A heel spur is an inflammation of the connective membrane of the sole , which runs from the heel to the toes.
If the inflammatory process goes too far, the bone tissue grows and new growths appear - osteophytes.
Such bone growths cause a lot of inconvenience to a person, ranging from the inability to stand on their feet for a long time and ending with severe pain. The occurrence of a heel spur is often associated with inflammation of the Achilles tendon, which again results in pain.
A heel spur can form on its own or accompany diseases such as arthritis, ankylosing spondylitis and others.
The process of forming a heel spur takes more than one month. Very often, plantar fasciitis occurs in professional athletes who run and jump.
Treatment of heel spurs can be surgical or conservative. In the second case, the patient is prescribed special anti-inflammatory drugs or treatment using shock wave therapy.
In addition, you can make various compresses and baths. Treatment of a growth using traditional methods requires a lot of time; you should not count on a good effect after two or three procedures.
To reduce pain and relieve inflammation, you can use the following remedies:
Treatment of heel spurs with vinegar and eggs is one of the most effective and affordable methods of treating bone overgrowth.
To prepare the product, you need to prepare a small jar with a lid, no larger than a glass.
If you don’t have such a jar, you can take an ordinary glass.
The egg needs to be broken into a glass or small jar (along with the shell). Next, the egg is filled with vinegar. The butter is melted in a water bath (no need to boil it).
Ghee should be poured into a glass. There is no need to interfere with anything. Just close the jar with a lid, wrap it in a towel and put it in a dark place for three days. After this time, the container can be removed and the mass can be mixed. The egg film can be removed.
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Another recipe for heel spurs with vinegar.
First you need to melt the fat.
Next, the fat and egg need to be filled with vinegar essence.
The container is tightly closed and placed in the refrigerator for ten days. The vinegar will completely dissolve the eggshells. After ten days, you need to take out the container and beat the mass with a blender.
There are many folk recipes for treating heel spurs, but one of the most effective is based on the use of vinegar and a chicken egg. It is very easy to prepare, but you will have to wait a few days for the mixture to sit.
The procedure should be stopped if the skin on the leg begins to peel. If there is already damage in the heel area, you should choose a different technique.
Today, heel spurs, or plantar fasciitis, have become a common disease. You can get this problem at a young age, but more often people get it after forty years.
What does a heel spur look like? It is an overgrowth of the bone surface in which the heel bone and spur merge in the area of the Achilles tendon. The maximum load during walking is experienced by the foot, at this time most of it falls on the tubercle (calcaneus), subsequently on which a microscopic tear occurs. Usually it gradually heals on its own, but if there is too much damage, the fascia of the sole becomes inflamed, resulting in pain. This disease can develop in a person suffering from flat feet.
Each person's appearance of a spur may differ in its individual symptoms, but there are signs that still unite this disease. This is a burning pain when putting weight on the foot, sudden pain when walking and a constant feeling of a “driven nail”.
But when a person is in a lying position, the pain begins to subside. The nature of the pain syndrome does not depend on the size of the spur, but on the sensitivity of the soft tissues around the bone. Photos will help you understand what a heel spur is. Symptoms will also indicate the disease.
Women who wear heels every day are more likely than men to suffer from plantar fasciitis, as they constantly place additional stress on the heel. One of the reasons for the appearance of a “nail” in the heel may be a curvature of the vertebra, which changes the gait and redistributes the load on the foot.
A spur may appear due to undiagnosed infectious, rheumatoid diseases or, for example, due to metabolic disorders. Athletes can also be exposed to this scourge; track and field athletes are especially at risk. If the disease progresses and the inflammatory process does not go away for a long time, osteophyte or salt accumulation may occur.
A heel spur can be diagnosed using an x-ray. After this, you should seek help from a doctor: an orthopedist, surgeon or traumatologist. Conservative treatment consists of wearing orthopedic shoes that have a recess in the area of the spur. Or it could be special insoles or overlays. All this helps reduce the load on the heel, thereby relieving pain.
If the causes of the disease have not yet been established, then by resorting to some recommendations, you can alleviate the general condition.
The first way is to make a rubber roller and place it in your shoes so that when you walk, the spur does not have any contact with it. You can make a rubber pad in the shape of a horseshoe and glue it to your everyday shoes so that there is a gap between the insole and the heel. This will help relieve the inflammatory process faster.
To relieve the pain, you can use an anti-inflammatory ointment, but it is better to consult a doctor about which one. Anesthetic cream “Heel spur” is suitable for these purposes.
In advanced stages of the disease, baths significantly improve the situation. At the initial stage of inflammation, these procedures are not recommended, as they can aggravate the disease. If the main cause of the heel spur is any disease, then you should first get rid of it.
In the world of modern technology, shock wave therapy is an effective and popular way to treat a “nail” in the heel. This is a relatively new method of getting rid of spurs, but has already earned a lot of positive reviews. Shock therapy for heel spurs occurs using special equipment that delivers sound waves, directly affecting the affected area of the body.
This method helps to get rid of the disease without surgery and harm to soft tissues. This method of treatment makes it possible to forget about salt deposits, loosening them, gradually reducing swelling and removing aching pain.
Many people are looking for a way to get rid of heel spurs on their own, without resorting to the help of doctors. For this case, an excellent choice is recipes that have been proven over centuries.
If you have been diagnosed with “plantar fasciitis”, popularly known as a heel spur, treatment with vinegar is one of the methods of folk tricks. The recipe is quite simple: take a bowl or glass, put a chicken egg in it and fill it with vinegar (regular table vinegar, 100 grams), then add 100 grams of melted butter (it’s better to heat it in a frying pan).
Place the resulting mixture in a dark place for three days without stirring. After three days, the medicine is ready, stir well before use. Now before going to bed, apply the prepared preparation directly to the spur area, wrap the heel with gauze and secure with a bandage, then put on a sock and go to bed. After a two-week course of treatment, the pain will disappear. For ailments such as heel spurs, vinegar + egg is an excellent, proven cure.
You can make a paraffin boot, which should then be applied to your steamed feet. Take four tablespoons of paraffin and melt it, add 2 tablespoons of calendula tincture and five tablespoons of vinegar (preferably apple cider vinegar). Mix everything well - your boot can already be used.
Before applying the paraffin compress, steam your feet in hot water with herbs. Chamomile, calendula or St. John's wort are very suitable for these purposes. Steam your feet for fifteen minutes, then wipe them dry and put on a healing boot.
But these are not all methods of how to get rid of heel spurs. It is not recommended to use folk remedies if you have damage on your heels, so as not to harm your health. Vinegar lotions must be repeated throughout the month to achieve the desired effect.
If you are worried about a heel spur, treatment with folk remedies, for example iodine, will quickly relieve you of pain. To make an ointment, you need to mix three percent iodine with two Aspirin tablets (in powder form), then take a bandage, apply the stirred mixture and apply it to the sore spot. Now put on a sock or cover your foot with something warm. For efficiency, you can wrap your leg in oilcloth. These procedures must be performed three times a week.
When a heel spur has developed, treatment with folk remedies (especially iodine) can give good results. For medicinal purposes, a pure iodine solution is used, for example, you can make lotions. For water procedures, you need to pour this product into a container of water and completely lower your foot there. Hold for a couple of minutes, then pull out the leg, wrap it in a napkin or gauze and wrap it up. This method of treatment involves a ten-day course. If you are tormented by a heel spur, treatment with folk remedies (iodine) will be very helpful.
To prepare the tincture, you will need two bottles of iodine, valerian (in liquid form) and cologne. Mix all the liquids in one container, add a couple of hot pepper pods to the contents, then leave the medicine in a dark place throughout the day. Before going to bed, apply the prepared mixture to the area of inflammation, wrap your foot with a bandage or gauze and put on a sock.
Traditional methods of treating heel spurs often involve the use of iodine, honey, and salt. Pour fifty milliliters of iodine into a bowl, add one teaspoon of salt and a tablespoon of honey. Stir the solution well, then apply the mixture to a bandage and apply to the sore heel. Be sure to wrap your leg in cellophane to achieve a thermal effect.
This compress can be done both in the morning and in the evening, for fifteen minutes, the result will appear after five procedures. Many people say that the real panacea for such a scourge as a heel spur is treatment with folk remedies, especially iodine. You can reduce pain using baths. To do this, you need to take 3 liters of hot water, add one spoon of soda (regular) and fifteen drops of iodine. Mix the contents well and dip the sore heel in the solution for 10 minutes.
Traditional methods for treating heel spurs are very diverse, so you can try all the methods and determine the one that will be the most effective in your case.
In this article you will learn how to prepare a folk remedy for heel spurs with vinegar and egg, how to treat heel spurs with apple cider vinegar and vinegar essence.
Heel spurs are bone-tissue formations (osteophytes) that appear on the heel bone due to inflammation of the connective membrane of the sole. In this case, the person experiences severe pain, and, in severe cases of the disease, simply cannot stand on his feet. The pain is especially severe in the morning, subsides somewhat during the day, and intensifies again in the evening.
Of course, if you notice symptoms of this disease, you should consult a doctor, but to relieve pain, you can resort to proven traditional medicine, one of which we will talk about today. Let's talk about treating heel spurs with vinegar and eggs.
There are two recipes using the above ingredients, which are probably found in every home. The first is oil-based, the second is fat-based. Both methods are valid, you can choose either one. Further details about each.
What we need:
everything about treating heel spurs with iodine on our website.
What ingredients do we need:
When treating a spur with vinegar essence and egg, there is a possibility of skin irritation. In this case, treatment will have to be suspended so as not to cause more harm than good. Try other methods of treatment, fortunately there are a lot of them.
On our website you can learn how to treat heel spurs with dimexide.
A very simple and effective way. You need to dilute apple cider vinegar with water one to one and apply it to the sore heel at night as a warm compress. The course of treatment is 5 days, during which you need to monitor the condition of the skin, and, if anything happens, immediately interrupt the treatment.
You can learn about other methods of treating heel spurs from the video:
A heel spur, or plantar fasciitis, is a wedge-shaped bone growth (osteophyte) in the area of the heel bone tubercle. Such bone growths can cause the patient significant discomfort and stiffness in movement. Patients often experience changes in their gait. Patients complain of stabbing-burning pain, typical for this disease, when trying to lean on the sore leg, defined as a feeling of “a nail in the foot.” Clinical symptoms are caused by pathological processes in the soft tissues of the foot, resulting from even slight pressure from osteophytes.
Heel spurs occur against the background of diseases such as flat feet, rheumatoid and psoriatic arthritis, gout, ankylosing spondylitis, as well as due to excess weight and traumatic injuries. Predisposing factors are wearing uncomfortable shoes that restrict the movement of small joints, and prolonged overload during physical exercise.
Diagnosis of plantar fasciitis consists of conducting an X-ray examination of the foot and identifying a wedge-shaped or spiky bone growth measuring 3 - 12 mm in the image. Usually this research is sufficient.
The main goal of treating the disease is not to eliminate the bone growth itself, but to reduce inflammatory processes in the soft tissues. In the first stages of the disease, conservative treatment methods, in particular treatment with folk natural remedies, work well. Often they are the liquidators of the inflammatory process that has begun; you should not be skeptical about them.
Home treatment for the disease consists of dosed, regular use of a variety of applications, baths and ointments on the affected area. Such treatment requires a long time and painstaking work; you need to be prepared for this and be patient. The maximum result can be achieved if various methods of conservative treatment are used in combination. For example, applications with one substance that eliminates inflammation and reduces pain are combined with baths with another substance. In this case, the therapeutic effect will increase several times. The anti-inflammatory properties of natural substances are due to the warming effect on soft tissues, which stimulates intense blood flow to the affected areas, eliminates accumulated inflammatory mediators and unnecessary fluid, increases local immunity, and starts recovery processes.
Some folk methods help you forget about heel spurs after 2-3 procedures, and some are designed for long-term regular use.
Treatment of spurs at home can be divided into treatment with ointments, compresses and baths. The greatest effect is observed with a combination of the listed procedures.
In practice, acetic acid and eggs have worked well in the treatment of heel spurs.
Pros: rapid subsidence of the inflammatory process, rapid relief of pain. Vinegar essence is an excellent prevention of relapse of heel spur syndrome.
Cons: if there are rashes, abrasions, cracks, or other skin inflammations on the skin of the foot, it is strictly prohibited to use acetic acid as a treatment; severe burns and irritation are possible. Even on intact skin, a burn is possible after an acid application if the amount and percentage of vinegar is incorrectly calculated. You need to be careful and carefully monitor the skin's reaction.
The choice of acetic acid is wide: apple, wine and grape concentrates do the job perfectly. Do not forget about the usual table 9% vinegar solution.
Recipe for vinegar ointment to treat heel spurs:
Another recipe using vinegar and egg ingredients will help relieve inflammation in the shortest possible time:
Use until pain is completely relieved. Such warming with ointment will speed up the elimination of inflammatory processes and will allow you to fully step on the sore leg as soon as possible.
Regular use of acetic acid, mustard and egg yolk shows positive results. Remember that any ointment or compress that contains vinegar essence has a pronounced irritating effect and should not be used for the slightest cracks in the skin.
Baths in the treatment of heel spurs are easy to prepare, are used quite widely, relieve symptoms of inflammation, preventing the occurrence of recurrent pain in the heel.
An alternative recipe for an acetic-alcohol bath is a tincture of vinegar and turpentine:
Preparation: mix vinegar and turpentine into a single solution, heat over low heat, without bringing to a boil, so that you can keep your foot in the resulting mixture. The heel is immersed in a vessel with a solution and kept for 30-40 minutes. A wool sock is then put on to create a thermal effect. Use the bath for 2-3 weeks followed by a week break. Then repeat to achieve maximum analgesic effect.
After several procedures, some patients complain of severe peeling or detachment of entire layers of skin at the site of the compresses - this is an individual reaction to the components of the medicinal natural ointment. If the peeling is not severe and does not cause significant discomfort, after treatment with ointment, it is necessary to generously lubricate the affected area with a rich cream and continue to apply the ointment the next day. Otherwise, if itching, burning, or skin irritation is felt, it is recommended to stop the procedures and look for other methods of treatment with folk remedies without the use of acid.
The above recipes for preparing various ointments and baths are good for relieving pain in the initial stages of heel spur syndrome. In order for the treatment to be effective and to avoid relapses, it is necessary to approach the problem comprehensively, find the root cause of the formation of heel spurs and eliminate it. The following measures help in the treatment of plantar fasciitis:
If you notice the appearance of the first symptoms of a heel spur, treatment should be started immediately; in the initial stages, it is much easier to eliminate inflammatory reactions, including using natural treatment methods at home.
Treating heel spurs with vinegar and eggs is an alternative to conservative methods of getting rid of the “nail in the heel.” A bone spur, or plantar fasciitis, is a wedge- or spike-shaped growth of the heel bone. This pathology appears on the surface of the sole, in the area where the heel tendon and the plantar tubercle connect. With this process, new bone tissue is formed on top of the old bone tissue, causing inflammation, which is chronic. Almost always, a mucous bursa is formed under the growth (osteophyte) in the soft tissues. This pathology is a common disease today; More often people are exposed to it after 45 years of age, and this formation becomes a real problem for them, which interferes with normal motor activity.
A spur causes a person not only discomfort, but also painful sensations (at an advanced stage - permanent). In the early stages of the disease, pain occurs periodically, with any even slight load. The disease progresses and the pain becomes stronger, sometimes leading to the person being unable to walk without a cane or crutches.
The reasons for the formation of spurs can be:
When a person steps on his heel, at first he feels some discomfort, which gradually develops into severe pain and the inability to rely on the painful point. The pain is of a burning or acute nature, which surrounds the entire heel and heel pad.
Sometimes the pain appears suddenly, and the painful sensations do not depend on the size of the spur and its specific location. Pain occurs as a result of changes in the soft tissue area. Rarely do nerve processes take part in such pathological processes. To relieve the heel of the load, a person tries to walk on his toes or bends his foot, placing it on the outer edge. If such a pathology occurs on both heels, the person is at risk of walking with the help of crutches.
When a spur appears on the heel, an inflammatory process develops in the connective membranes of the foot. At an advanced stage, bone tumors appear - osteophytes. Such growths cause a person not just inconvenience, but also severe pain. The appearance of growths very often accompanies the inflammatory process in the Achilles tendon, and, again, the person experiences pain. The appearance of a spur on the heel can develop either on its own or accompanied by arthritis, ankylosing spondylitis and other pathologies.
Sometimes the growths do not manifest themselves at all; the anomaly can develop asymptomatically for a long time. It is discovered by chance during fluoroscopy. The disease is more often diagnosed in athletes who professionally engage in running or jumping.
If a person is bothered by heel pain, there is no need to put off visiting a doctor. The examination will allow you to prescribe the most effective treatment. This problem is dealt with by an orthopedic surgeon, surgeon or traumatologist.
Treatment of spurs with conservative methods is necessary in the acute stage, as an infection develops and must be eliminated with antibiotic therapy. When the pathological process worsens, the specialist prescribes analgesics and antibiotics, anti-inflammatory drugs, and physiotherapy (electrophoresis). One of the most important tasks aimed at achieving success in treatment is to provide maximum rest to the sore spot, therefore, after the cessation of the inflammatory process and reduction of pain, doctors recommend wearing special insoles that have holes in the area where the spur is formed.
Instead of an insole, you can use a special heel pad made of thick foam rubber and a recess in the center. Orthopedic shoes with special recesses that are created at the location of the heel will relieve the sore heel as much as possible. If there is a growth on the back of the heel, shoes are worn without a heel, or holes are made in it.
With this treatment, additional measures are taken - warm foot baths (with the addition of sea salt or soda and soap), therapeutic exercises, massage (the purpose of which is to improve blood circulation in the painful area), and physiotherapy. If treatment methods are ineffective, radiotherapy using small doses is prescribed. If all tried treatment methods do not bring results, they resort to surgery, in which the heel spur is removed.
One of the most effective treatments offered by traditional medicine is treatment with vinegar and eggs. This remedy has undeniable advantages - it is accessible to everyone and easy to use, while its effectiveness has been proven by many people who suffered from this disease. To prepare such a medicinal mixture, you should take a container with a lid.
Ingredients for the solution: egg, table vinegar (not essence, it is prohibited as it can burn the skin). Sometimes butter is added to this recipe. Pour vinegar into the egg, melt the butter, add to the liquid, close the lid tightly, wrap in a towel and place in a warm place for several days. When the solution has infused, remove and stir the resulting mixture.
Apply the ointment onto folded gauze (or a clean, dry cloth) and apply to the sore spot, securing with a bandage or sock. You can wrap the top with film or polyethylene so as not to stain the bed linen. Very often, such a remedy eliminates pain even before a person has time to use it.
It must be remembered that the ointment should not be used if the skin is overly sensitive or if there are lesions on the skin. Within a month the first results will be noticeable. You should not stop treatment, even if you feel that you are getting better, you need to complete the full course. If the top layer of skin begins to peel off, do not be alarmed; this is how the dead cells are exfoliated and replaced by young ones. In case of increased peeling of the skin, you should take a short break, then continue treatment.
Prevention of growth on the heel is to prevent early aging of the bones and joints of the lower extremities through moderate physical activity and hardening of the body.
It is recommended to exercise within reason.
If any pathologies are detected in the joints or bone tissues, it is necessary not to ignore visits to specialists and to begin treatment of concomitant diseases of the musculoskeletal system as early as possible.
Traditional medicine recipes for heel spurs are often used, and, in fairness, it must be said that thanks to them, many have gotten rid of heel pain. For example, do you know how to remove heel spurs with vinegar?
The question of how to get rid of heel spurs concerns every tenth person on the planet. Acute pain in the heel, reminiscent of a prick with a hot nail, causes a lot of anxiety and makes it impossible to walk normally and wear beautiful dress shoes.
The disease does not pose a threat to life, and delaying a visit to the doctor has become a “good tradition” among patients. Instead of going to the clinic and standing in lines, it is easier to buy some ointment at the pharmacy to treat heel spurs or try to remove the heel spur using an unconventional method.
For a disease such as heel spur, traditional medicine, or rather its recipes, are used especially often. It is worth noting the enormous contribution that traditional medicine has made to the traditional therapy of heel spurs; the treatment successfully combines traditional healing methods and new modern techniques. Judging by the reviews of patients, many, thanks to folk recipes, got rid of heel pain.
Most popular procedures, recipes for rubs and ointments for the treatment of heel spurs are used based on their anti-inflammatory effect. After all, pain with a heel spur is a consequence of inflammation of the soft tissues and plantar fasciitis. Elimination of swelling and inflammation contributes to the disappearance of pain, and the presence of a bone spike does not interfere with life in any way. If the load on the foot is reduced, flat feet are corrected, and weight is lost, the heel spur ceases to bother you.
Ointments, lotions, and rubs for the treatment of heel spurs usually involve a warming effect, blood flow to the problem area, removal of accumulated inflammatory products, excess fluid, strengthening of local immunity, and activation of reparative processes. Folk recipes for treating heel spurs with table vinegar are no exception.
It is very difficult to imagine how the disease “heel spur” and table vinegar can be connected. However, on the Internet and in print, there are very often reviews from patients about the effectiveness of treating heel spurs with vinegar.
Mix flour, table salt, sugar and dry mustard in equal proportions. Add wine vinegar to make a slurry, similar in thickness to high-quality sour cream. Apply the mixture to gauze, apply to the heel and secure with a bandage. The procedure is recommended to be performed at night, when active tissue healing is underway.
The effect of the compress will be enhanced if you take a hot foot bath before applying it.
Take a sour apple, for example Antonovka, remove the core, grate the pulp. Apply the paste to the heel, cover with plastic wrap and wrap with a warm scarf. Carry out this procedure at night for 10 days. At first, the heel may swell, but the pain will become noticeably less severe.
A universal apple substitute for a disease such as heel spur is vinegar made from apple juice. Gently moisten a cloth with apple cider vinegar, apply to the heel and secure like a compress. Repeat the procedure in the evening for 2-3 days, then for another 2-3 days simply rub the sore heel with vinegar and put on a wool sock. The pain should disappear.
Prepare an ointment designed to treat heel spurs according to this recipe.
Take 100 g of interior fat or butter, 100 ml of vinegar essence and a whole chicken egg.
Melt the fat or butter until liquid, immerse the whole egg with the shell in it, pour in the vinegar essence, do not stir, close the lid and refrigerate for 10 days. Acetic acid will completely dissolve the egg shell. After the allotted time has passed, remove the mixture from the refrigerator and beat with a mixer; you should get an ointment with a pungent smell of vinegar.
Apply the ointment to the sore heel steamed in the bath every evening and wrap it with a warm cloth, keeping the compress on all night.
It should be said that in case of severe burning with increased sensitivity of the skin, in the presence of abrasions, inflammation, this ointment cannot be used, severe burns and irritation are possible. But if you manage to carry out the procedures for a month, you can forget about the pain.
When resorting to this method of getting rid of heel growth, the patient must know two basic rules:
2. Treatment with vinegar takes a long time. The effect will be noticeable no earlier than 10-14 days, so if you decide to use this method, then be patient and repeat the procedures regularly.
A raw egg contains many proteins and vitamins that are involved in metabolic processes and help restore tissue damaged by growth.
Preparation: take a 0.5 liter jar or glass, break an egg into it and stir with a fork or whisk. Pour in the same amount of vinegar. Melt the butter in a saucepan or microwave and add to the mixture. Close the jar, wrap it in a towel and let it brew for 24-48 hours.
Attention! Prepare the mixture for one compress and use immediately after 2-3 hours.
Preparation and use as in Recipe No. 1, only animal fat is used instead of butter.
Preparation: mix all ingredients and keep in a warm place for 2-3 hours, then use as a night lotion.
Preparation: pour vinegar essence into the shelled egg and leave until the shell disappears completely, leaving the egg in a thin membrane film. Carefully pour off the essence and beat the egg with a fork. Add crushed tablets or pour out ampoules. Stir and apply a compress overnight.
- 5-6 tablespoons of dry paraffin;
- half a glass of table vinegar;
- 20 ml of tincture of calendula, chamomile or other herb with an anti-inflammatory effect.
In addition, “Pyatkashpor Strengthened” helps to resolve the bone spine. If the condition improves, you can use the less intense Pyatkashpor Ordinary.
In the daytime, while walking, you must wear orthopedic insoles or leather heel pads for spurs, which relieve the sore heel and protect it from impacts and injuries.
Also, when using recipes, remember that not a single folk remedy for heel spurs with vinegar will help eliminate the disease on its own. An orthopedic doctor or surgeon will tell you how to treat heel spurs with medications and what medications to take.
If you have a diagnosis of a heel spur, you can treat it with vinegar not only with compresses, but also with baths.
Recipes containing vinegar, and especially vinegar essence, should be used carefully to avoid burning the heel. This method of treatment is completely unacceptable for people with sensitive skin on their feet, as well as those with open wounds. In this case, you must definitely find out how to treat a heel spur medically and follow the doctor’s instructions.