betaine HCl (Hydrochloric acid), NOW Foods, 648 mg, 120 Caps
Bromelain As directed on label 3 times daily, with meals. An enzyme found in fresh (not canned) pineapple that helps to stimulate production of prostaglandins. Also helps digestion of protein. If you don't want to take a supplement, eat plentiful fresh pineapple daily in place of the supplement.
Bromelain 2000 GDU Supplement, NOW Foods, 500 mg, 90 Tabs
1,500 mg daily.
750 mg daily.
A proper balance of calcium and magnesium helps prevent abnormal calcium deposition. Use chelate or aspartate forms, if available.
Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz.,
Liquid Calcium W/ConcenTrace, Orange Vanilla, Trace Minerals, 1000 mg, 32 fl. oz.,
Cal-Mag Pre-Chelated Calcium & Magnesium, Vital Earth, 240 Gelcaps,
Magnesium Ionic Mineral Supplement, Fully Absorbable, 350 +/- ppm, 16 fl. oz.,
Just An Ounce Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz.,
Calcium & Magnesium Mineral Complex, 100% Natural, Nature's Way, 500 mg / 250 mg, 250 Caps
Important Proteolytic Enzymes
From Biotics Research
from Biotics Research
As directed on label.
As directed on label.
As directed on label.
To aid in absorption of nutrients and in control of inflammation and irritation. Caution: Do not give these supplements to a child.
MetabolicZyme (Hypoallergenic), Allergy Research Group / Nutricology, 900 Tabs
Vitamin C With Bioflavonoids 2,000-4,000 mg daily. Acts as an anti-inflammatory. Important for collagen and connective tissue.
Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 Vcaps,
The Right C, Nature's Way, 1000 mg, 120 Tabs
Helpful Bioflavonoids 100 mg daily. Vitamin C activators that also help relieve pain.
Bioflavonoids / Vitamin P Supplements & Products
Methylsulfonylmethane (MSM) As directed on label. It can be applied as a cream or taken by mouth in the pill form. A sulfur compound needed for reducing inflammation and for joint and tissue repair. Very effective for pain relief.
Pure MSM (Methylsulfonylmethane), 500 mg, 250 Caps (Buy One Get One Free),
MSM Supplement, 1000 mg, 120 Caps, Pure Lignisul With Free 4 oz. Lotion,
MSM Liquid, 99.9% Pure Lignisul, All Natural, 16 fl. oz.
Vitamin B Complex
Vitamin B-6 (Pyridoxine)
50-100 mg daily.
50 mg daily.
B vitamins work best when taken together.
Necessary for production of hydrochloric acid, which helps prevent bone spurs by aiding in proper calcium absorption.
Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs,
Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps,
Vitamin B-6 (Pyridoxine), 100 mg, 100 Caps
BONE SPUR SUPPLEMENTS & PRODUCTS
Information, supplements and products for arthritis, a disease that involves joint inflammation.
Arnica Gel, Arniflora, 2.75 oz. topical gel
Arniflora is a modern pharmaceutical preparation containing 8% tincture of Arnica Montana. Relieves: Pain, Swelling, Stiffness, Bruising, Pain relieving gel for bumps, bruises, sprains, sports injuries, over-exercising, and more.
Arnica Montana Tincture, 100% Organic, 2 fl. oz.
Arnica Montana is used primarily to relieve the aftereffects of falls, blows, sports injuries and overexertion.
Chamomile Tincture, 100% Organic, 2 fl. oz.
Chamomile is used for the treatment of pain and inflammation in the intestines and stomach, as well as inhaling Chamomile vapor for asthma and other lung problems.
Colon & Liver Cleanser, Organic, 16 fl. oz.
CAC liquid is a colon and liver cleanser and detoxifier as well as a blood cleanser that serves to regulate the bowel movements so that the stool is so soft it breaks up into a cloud.
Digestive Enzymes, 750 mg, 100 Caps
Since cooking destroys many of the digestive enzymes in food, taking plant fiber-based digestive enzymes aids in digesting even the heaviest meal.
MSM (Methylsulfonylmethane) Lotion, 15%, 8 fl. oz.
MSM Lotion contains Methylsulfonylmethane, a form of sulfur, which may be helpful in treating skin disorders including acne, psoriasis, eczema, dermatitis, dandruff, scabies, diaper rash, and certain fungal infections.
MSM (Methylsulfonylmethane) Supplement, Pure Lignisul With Free 4 oz. Lotion, 1000 mg, 120 Caps
Buy MSM Supplement caps and get a free 4 oz. lotion. MSM supplement plays a beneficial role in connective tissue and joint flexibility, immune health, arthritis, osteoporosis, rheumatoid arthritis, inflammation, pain, hair, skin, nails, athletic injuries, acne, wrinkles and allergies.
Natural Menthol Analgesic Salve, Swiss Made, Olbas, 1 oz. Tube
This Analgesic Menthol Salve delivers a combination of deep, penetrating relief of aches and pains in muscles and joints, and is particularly effective to soothe backaches and the inflammation and discomforts from arthritis, strains, bruises and sprains.
O J Soothe, PCK Technologies, 500 mg, 60 Caps
This 100% natural herbal formula is based on Chinese decoctions proven effective to relieve chronic musculo-skeletal disorder symptoms, including heel pain, painful, swollen, deformed, non-flexible or stiff joints and muscles, etc. but without open wound, red-hot skin or bone fracture. The causes may include:
Injuries: strain, tear, or sprain of muscle, tendon, or ligament, especially injuries happened long time ago.In TCM (Traditional Chinese Medicine), these symptoms indicate clots or tissue debris hindered microcirculation of blood, ineffective blood component production, deficiencies in endocrine (low-Ying or low-Yang symptoms) and immune systems, etc. Also, toxins due to biological or chemical sources could be the causes of infection and inflammation. O-J-Soothe is based on time-proven herbal formulas of TCM to relieve the above symptoms by cleaning the debris, toxins and clots, improving blood components production and microcirculation, normalizing endocrine and immune systems, etc. O-J-Soothe has no known side effects except it often increases libido of users.
Autoimmune disorders: such as RA (Rheumatoid Arthritis). Degenerations of bone, cartilage, tendon sheath, etc., as pains in all osteo-joints, heels (Plantar Fasciitis), limbs, knee, shoulder, neck, waist, and back areas due to bone spurs, bursitis, prolapsed disc, osteoporosis, arthritis, osteoarthritis, etc.
Musculo-skeletal inflammations: due to chemicals, toxins, injuries, or autoimmune disorders.
Turmeric Extract (Curcuma longa), Standardized to 95% Curcuminoids, 500 mg, 120 Tabs
Turmeric extract has become a popular herbal supplement due to the potent antioxidant properties of it's active constituent curcuminoids.
Vitamin B-100 Complex W/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps
A complete Vitamin B complex of 8 essential vitamins. B Vitamins are precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures.
Vitamin B-50 Complex W/ Coenzyme B-2, Nature's Way, 330 mg, 100 Caps
B Vitamins are precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures. They also function as lipotropics which converts fats to other useful products.
Vitamin B-6 (Pyridoxine), 100 mg, 100 Caps
Vitamin B-6 (pyridoxine) is converted in the body to the main coenzyme responsible for amino acid and protein metabolism.
Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 Vcaps
Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.
White Flower Balm, 0.67 fl. oz.
Use White Flower Balm, for the temporary relief of minor aches and pains of muscles and joints associated with simple headache, arthritis, sprains, bruises, and strains.
Herbal Remedies: Bone Spur / Heel Spur / Plantar Fasciitis Information
Herbal Remedies: Bone Spur Supplements, Information & Products
Herbal Remedies: Arthritis / Joint Pain / Stiffness Information
Herbal Remedies: Arthritis / Joint Pain / Stiffness Supplements & Products
Herbal Remedies: Rheumatism / Rheumatoid Arthritis Information
Herbal Remedies: Rheumatoid Arthritis Supplements & Products
NOTIFY YOUR HEALTH CARE PROVIDER IF...
You have symptoms of bone spurs that worsen or do not improve with treatment.
HELPFUL RELATED LINKS
MoonDragon's Health & Wellness: Arthritis
MoonDragon's Health & Wellness: Arthritis - Nutritional Therapy
MoonDragon's Health & Wellness: Osteo-Arthritis
MoonDragon's Health & Wellness: Rheumatoid Arthritis
MoonDragon's Health & Wellness: Arthritis Types
MoonDragon's Health & Wellness: Gout
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EZorb: Remedy For Bone Spurs & Arthritis
eMedicine Health: Bone Spurs & Osteoarthritis
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Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
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-- by Phyllis A. Balch, James F. Balch - 4th Edition
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The Complete Guide to Natural Healing
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