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Trigger Point Therapy - Treating Heel Spurs

Posted by Simeon Niel Asher on



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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  • Hello, I have recently developed pain, not on the bottom of my foot or my heel but around the sides close to the heal, on the lateral side it is a little worse if I press into it. It’s is the area you would feel if you gripped the outsides of the heel with your thumb and forefinger. I have pain with walking yes, but sometimes just sitting. Area is warm, a little swollen- could this be a heel spur still? Was thinking it was Plantar Fasciaitis, but I don’t have the other symptoms of pain in the plantar fascia. I DO have 2 bone spurs on my first metatarsal that grow upward, almost like elf hooks, that has caused rigidity and inability to flex and also causes pain; it has been there for probably 7 years, but has been worse recently. The dr says the 2 might grow together, so I should have surgery to clean it out before that happens. I have seen a lot of people with foot surgeries and the recovery/results make me want to avoid it! Wondering if there is some connection between the big toe, meatarsal, and the heel pain ? Do you think there are trigger points that could be released that would help? I am on my feet all day as a PTA, so this is a real problem. Thank you so much!

    Holly Cotton on

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