The treatment of heel spurs is one of the most outstanding examples of the effectiveness of trigger point therapy.
There's a common misconception that only runner's suffer from heel spurs. Whilst it's true that running on hard surfaces will increase the risk considerably, we should bear in mind that today's runners and joggers generally have access to shock-absorbing footwear. This doesn't mean that runners don't get heel spurs (they do!) but it means that they are probably not as prevalent in this group as they once were.
Heel spurs may be more likely to develop in those who stand for long periods related to their work (including us therapists!), and are also commonly associated with walking abnormalities, excess weight, and poor quality, or badly fitted footwear.
All of these can lead to prolonged and excess strains on the foot muscles and ligaments, overworking of the plantar fascia, and repeated tearing of the membrane that covers the heel bone. In fact, heel spurs are also often associated with plantar fasciitis.
Heel spurs can sometimes present without symptoms but they are more generally associated with chronic pain. Typically, clients report pain while walking, jogging, or running. In most cases the pain is felt in the soft tissue around the heel spur.
Most clients also report feeling very sharp pain when they first stand up in the morning or after sitting for a ling time.
Trigger Point Therapy
Heel Spurs are almost always associated with trigger points in the quadratus plantae muscle. The treatment of heel spurs (and plantar fasciitis) by the treatment of the trigger points in the quadratus plantae is one of the most outstanding examples of the effectiveness of trigger point therapy. So if you have been diagnosed with a heel spur, or plantar fasciitis, ask your therapist about trigger points!
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