Physical Therapy for Heel Spurs

Heel spurs can be a source of persistent foot pain, affecting individuals from various walks of life. Whether you’re an athlete or someone who spends long hours on your feet, understanding heel spurs, their symptoms, causes, and available treatments is vital.In this comprehensive guide, we will research the world of heels with spurs and focus on the role of physical therapy in alleviating the discomfort associated with this common foot condition.

What is a Heel Spur in Foot

Heel spurs, also known as foot spurs on the heel, are bony outgrowths that develop on the underside of the heel bone. These foot spurs on heel often form in response to long-term strain on the ligaments and muscles attached to the heel. Despite the name, heel spurs themselves are not always the direct cause of pain; instead, it’s the inflammation and irritation of the surrounding tissues that typically lead to discomfort.

Heel Spur Symptoms

Identifying the symptoms of heel spurs is crucial for early intervention and effective treatment. Individuals with heel spurs may experience persistent pain in the heel, especially when standing, walking, or running. The pain is often described as a sharp, stabbing sensation that can radiate along the bottom of the foot.

Moreover, people with heel spurs may notice tenderness and swelling in the affected area. The pain can be particularly intense during the first steps in the morning or after periods of inactivity, gradually subsiding with movement.

What Causes Heel Spurs

Understanding the causes of heel spurs, including foot spurs on heel, is essential for both prevention and targeted treatment. Several factors contribute to the development of heel spurs, with the most common being excessive strain on the plantar fascia, the thick band of tissue that runs along the bottom of the foot and connects the heel bone to the toes. 

Other contributing factors include

Biomechanical Issues

Irregularities in foot structure or walking gait can increase stress on the heel, leading to the formation of spurs.

Footwear Choices

Wearing shoes with inadequate support or those that do not properly cushion the foot can contribute to the development of heels with spurs.


As individuals age, the risk of developing foot spurs on heel may increase due to the natural wear and tear on the feet.

Physical Activity

Athletes and individuals engaged in activities that involve repetitive stress on the feet are more prone to developing foot spurs on the heel.

Heel Spur vs. Plantar Fasciitis

Heel spurs and plantar fasciitis are often mentioned together, and while they are related, they are not the same. Plantar fasciitis is the inflammation of the plantar fascia, the tissue connecting the heel bone to the toes. Heel spurs can develop as a result of long-term plantar fasciitis, but not everyone with heel spurs experiences plantar fasciitis-related pain.

In essence, heel spurs are bony growths, while plantar fasciitis is a condition characterized by inflammation of the plantar fascia. However, they often coexist, making it important to address both aspects, including heel spur treatment, in the treatment plan.

Physical Therapy for Heel Spurs

Physical therapy plays a crucial role in the conservative management of heel spurs. It focuses on reducing pain, improving flexibility, and strengthening the muscles around the foot and ankle. A qualified physical therapist will tailor the treatment plan to the individual’s specific needs, addressing contributing factors and promoting overall foot health.

The key components of physical therapy for heels with spurs include

Stretching Exercises

Gentle stretching exercises help improve the flexibility of the plantar fascia and Achilles tendon, reducing tension on the heel bone and aiding in heel spur treatment. These exercises may include calf stretches, toe stretches, and plantar fascia stretches.

Strengthening Exercises

Targeting the muscles of the foot and ankle can help provide better support and stability. Exercises focusing on the intrinsic muscles of the foot, as well as the calf muscles, are often incorporated into the treatment plan.

Footwear Recommendations

A physical therapist may guide suitable footwear to ensure proper support and cushioning. Custom orthotics or shoe inserts may also be recommended to address biomechanical issues contributing to heel spurs.

Ultrasound Therapy

In some cases, ultrasound therapy may be used to promote healing and reduce inflammation in the affected area. This non-invasive technique uses sound waves to stimulate the natural healing process.

Icing and Massage

Cold therapy can help alleviate pain and reduce inflammation, while massage can improve blood circulation and provide relief to tight muscles, especially in cases of foot spurs on heel.


Heel spurs can be a persistent source of discomfort, but with the right approach, including physical therapy and heel spur treatment, individuals can find relief and improve their overall foot health. It’s essential to address contributing factors, such as biomechanical issues and footwear choices, while also targeting the symptoms through a tailored physical therapy plan.