Heel Spur: Therapy

General measures

Cool and spare.
Avoid predominant activities while standing!
Nicotine restriction (refrain from tobacco use).
Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis.
- BMI ≥ 25 → participation in a medically supervised weight loss program.

Pain treatment by X-ray stimulation (Orthovolt therapy)/local radiotherapy (local radiotherapy) – for pain therapy in patients of middle age and older; twice a week with a standard dose of 6 Gray (Gy); response rates: 70-100%; indication: When conventional therapy and also the administration of analgesics (painkillers) have not helped sufficiently; effective alternative to ESWT (see below) for chronic, refractory plantar fasciitis (painful irritation of the plantar fascia (tendon plate) on the sole of the foot.

Insoles supply
- Pressure relief by orthopedic insoles: “hole insole,” i.e., hollowing out the shoe insole; shock absorbers; heel insoles.
- Correction of existing malpositions of the foot (eg, flat / splay foot): longitudinal arch support by orthopedic insoles; if necessary, also buffer heel.
Orthotics (medical device used to stabilize, relieve, immobilize, guide or correct limbs or the trunk): Night splints (night positioning splints).

Nutritional counseling based on nutritional analysis
Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
- Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
- High-fiber diet (whole grains, vegetables).
Observance of the following special dietary recommendations:
- Diet rich in:
  - Omega-3 fatty acids – fresh sea fish once or twice a week, i.e. fatty sea fish such as salmon, herring, mackerel.
Selection of appropriate food based on the nutritional analysis
See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
Detailed information on nutritional medicine you will receive from us.

Endurance training (cardio training) and strength training (muscle training).
Consistent stretching of the calf muscles (targeted stretching of the gastrocnemius muscle (“two-bellied calf muscle” or “twin calf muscle“) and the soleus muscle (clod muscle; skeletal muscle of the lower leg; this works closely with the calf muscle; these are synergists (muscle that supports the movement of another muscle) and are also grouped together as the triceps surae muscle), several times a day for at least three months), possibly Start in the context of physiotherapy to the instruction of the patient.
Preparation of a fitness or training plan with suitable sports disciplines on the basis of a medical check (health check or athlete check).
Detailed information on sports medicine you will receive from us.

Cold therapy (cryotherapy) – has analgesic (pain-relieving), anti-inflammatory (anti-inflammatory), and decongestant effects; often shows positive effects after about 2 weeks.
Ultrasound therapy – this form of therapy is used primarily for chronic degenerative diseases of the musculoskeletal system.
Fascia training of the upper ankle – movement therapy method for targeted promotion of the properties of the muscular connective tissue, ie fascia.

Extracorporeal shock wave therapy (ESWT) – very effective especially in chronic insertional tendopathy (irritation at the junction between tendons and bones (= insertion), usually caused by overloading.