What is a bone spur?
A(osteophyte) is a bony growth formed on normal . Most people think of something sharp when they think of a "spur," but a is just extra . It's usually smooth, but it can cause wear and tear or pain if it presses or rubs on other or soft tissues such as , , or nerves in the body. Common places for include the , , hands, , knees, and feet.
What causes bone spurs?
Aforms as the body tries to repair itself by building extra . It typically forms in response to pressure, rubbing, or that continues over a long period of time.
Some osteoarthritis). Also, the discs that provide cushioning between the of the may break down with . Over time, this leads to pain and swelling and, in some cases, forming along the edges of the joint. due to aging are especially common in the of the spine and feet.form as part of the aging process. As we , the slippery tissue called cartilage that covers the ends of the within joints breaks down and eventually wears away (
plantar fasciitis). As the tries to mend itself, a can form on the bottom of the heel (known as a "heel spur"). Pressure at the back of the heel from frequently wearing shoes that are too tight can cause a on the back of the heel. This is sometimes called a "pump bump," because it is often seen in women who wear high heels.also form in the feet in response to tight , to activities such as dancing and running that put on the feet, and to pressure from being overweight or from poorly fitting shoes. For example, the long on the bottom of the foot ( ) can become stressed or tight and pull on the heel, causing the to become inflamed (
Another common site for rotator cuff) start at your shoulder blade and are attached to your upper arm with . As these move through the narrow space between the top of your and your upper arm, they can rub on the . can form in this narrow area that, in turn, pinch the tendons, resulting in irritation, , stiffness, weakness, pain, and sometimes tearing of the . This condition, rotator cuff disorder, commonly occurs with age and/or repetitive use of the . It is also common in athletes, especially baseball players, and in people such as painters who frequently work with their arms above their heads.is the . Your shoulder joint is able to move in a number of directions due to its complex structure. Over time, the , muscles, , and that make up your can wear against one another. The muscles that allow you to lift and rotate your arm (called the
What are the symptoms?
Many people havewithout ever knowing it, because most cause no symptoms. But if the are pressing on other bones or tissues or are causing a muscle or tendon to rub, they can break that tissue down over time, causing swelling, pain, and tearing. in the foot can also cause corns and calluses when tissue builds up to provide added padding over the .
How are bone spurs diagnosed?
Ais usually visible on an . But since most do not cause problems, it would be unusual to take an just to see whether you have a . If you had an to evaluate one of the problems associated with , such as , would be visible on that .
How are they treated?
do not require treatment unless they are causing pain or damaging other tissues. When needed, treatment may be directed at the causes, the symptoms, or the themselves.
Treatment directed at the cause ofmay include weight loss to take some pressure off the (especially when osteoarthritis or is the cause) and stretching the affected area, such as the and bottom of the foot. Seeing a physical therapist for ultrasound or deep tissue massage may be helpful for or shoulder pain.
Treatment directed at symptoms could include rest, ice, stretching, and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. Education in how to protect your is helpful if you have . If a is in your foot, changing footwear or adding padding or a shoe insert such as a heel cup or orthotic may help. If the is causing corns or calluses, padding the area or wearing different shoes can help. A podiatrist (foot doctor) may be consulted if corns and calluses become a bigger problem. If the continues to cause symptoms, your doctor may suggest a corticosteroid injection at the painful area to reduce pain and inflammation of the soft tissues next to the .
Sometimes the bunion or in the foot or removal of small spurs underneath the point of the .themselves are treated. can be surgically removed or treated as part of a surgery to repair or replace a joint when has caused considerable damage and deformity. Examples might include repair of a
Other Works Consulted
- Di Cesare PE, et al. (2013). Pathogenesis of. In GS Firestein et al., eds., Kelley's Textbook of Rheumatology, 9th ed., vol. 2, pp. 1617â€“1635. Philadelphia: Saunders.
- Thomas JL, et al. (2010). The diagnosis and treatment of heel pain: A clinical practice guideline-revision 2010. Journal of Foot and Ankle Surgery, 49(3, Suppl): S1â€“S19.
- Wapner KL, Parekh SG (2010). Heel pain. In JC DeLee et al., eds., DeLee and Drez's Orthopaedic Sports Medicine, 3rd ed., vol. 2, pp. 2030â€“2056. Philadelphia: Saunders Elsevier.
ByHealthwise StaffPrimary Medical Reviewer William H. Blahd, Jr., MD, FACEP - Emergency Medicine Adam Husney, MD - Family Medicine Kathleen Romito, MD - Family Medicine Specialist Medical Reviewer Gavin W. G. Chalmers, DPM, FACFAS - Podiatry and Podiatric Surgery
Current as ofNovember 29, 2017
Current as of:
November 29, 2017