Various ways offered to deal with bone spurs

Monday, November 30, 2009 3:00 AM  |  Printer friendly version | E-mail to a friend | Q: I have bone spurs in my heels. Can I still exercise?

A: Let's first explain what bone spurs are. Bone spurs are a bony growth formed on a normal bone. A lot of people think that bone spurs are sharp and pointy, but a bone spur is "just" extra bone which is usually smooth. It can cause pain when it presses or rubs on other bones or soft tissues such as ligaments, tendons or nerves.

Bone spurs generally form in response to rubbing, pressure or stress that continues over a long period of time. The body tries to repair itself by building extra bone.

Some bone spurs form as part of the aging process when cartilage (covers the ends of the bones) breaks down and wears away. When discs wear away between the vertebrae over time, bone spurs will form along the edges of the joint. (That is what happened between my C6 and C7 neck vertebrae, and the doctor had to chisel them away before he fused part of my neck. Yikes!)

Heel spurs are bony growths that have formed on the heel. They can be caused by tight ligaments due to activities such as dancing and/or running. Plantar fasciitis (last week's column) can, over time, be the reason for heel spurs. Other reasons for heel spurs can be the pressure on your feet from being overweight or even poorly fitting shoes.

The only way to know for sure that you have heel spurs (or any kind of bone spurs) is by having an X-ray. Symptoms can be absent until the spurs start to press on other bones or tissues. Over time, they can break down the tissue, causing swelling, pain and tearing. Now to the question, can you exercise?

Yes. However, check with your doctor first.

- When you have heel spurs your feet need a "rest." Non-impact exercises such as swimming are the perfect exercise when dealing with heel spurs. You can even try a biking class and see if your feet can handle it. Stay away from impact such as running, aerobics or even intense walking.- Support your arches with good supportive shoes and, if needed, have special inserts.

- Ice your feet after exercising.

- Stretch you calves and feet extensively.

- Be patient. It can take six months to a year to get rid of the symptoms of heel spurs.

Other treatments to help your heel spurs can be:

- Weight loss to take some pressure off the joints and feet.

- Ultrasound.

- Deep tissue massage and/or reflexology.

- Anti inflammatory drugs your doctor may prescribe.

- Sometimes your doctor may suggest a corticosteroid injection at the painful area to decrease pain and inflammation of the soft tissue next to the bone spur.

- Last resort can be surgery to remove the bone spurs.

I hope this gave you enough information. And maybe the next time, I will see you in the pool.