Difference Between Heel Spurs and Plantar Fasciitis

Thekey difference脚后跟马刺和足底筋膜炎是足底筋膜炎总是与inflammationbut a heel spur gets inflamed only when it gets traumatized.

Heel spurs, which are also known asplantar spurs, are tractionlesionsat the insertion of the plantar fascia. In contrast, plantar fasciitis is an enthesitis at the insertion of the tendon into the calcaneum of the foot. Heel spurs are usually associated with plantar fasciitis but may also occur alone with no other abnormalities.

CONTENTS

1.Overview and Key Difference
2.What is Heel Spurs
3.足底筋膜炎是什么
4.Side by Side Comparison – Heel Spurs vs Plantar Fasciitis in Tabular Form
5.概括

What are Heel Spurs?

跟热刺是牵引lesions at the insertion of plantar fascia. This is very common agmong elderly patients. However, they do not become painful unless they are traumatized. About 10% of patients with plantar fasciitis suffer from heel spurs.

The belief that heel spurs are the cause of pain in plantar fasciitis is a misconception. Surgical removal of the spur is the treatment if a heel spur becomes troublesome.

足底筋膜炎是什么?

足底筋膜炎是将肌腱插入脚下的肌腱时的肠炎。在这种情况下，将肌肉刺入肌肉插入跟骨中存在炎症。行走和站立时，这会导致脚后跟的中度至严重疼痛。该区域通常要触摸。这种疾病可以作为一种孤立的非复杂疾病或与普遍的疾病疾病（如脊椎关节炎）结合发生。据信，对足底筋膜的压力和压力过多，是足底筋膜炎的基本病理基础。

Risk Factors

• Obesity
• High arch
• 过度劳累

管理

Medical Management

• Wearing specially designed footwear to prevent the exertion of an undue stress on the heel.
• 最大程度地减少可以使足底筋膜处于重复练习之类的压力的活动。
• Pain relief with analgesics
• Arresting the inflammation using anti-inflammatory drugs

Surgical Management

The failure of the symptoms to subside after one year of medical treatment is the sole indication for the surgical intervention. Plantar fascia release and gastrocnemius recession are the surgical procedures that help to control the associated inflammatory processes.

What is the Difference Between Heel Spurs and Plantar Fasciitis?

跟热刺是牵引lesions at the insertion of the plantar fascia while plantar fasciitis is an enthesitis at the insertion of the tendon into the calcaneum of the foot. Usually, there is no ongoing inflammation in heel spurs, but plantar fasciitis has an associated inflammation. This is the main difference between heel spurs and plantar fasciitis.

If a heel spurs become troublesome, you can get surgical treatment. However, treatment of plantar fasciitis includes two components as medical and surgical management.

概括– Heel Spurs vs Plantar Fasciitis

Plantar fasciitis is always associated with an ongoing inflammatory process but heel spurs are inflamed only when the spur gets traumatized. This is the main difference between heel spurs and plantar fasciitis.

Reference:

1. Kumar，Parveen J.和Michael L. Clark。Kumar＆Clark临床医学。爱丁堡：W.B。桑德斯，2009年。

Image Courtesy:

1. Lucien Monfils的“ Colcaneal Spur的投射X射线照相” - 自己的作品(CC BY-SA 3.0)viaCommons Wikimedia
2. “Top 5 Shoes for Heel Spurs and Plantar Fasciitis” by Daniel Max（CC由2.0）viaFlickr