feet Archives - Hirofizikal


Heel spur (Calcar calcanei) is caused by the accumulation of calcium on the heel bone, as a result of which a growth is formed that is sensitive to palpation, similar to a small bump under the finger. More irregular growths of this type are called calcaneums.

Symptoms of heel spur:

  • Morning pain after getting out of bed or after a long walk
  • Sensation of localized heat
  • Tingling
  • Pain that may radiate along the plantar fascia
  • Pain that spreads to the joint
  • Difficulty leaning on the heel due to the pain caused.

Formation of heel spur:

Long-term irritation of the plantar fascia leads to increased contact with the fascia, triggering the inflammatory process in the soft tissues. This process later results in pain. The pain can be localized at the site of formation of the calcaneus or it can spread along the foot.

People prone to developing heel spurs:

  • People whose jobs involve walking on hard surfaces
  • Athletes
  • People with irregular arch of the foot
  • People with frequent and untreated injuries in the foot area
  • People with a shortened Achilles tendon.

Diagnosis of heel spur:

  • Palpation
  • Performing tests to confirm the presence of a heel spur
  • Radiographic diagnostics (RTG), ultrasound and magnetic resonance (MR) imaging.

Treatments for heel spurs:

  • Electrotherapy
  • Ultrasound therapy
  • Tecar therapy
  • Shockwave therapy (Shockwave therapy)
  • Acupuncture
  • Kinesitherapy (strengthening and stretching exercises).
Number of treatments needed:
Most often, it is necessary to conduct 8 to 10 therapy sessions.

For additional questions and information, we are at your disposal.


Ankle sprain requires adequate care. Many years of experience have shown that most patients do not perceive this problem in a serious way, but think that their problem is solved when the pain stops. However, this is a mistake that can later have far-reaching consequences, such as joint instability or other chronic changes in soft structures, algodystrophic syndrome (Sudek’s disease).

When does joint distortion (sprain) occur?

• It most often occurs during sports activities
• Walks on uneven ground
• Sudden changes in the direction of movement
• Landing on the ground
• A sudden fall where the wrist twists

Why do ankle sprains occur?

When the joint is in a position that does not correspond to its physiological position, and the tendons, ligaments and muscles fail to maintain the joint, i.e. to return it to the physiological position, the joint luxates (moves from its position), and when the foot contacts the ground, due to strong pressure, an injury occurs, i.e. ankle sprains.

Symptoms that the patient has:

• Pain
• Swelling
• Limited movement
• Impaired or completely disabled movement

What the patient can do as a form of first aid:

• Ice the injured segment
• Leg elevation
• Rest
• Bandaging, compression bandage, depending on what is nearby
• Moderate leaning, if possible it is best not to lean on the injured leg

An objective examination can determine:

• Determine by palpation the most intense place of pain, or several of them, depending on the degree of injury
• Swelling
• Is the skin cyanotic
• Is there inflammation
• Range of motion test
• Assessment of joint stability
• Is it necessary to send the patient for further diagnostics (ultrasound, x-ray, magnetic resonance)
• Orthopedic examination, or another specialist

Rehabilitation program of the Chiro-Physical Outpatient Clinic for ankle joint distortions (Distorzio articulatio talocruralis)

• Chiropractic, if indicated
• Cryomassage
• A gel that has a local cooling effect
• Manual non-invasive method
• Compression bandage, longette
• Tecar therapy
• Electrotherapy set
• Magnetotherapy
• Laser therapy
• Kinesitherapy
• Patient education for performing exercises at home

We are at your disposal for any additional information
Your CHIRO-PHYSICAL Mileševska 7, Vračar.


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Copyright by Hirofizikal 2021. All rights reserved.

Copyright by Hirofizikal 2021. All rights reserved.

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