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An inferior calcaneal spur consists of a calcification of the calcaneus, which lies superior to the plantar fascia at the insertion of the plantar fascia. A posterior calcaneal spur is often large and palpable through the skin and may need to be removed as part of the treatment of insertional Achilles tendonitis. [3]
Palliative treatments consist of stretching, analgesics, and padding (e.g. cushioned foot wear for plantar fasciitis), splints (e.g. tennis elbow strap), and other treatments. The concept that a calcified attachment can be removed surgically is highly debatable as these calcifications are a regular part of an enthesopathy.
An enthesophyte, consisting of calcification deposits within the Achilles tendon at its calcaneal insertion. The Achilles tendon is wider than normal, further suggesting inflammation . Enthesophytes are abnormal bony projections at the attachment of a tendon or ligament . [ 1 ]
Enthesitis is inflammation of the entheses (singular: enthesis), the sites where tendons, ligaments and joint capsules attach to bones. [1] [2]It is a type of enthesopathy, meaning any pathologic condition of the entheses, with or without inflammation.
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To help prevent a recurrence of Haglund's deformity: [3] wear appropriate shoes; avoid shoes with a rigid heel back [3]; use arch supports or orthotic devices [3]; perform stretching exercises to prevent the Achilles tendon from tightening [3] [4]
Plantar fasciitis is the inflammation of the plantar fascia, a broad band of ligament-like tissue that runs along the bottom of the foot, from the ball of the foot down to the heel.
Exostoses are sometimes shaped like spurs, such as calcaneal spurs. Osteomyelitis , a bone infection, may leave the adjacent bone with exostosis formation. Charcot foot , the neuropathic breakdown of the feet seen primarily in diabetics , can also leave bone spurs that may then become symptomatic.
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