The spurs cause pain, as it irritates the Achilles tendon. Medication, such as nonsteroidal anti-inflammatory medications (NSAIDs) and muscle relaxants may be recommended. The objective of this article is to describe several cases (n = 3) in which patients with plantar fasciitis, associated with heel spurs, were successfully treated via chiropractic adjustments, emphasizing the correction of posterior calcaneal subluxation. A posterior calcaneal spur is often large and palpable through the skin and may need to be removed as part of the treatment of insertional Achilles tendonitis. Non-Surgical Treatment For Calcaneal Spur Unlike other injuries or inflammation, the calcaneal spur does not respond well to rest. Using cold packs or ice. General Treatment Some, but not all, calcaneus fractures . , Changes in Quality of Life in 7 Older Adult Patients Receiving Activator Methods Chiropractic Technique , Attenuation Effect of Spinal Manipulation on Neuropathic and Postoperative Pain Through Activating Endogenous Anti-Inflammatory Cytokine Interleukin 10 in Rat Spinal Cord , Resolution of Mortons Neuroma in an Elderly Patient Receiving Activator Methods Chiropractic Technique to Correct Subluxation: A Case Study , Chiropractic Treatment of Temporomandibular Dysfunction: A Retrospective Case Series , Resolution of Cervicalgia, Paraesthesia and Chronic Adhesive Capsulitis in a 67-Year-Old Male: A Case Study , Improvement in Mobility, Emotional Wellbeing & Quality of Life in an Older Adult Following Subluxation Based Chiropractic Care: A Case Report , Use of localized human growth hormone and testosterone injections in addition to manual therapy and exercise for lower back pain: a case series with 12-month follow-up. Contributing foods and ingredients include high-fructose corn syrup, soda, apple juice, fluoridated water, other refined sugars, and animal protein. Why Do Cross Country Runners Have Skinny Legs? Wall . What is posterior calcaneal? When the exostosis is covered with cartilage, its called an osteochondroma. This is a picture of the size of the bone removed. A posterior calcaneal spur develops on the back of the heel at the insertion of the Achilles tendon. Call Us for a Free Consultation: 435-260-0705. Heel bone spur surgery is usually done under local anaesthetic. Thank you!!" Treatment: Shoe insoles, cold therapy, physiotherapy, shock wave therapy, radiation, anti-inflammatory drugs, surgery. Treatment options may include a reduction in activity, shoe wear modification for pressure reduction, a combination of heel lifts and/or orthotics, anti-inflammatories, and physical therapy. A posterior calcaneal spur, also known as a dorsal heel spur, grows on the back of the heel at the attachment of the Achilles tendon. They slip into your shoe supporting your foot arches reducing the irritation around the heel spur. Activator Methods Intl. If you run or jog, taking a break will help your heel pain. It typically develops where two or more bones meet. , A model for the evaluation of chiropractic methods. "Cindy, US, "3 days ago I thought I was going to need foot surgery. Haglunds deformity is a bony bump that appears on the back of the heel bone. This involves injecting a mixture of cortisone (a steroid) and local anaesthetic into the area to help reduce inflammation and pain. The conservative management of heel spur syndrome may be effectively implemented through the use of specific chiropractic adjusting procedures in selected patients presenting with this particular problem Attention to the possibility of posterior subluxation of the calcaneus should be emphasized during the chiropractic examination process. This is an innovative electro-medical device, which aids in utilizing the mix of two popular therapeutic techniques like ultrasound therapy and cryotherapy. 3822 E. University Dr. Apple Cider Vinegar Apple cider vinegar is a great natural remedy to treat calcaneal spurs. If they cause no pain or discomfort, they require no treatment. Unfortunately, heels spurs will not go away on their own because there is no cure. Activator Methods will respond to your request. Left untreated, spurs in the heel can limit your activity significantly, with many patients unable to bear any weight on the affected foot. Massage. This surface provides attachment for the plantar aponeurosis, plantar muscles and ligaments (Fig. I was the DOCTOR specializing in the treatment of heel spur, trying to help my favorite patient (ME) avoid surgery, and walk without pain. Part II: Treatment to the upper neck and the rate of cerebrovascular incidents. , The Activator Story: Development of a New Concept in Chiropractic , Biomechanical Characterization (fingerprinting) of Five Novel Methods of Cervical Spine Manipulation , Relationship between Preload and Peak Forces during Spinal Manipulative Treatments , Three-Dimensional Head Axis of Rotation During Tracking Movements: A Tool for Assessing Neck Neuromechanical Function , Optoelectric Measurement of Leg Length Changes During Isolation Tests , Responsiveness of leg alignment changes associated with articular pressure testing to spinal manipulation: the use of a randomized clinical trial design to evaluate a diagnostic test with a dichotomous outcome. Plantar calcaneal spurs are thought to be a result of enthesophytic changes involving the origin of the plantar aponeurosis 5.. Their exact pathophysiology is not well understood but many theories have been proposed 2-4. Since heel bone spurs are not the cause of plantar fasciitis, plantar fasciitis pain can be treated without removing the spur. , Activator Adjusting For Acute Torticollis . Santa Monica, CA, USA. Brent A Jarrett DPM (Physician Surgeon of the Foot). Risk factors for heel spurs include: Walking gait abnormalities,which place excessive stress on the heel bone, ligaments, and nerves near the heel. Operative Treatment: Excision of the Haglund prominence can be effective in chronic cases. The plantar surface of the calcaneus is elevated posteriorly to form the calcaneal tuberosity. . They usually develop in response to friction, tightness, inflammation or injury when the body lays down extra layers of bone to try and protect itself. TimesMojo is a social question-and-answer website where you can get all the answers to your questions. This is the piece of bone removed from the back of the heel. These occur over a long periodof time because of excess stress applied to the areas due to tight ligaments and muscular structures. Physicians use crutches, stretching, night splints, physical therapy, dietary supplements (Calcium, Glucosamine, Chondroiten), anti-inflammatory meds., athletic tape, pads, arch supports, custom orthotics injections, shock wave, cold laser, and surgery, all with either minimal, or temporary benefits. I realized that the orthotics were helping, but no where near enough. 23.6). Verify here. Bone spurs can feel like a hard lump or bump underneath the skin. Some get help with anti-inflammatory medications, and a new pair of shoes. This repetitive tension irritates the bone and stimulates it to produce extra deposits of calcium to try and protect itself. 84th Avenue, Suite 102 Plantation, FL 33324, 17842 NW 2nd St., Pembroke Pines, FL 33029, 220 S.W. There is also a spur at theback of the heel where the Achilles attaches. Excision must be kept proximal to the Achilles insertion. A bone spur is a growth of extra bone. Is Achilles tendonitis the same as Haglunds deformity? Policemans heel is known medically as plantar fasciitis because it occurs in a tendon called the fascia. Many patients will get relief just by decreasing their walking activity. Patients who are overweight or those who put off seeing a doctor for a diagnosis are more likely to suffer for a longer period and are also more likely to have the pain come back. Stretching your toes, feet, and ankles can alleviate pressure and strain whether you experience a toe bone spur or a heel bone spur. , Low Force Chiropractic Care of Two Patients with Sciatic Neuropathy and Lumbar Disc Herniation , Precise measurement of functional leg length inequality and changes due to cervical spine rotation in pain-free students. The main function of the calcaneus is to transfer the weight of the body to the ground, as well as to serve as a lever for the muscles of the calf. If you are still having problems after six to twelve months of aggressive heel spur treatment, your doctor may recommend surgery to remove the bone spurs. We can create a cost-effective, customized solution that will relieve your foot pain without surgery or medications. , Effects of altered afferent articular input on sensation, proprioception, muscle tone and sympathetic reflex responses. It is next to the instrument on the bottom right. Frequently massaging the feet will aid in the healing process. Author information: Polkinghorn BS. A systematic review of the literature. I had access to an orthotic lab and had been taught orthotic fabrication so I became the ORTHOTIST and began to make changes to the functional design of my orthotics. 84th Avenue, Suite 102, Plantation FL, 33324, (954) 430-9901 - Pembroke Pines-Silver Lakes, Foot, Ankle, & Leg Specialists Insurance Accepted. , Letters to the Editor | Safety in chiropractic practice. Inserts. 84th Avenue, Suite 102, Plantation FL, 33324 (954) 720-1530, 1600 Town Center Blvd Ste C Weston, FL 33326-3635, 17842 NW 2nd St Pembroke Pines, FL 33029-2806, 220 S.W. Two of the patients had been deemed candidates for surgical removal of the spurs but had declined to pursue that option, electing instead to use chiropractic care and conservative management in an effort to resolve the condition. , Description and Analysis of Activator Methods Chiropractic Technique , Leg Length Inequality and the Side of Low Back Pain A Pilot Study , Reflex Responses Associated with Manipulative Treatments on the Thoracic Spine: A Pilot Study , The Audible Release Associated with Joint Manipulation , Optoelectric Measurement of Changes in Leg Length Inequality Resulting from Isolation Tests , Conservative Treatment of Torn Medial Meniscus via Mechanical Force, Manually Assisted Short Lever Chiropractic Adjusting Procedures. , 1 Stretching. 89. , Clinical effectiveness of the Activator adjusting instrument in the management of musculoskeletal disorders: a systematic review of the literature. The treatment for calcaneal spur is classified into two types, the surgical and non-surgical treatment options. Pre and PostOp Heel Spur resection with reattached of Achilles. With overuse and age, the part of the Achilles tendon that attaches to the heel bone can become chronically inflamed . Cryoultrasound helps to speed up the healing process as it interrupts the cycle, spasms, and pain. , Chiropractic management of a 5-year-old boy with urinary and bowel incontinence , Resolution of Breech Presentation Using an Activator Adjusting Instrument to Administer Websters Technique in Three Women Undergoing Chiropractic Care , Chiropractic care of a 6 year old girl with neck pain; headaches; hand, leg and foot pain; and other nonmusculoskeletal symptoms , The safety and effectiveness of pediatric chiropractic: a survey of chiropractors and parents in a practice-based research network , Heart Rate Variability Modulation After Manipulation in Pain-Free Patients vs Patients in Pain , Interexaminer Reliability of a Leg Length Analysis Procedure Among Novice and Experienced Practitioners , Technique Systems used by post-1980 graduates of the Canadian Memorial Chiropractic College practicing in five Canadian provinces: a preliminary survey , Relative Immediate Effect of Ischaemic Compression and Activator Trigger Point Therapy on Active Upper Trapezius Trigger Points: A Randomized Trial , Treatment of Paroxysmal Supraventricular Tachycardia using Instrument-Assisted Manipulation of the Fourth Rib: A 6 Year Study , Effects of a Manually Assisted Mechanical Force on Cutaneous Temperature , Interexaminer Reliability of the Prone Leg Length Analysis Procedure , Variability of Force Magnitude and Force Duration in Manual and Instrument-Based Manipulation Techniques , Three-Dimensional Vertebral Motions Produced by Mechanical Force Spinal Manipulation , Activator as a theraputic instrument: Survey of usage and opinions amongst members of the British Chiropractic Association , A Hypothesis of Chronic Back Pain: Ligament Subfailure Injuries Lead to Muscle Control Dysfunction , Spinal Manipulation Reduces Pain and Hyperalgesia after Lumbar Intervertebral Foramen Inflammation in the Rat , Chiropractic Treatment of Temporomandibular Disorders Using the Activator Adjusting Instrument and Protocol , Spinal Manipulation Alters Electromyographic Activity of Paraspinal Muscles: A Descriptive Study , A Randomized Clinical Trial of the Relative Effectiveness of Manual Versus Mechanical Force Chiropractic Adjustments in the Management of Sacroiliac Joint Syndrome , Status of Activator Methods Chiropractic Technique, Theory and Practice , A review of the literature pertaining to the efficacy, safety, educational requirements, uses and usage of mechanical adjusting devices. One option is to apply a cloth-covered ice pack to . Pre and postop heel spur resection with reattachment of Achilles. Tightness in the calf muscles or the foot muscles places excessive tension on the area where the muscle attaches to the bone. Page Last Updated: 09/03/22Next Review Due: 09/03/24, "Thank you so much! There are anchors in the bone that have the suture already attached. Posterior Calcaneal Subluxation: An Important Consideration in Chiropractic Treatment of Plantar Fasciitis (Heel Spur Syndrome) August 1, 1995. . The spur may remain but the symptoms should ease if treatment is regular. Some get relief from judicious use of Prescription orthotics. It took another 3 years to quantify the process so that I could consistently do the same for all of my patients. through the calf muscles and Achilles tendon where they attach to the Heel spursare small lumps of excess bone that grow and stick out on the calcaneus, aka heel bone. An inferior calcaneal spur consists of a calcification of the calcaneus, which lies superior to the plantar fascia at the insertion of the plantar fascia. Heel Spurs (Calcaneal Heel Spur syndrome) and Arch Pain (Plantar Fasciitis) are 2 of the most common foot problems diagnosed by physicians, and the most common foot problems researched by patients over the internet. 17 81925 Munich Germany Tel: +49. Lateral approach is easier but care must be taken to avoid sural nerve. A combination of strengthening exercises for the calf muscles and the intrinsic foot muscles is a vital part of a heel spur treatment programme find out more about foot strengthening exercises. 17842 NW 2nd St., Pembroke Pines, FL 33029 (954) 430-9901 Heel spur treatment helps to relieve the pain and inflammation to allow you to walk without pain. It can take anything from a few weeks to a few months for the symptoms of heel bone spurs to settle completely. , Three-Dimensional Head Kinematics and Cervical Range of Motion in the Diagnosis of Patients with Neck Trauma. Running or jogging, especially on hard surfaces . Other Imaging Tests Other imaging tests, such as magnetic resonance imaging (MRI) and ultrasound, are not routinely used to diagnose plantar fasciitis. LTD. A posterior calcaneal spur, also known as a dorsal heel spur, grows on the back of the heel at the attachment of the Achilles tendon. It helps pull out excess calcium from the area of a calcaneal spur, provides pain relief and reduces inflammation. 5 Home | About | Contact | Copyright | Report Content | Privacy | Cookie Policy | Terms & Conditions | Sitemap. They also lift the heel slightly which reduces the tension 5. , In Vitro Biomechanical Evaluation of Single Impulse and Repetitive Mechanical Shockwave Devices Utilized for Spinal Manipulative Therapy , Symptomatic & Cognitive Improvement Following Chiropractic Care in a Patient with Concussion and Vertebral Subluxation: A Case Report , Safety & Effectiveness: The Foundations of Success , Neural responses to the mechanical parameters of a high-velocity, low-amplitude spinal manipulation: effect of preload parameters. Some get relief from judicious use of Prescription orthotics. Here are seven treatments and remedies that can help you find relief. natural cure, medicines for heel spur, causes, symptoms and homeopathy treatment for Calcaneal spur or pain in heels by Dr. Makkar,India,Punjab, askdrmakkar.com. This bump forms where the Achilles tendon attaches to the heel. , Technique Overview: Activator Methods Chiropractic Technique , Engineering In Vivo Transient Vibration Analysis of the Normal Human Spine , Activator Methods Chiropractic Technique , Comparison of Two Chiropractic Techniques on Pain and Lateral Flexion in Neck Pain Patients: a Pilot Study , Manipulation and mobilization of the cervical spine. Calcaneal Spur Treatment Rest: The intensity and duration of activity and weight bearing should be reduced. Others suffer for years, before they finally walk and stand so infrequently that . health information. a dull ache in the heel throughout the rest of the day. It should not delay or "Rick, US, "Thanks for having these exercises available! The use of shoe soles in the shoe may be necessary to stabilize the heel by minimizing the stretching of the fascia, and thereby reducing the pain. This is caused by repeated micro-trauma at the insertion of the plantar fascia into the calcaneus leading to inflammation and tenderness under the medial heel during weightbearing activities. Heel spurs are often associated with other problems and so effective heel spur treatment relies on treating those conditions as well. The posterior spur is usually where the achilles tendon attaches into the calcaneus and the inferior spur is usually as the plantar fascia attaches to the calcaneus. The spur is at the bottom 30% portion of the bone. "Retha, US, "Your info took me straight to the problem. The condition often needs treatment if it causes pain or walking problems. Stretching exercises for heel spur treatment will usually involve a combination of: You will find a whole range of stretching exercises for heel spur treatment using the links above. If your foot spurs are causing corns/calluses, wearing padding over these can make a big difference. bone. Matthew Carroll, Prue Molyneux, in Neale's Disorders of the Foot and Ankle (Ninth Edition), 2020. I NEVER thought that stretching my calf would relieve the excruciating pain at the top of my foot. Pain often first presents after a period of excessive activity on your feet. Staying off the feet can help a lot ( For example- heel raise walking while getting down from bed in morning or after long sitting ). If I tried to go without my orthotics, which often felt like they were providing little to no help, even for a couple of hours, things got terribly worse. The posterior calcaneal tuberosity is removedand the Achilles tendon is debrided and reattached using bone anchors. Further study, involving larger patient populations, should be provided to more thoroughly investigate this treatment on a wider scale. They provide Typical treatment includes: Resting your heel. It is yellowish and devoid of cartilage due to constant irritation from the Achilles. You can find out more about the conditions in the following sections: To find out more about the causes and symptoms of bone spurs in the foot and heel, visit the Bone Spur Foot Overview. Low Dose Radiotherapy ( radiation side effects and syndromes) Using this method, there is evidence that the re-irritation of the painful heel spur is a safe and effective treatment. I performed a few and they have helped tremendously with my foot pain. There are a whole range of products out there that you can wear in your shoe as part of your heel spur treatment. Lezlee, UK, "Very interesting! This is an endoscopic method of eliminating the permanent overstretch of the fascia of the sole by cutting it from the lower surface of the calcaneus (at the site of the localization of the osteophyte) and removing the bone growth through two ports (small incision). These spurs are normally diagnosed on x-ray and are distinctive in . The use of a mechanical force, manually assisted short-lever adjusting technique, such as with an Activator Adjusting Instrument, can provide effective delivery of the chiropractic treatment. The use of a mechanical . [3] Contents 1 Signs and symptoms 2 Causes 3 Diagnosis 4 Treatment 5 References 6 External links Signs and symptoms [ edit] Inferior calcaneal spur Heel cups simply slide into the back of your shoe and they can make a Treatment of Calcaneal Spur The treatment of Calcaneal Spur is based on the different types of symptoms, age of the patient and other factors. Said treatment resulted in a complete resolution of all symptoms in this studied group of patients, with no recurrence being demonstrated over a protracted follow-up period of time. The posterior surface provide attachment place for the Achilles tendon; the roughed inferior surface forms the major weight bearing area of the calcaneus (Keener and Sizensky, 2005). Do Men Still Wear Button Holes At Weddings? Bony heel spurs can be either inferior or posterior calcaneal growths of bone usually on a point of pressure. , Measurement and Analysis of the In Vivo Posteroanterior Impulse Response of the Human Thoracolumbar Spine: A Feasibility Study , Dependence of the Delivered Force on the Force Setting on the Activator Adjusting Instrument , Instantaneous Helical Axis Estimation From 3-D Video Data in Neck Kinematics for Whiplash Diagnostics. An inferior calcaneal spur consists of a calcification of the calcaneus, which lies superior to the plantar fascia at the insertion of the plantar fascia. Description: spiky bone outgrowth, usually at the lower, front edge of the heel bone. Previously unsuccessful treatment regimens included oral anti-inflammatants, steroid injections, orthotics, and sustaining physical therapy. The top portion should have glistening white cartilage. But what is a heel spur? Symptoms of heel spurs can include: sharp pain like a knife in the heel when standing up in the morning. Patients note posterolateral prominence and tenderness. Occasionally, a bone spur will break off from the larger bone, becoming a loose body, floating in a joint or embedding itself in the lining of the joint. Radiological confirmation of heel spur was evident in each case. In this pic, the Achilles can be seen on the right being pulled from the back of the heel. These sutures are then tightened down for an intimate bone to tendon apposition. , Comparison of paraspinal cutaneous temperature measurements between subjects with and without chronic low back pain. These bony projections form as the body tries to repair itself. inflammation and swelling at the front of the heel. Part 1 of 2 , Neuromechanical Characterization of in Vivo Lumbar Spinal Manipulation. foot-pain-explored.com 2013-2022Updated 1st November 2022, Foot-Pain-Explored.com is a trading name of Wilson Health Ltd. All rights reserved. intended for educational information purposes only for the general public. Lateral approach is easier but care must be taken to avoid sural nerve. , Fall Risk Profile and Quality-of-Life Status of Older Chiropractic Patients , Immediate Effects of the Audible Pop from a Thoracic Spine Thrust Manipulation on the Autonomic Nervous System and Pain: A Secondary Analysis of a Randomized Clinical Trial , Relative effectiveness and adverse effects of cervical manipulation, mobilisation and the activator instrument in patients with sub-acute non-specific neck pain: results from a stopped randomised trial. heat radiating from the affected area. Taking oral anti-inflammatory medicine. NB You should always consult your doctor before taking any medication as there can be side effects associated with taking these drugs. 92 333 94-0 The 4 holes are placed 1 cm proximal to the inferior posterior calcaneus tuberosity and the holes are drilled in a square configuration to recreate the wide Achilles footprint. Insertional Achilles tendonitis is damage that occurs in the spot where the tendon meets the heel bone. If an anchoring of the tendon in the bone with the use of a suture anchor occurred, the aftercare treatment will be undertaken in the same way as that for a complete tear of the achilles tendon SPECIALISED ORTHOPAEDIC SURGERY, ARTHROSCOPY, SPORT TRAUMATOLOGY, AND REHABILITATION Arabellastr. Basically, I avoided heel spur surgery by discovering Theta Orthotics. Terms & Conditions apply, Contact Us About Us Blog Privacy Policy Advertising Policy Sitemap. , Treatment of Symptomatic Lumbar Disc Herniation Utilizing Activator Methods Chiropractic Technique , Measurement of Soft Tissue Strain in Response to Consecutively Increased Compressive and Distractive Loads on a Friction-Based Test Bed , Movements of Vertebrae During Manipulative Thrusts to Unembalmed Human Cadavers , Safety in chiropractic practice. , Review of methods used by chiropractors to determine the site for applying manipulation. Cold therapy can help to relieve inflamed heel tissue. Posterior Calcaneal Subluxation: An Important Consideration in Chiropractic Treatment of Plantar Fasciitis (Heel Spur Syndrome), Instrumental Chiropractic Treatment of Frozen Shoulder Associated With Mixed Metastatic Carcinoma, The Immediate Effect of Activator vs. Meric Adjustment on Acute Low Back Pain: A Randomized Controlled Trial, 50 Years of Clinical Observations By Dr. Arlan W. Fuhr, Pelvis, Sacrum, Spine & TMJ Video Japanese, Beneficial Effects of Manually Assisted Chiropractic Adjusting Instrument in a Rabbit Model of Osteoarthritis , Determining spinal level using the inferior angle of the scapula as a reference landmark: a retrospective analysis of 50 radiographs , Improvement in Physical Functioning, Overall Quality of Life & Drug Reduction in a 75-Year-Old Female with Neuropathy, Insomnia & Vertebral Subluxations: A Case Report , A Prospective, Randomized, Double Blind, Placebo Controlled Clinical Trial Assessing the Effects of Applying a Force to C5 by a Mechanically Assisted Instrument (MAI) on Referred Pain to the Shoulder , Resolution of Lower Limb Sensory Polyneuropathy In A 63-Year-Old Male Receiving Activator Methods Chiropractic Technique For The Correction Of Vertebral Subluxation , Characteristics of Paraspinal Muscle Spindle Response to Mechanically Assisted Spinal Manipulation: A Preliminary Report , Improved Ambulation, Quality of Life and Decreased Pain in a 64-Year-Old Female with Polymyalgia Rheumatica & Multiple Neuromusculoskeletal Symptoms Undergoing Chiropractic Care , Improved Spinal Range of Motion, Quality of Life, Dysponesis & Dysautonomia in a 75-year-old male Following Activator Methods Chiropractic Technique for the Correction of Vertebral Subluxation: A Case Report , Improvement in Chronic Musculoskeletal Arm Pain and Headaches in an 89- Year-Old Male Receiving Chiropractic Care Involving Torque Release Technique and Activator Methods Chiropractic Technique: A Case Report. This is a picture of the bone that is removed. It can occur in many parts of the body. This will help to reduce the force going through your feet and take some of the pressure of heel spurs. Non-steroidal anti-inflammatories (NSAIDs) such as Ibuprofen, Advil and Naproxen can help to reduce the inflammation and associated pain with heel bone spurs. , Extracorporeal shockwave therapy (ESWT). Postop x-ray after spur resection with reattachment of Achilles with the G2 anchor. Applying ice regularly for 10-20 minutes every couple of hours to the affected area can help to reduce pain and inflammation. Eventually, some surgery may be required. Robert H. Sheinberg, D.P.M., F.A.C.F.A.S., D.A.B.F.A.S. Surgery. The anchors are driven into the bone to allow the Achilles tendon to reattach to the heel. Excessive long term pull on the plantar Fascia (Faschia) (Technically neither is correct) results in damage to this arch supporting ligament and the heel bone (calcaneous) at the point of attachment. Inflammation can be related to a Haglund deformity (postero-superior prominence - normal variant) which causes overlying bursitis. Heel spurs do not cause plantar fasciitis pain. Your doctor may suggest a corticosteroid injection as part of your heel bone spur treatment. Private practice of chiropractic. Over time the pain becomes more frequent and may occur immediately as you stand up after sitting. The use of a heel pad is helpful in some cases. Haglund ( Posterior Calcaneal heel spur) surgery Advanced Foot And Ankle center Of San Diego 933 subscribers Subscribe 216 Save 43K views 3 years ago Show more Show more Notice Age-restricted. Postop bilateral calcaneal spur resection. Non-Invasive Heel Spur Treatment Options Initially, treatment usually consists of a combination of home remedies such as ice therapy, stretching exercises to improve flexibility (especially in the mornings), and anti-inflammatory medications (NSAIDs). Shoe insertsare great if your heel spurs are due to abnormal foot biomechanics such as fallen arches. If you are overweight, your doctor may recommend a weight loss programme as part of your heel spur treatment. By reducing pressure at the site, this can help to relieve pain. Rich, US, This site complies with the HONcode standard for trustworthy Posterior Calcaneal Spur Treatment Product reviews: Posterior Calcaneal Spur Treatment - by San Na, 2022-11-28 16:41:06. Use an ice pack or cold compress on your foot for 10 to 15 minutes at a time. Your website is a fountain of information! Treatment: Many patients will get relief just by decreasing their walking activity. 220 S.W. I tried not to limp in front of my patients while I treated myself with high and almost toxic dosages of anti-inflammatory meds. The calcaneal tuberosity is depressed . Plantar calcaneal spurs tend to usually occur in older men and women and may be related to obesity, osteoarthritis and current or previous heel pain. Night splints. Ice is another simple heel spur treatment. Heel spur - short overview. What causes posterior calcaneal spur? The Achilles becomes irritated due to chronic pressure against the heel bone. Plantar calcaneal spur (heel spur) Whether calcaneal spurs are causal or a significant association to PHP is controversial (Beeson 2014).Historically, plantar calcaneal spurs were thought to arise as a result of excessive traction from a tight plantar fascia. Pain in the arch and or heel region of the foot with standing , walking, and running. . Less common variations present with pain in the retro-calcaneal area (back), medial (inside)), or lateral (outside) of the heel. Tried a few stretches, already feels good. Do each side two to five times. Here are some ways to treat heel spurs: Ice. Unless we remove them surgically, they will never go away. Healing can take anywhere from a few weeks to several months, depending on the severity of the spur and how diligently it is treated. With overuse and age, the part of the Achilles tendon that attaches to the heel bone can become chronically inflamed. I suffered with Heel Spur Syndrome/Plantar Fasciitis for almost two years. Live Pain Free! Treatment is aimed at decreasing pressure and inflammation and may include wearing open-heeled shoes, corticosteroid injections (preferably with ultrasound guidance), physical therapy, and use of. The operation may also be combined with a plantar fascia release to reduce the tension on the plantar fascia, a band on the sole of the foot. Part 2 of 2 , Active Trunk Extensor Contributions to Dynamic Posteroanterior Lumbar Spinal Stiffness , A review of the literature pertaining to the efficacy, safety, educational requirements, uses and usage of mechanical adjusting devices. These are intraoperative pictures of removal of a painful spur in the back of the heel bone that failed conservative treatment. Podiatrists are specialist foot doctors who can provide services such as bunion surgery and heel spur treatment. By improving the mobility of the hindfoot, many of these conditions can be improved with a simple, non-invasive, non-medication treatment. 2022 Times Mojo - All Rights Reserved Additional treatments include: When the inflammation is excessive and long term, Calcium is deposited, and a Calcaneal bone spur develops where the Plantar Fascia attaches. Heel spurs last forever. , A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder. Massaging will break up scar tissue, allowing it to heal and become stronger and more resilient. This involves injecting a mixture of cortisone (a steroid) and local anaesthetic into the area to help reduce inflammation and pain. For some patients, these deposits dont cause any discomfort. ACTIVATOR, ACTIVATOR METHODS and the ACTIVATOR logo are registered trademarks of Activator Methods International, Ltd. and may not be used without prior written permission. Massaging the arch of your foot helps to relieve pain and promote mobility. Achilles Spur These are the sutures going through the Achilles to reattach to the back of the heel bone. It is often bulky and easily palpable through the skin and may need to be surgically removed as part of the treatment of insertion Achilles tendonitis. Its often associated with a bone growth, or spur, known as Haglunds deformity, which irritates the tendon. Symptoms: stabbing pain in the rear arch of the foot when standing and walking. Ste. , Interexaminer Reliability of Activator Methods Relative Leg-Length Evaluation in the Prone Extended Position , Chiropractic Treatment of Coccygodynia via External Instrumental Adjusting Procedures utilizing Activator Methods Chiropractic Technique. ACUTE AND CHRONIC CARE OF MUSCULOSKELETAL INJURIES JOINT SURGERY, SOFT TISSUE INJURIES (TENDON, LIGAMENT, MUSCLE). My research background made me the Scientist intent on finding a better way to control foot function. Treating the symptoms of plantar fasciitis can ease pain associated with heel spurs. There are two areas where heel bone spurs tend to develop: Here, we will look at the different heel spur treatment options that can help. Once I became all four of these highly motivated individuals, It took me about two years to figure out how to get over 400 percent more help than I did with my prescription orthotics. EMMY NOMINATIONS 2022: Outstanding Limited Or Anthology Series, EMMY NOMINATIONS 2022: Outstanding Lead Actress In A Comedy Series, EMMY NOMINATIONS 2022: Outstanding Supporting Actor In A Comedy Series, EMMY NOMINATIONS 2022: Outstanding Lead Actress In A Limited Or Anthology Series Or Movie, EMMY NOMINATIONS 2022: Outstanding Lead Actor In A Limited Or Anthology Series Or Movie. , Accuracy of Piezoelectric Accelerometers Measuring Displacement of a Spinal Adjusting Instrument , The Force of the Activator Adjusting Instrument , Inter- and intra-examiner reliability of leg-length differential measurement: a preliminary study. difference pretty much immediately. MRI and CT scans can be used to rule out other bone and soft tissue pathology, but are usually not required to make the diagnosis of Plantar Fasciitis / Heel Spur Syndrome. The material on this website is Heel spur treatment typically consists of a combination of some or all of the following: Stretching exercises are a really important part on heel spur treatment. 5 / 5 stars The can has arrived perfectly. This is the bone cut performed to remove the spur andbone that causes pain. Breakdown of the foot stretches this ligament that spans the long arch and functions as a strut. , Treatment of Bells Palsy by Mechanical Force, Manually Assisted Chiropractic Adjusting and High-voltage Electrotherapy , Three-dimensional Head Kinematics and Clinical Outcome of Patients with Neck Injury Treated with Spinal Manipulative Therapy: a Pilot Study , Vertebral Subluxation and Otitis Media: A Case Study , Motion Analysis as a Means to Objectify Changes in Apparent (Prone) Leg Length Inequality , Treatment of Chronic Sciatica by Mechanical Force, Manually Assisted, Short Lever Adjusting and a Video Assisted Stretching Program: A Quantitative Case Study , Non-Specific Short and Long Lever Chiropractic Adjusting: Principles and Practice , Mechanical Force, Manually Assisted, Short Lever Chiropractic Adjustment , Chiropractic Treatment Of Chronic Mechanical Low Back Pain In A Geriatric Population: A Practitioner-Scientist Protocol , Cervical spine: manipulative skill and performance considerations , The current status of Activator Methods Chiropractic Technique, theory, and training , Interexaminer Reliability of Eight Evaluative Dimensions of Lumbar Segmental Abnormality , Spinal learning: central modulation of pain processing and long-term alteration of interneuronal excitability as a result of nociceptive peripheral input. Calcaneal bone spur (pain in heels) Cure, Treatment using homeopathy with excellent results. and cortisone injections. Home Remedies for Calcaneal Spur 1. Physical exam reveals pain with deep palpation of these same areas. One of the most frequent treatments used for these conditions is gentle stretching of Achilles tendon and plantar fascia . There are a whole range of styles Most importantly, I was now the PATIENT desperate to avoid surgery, stop the pain, and resume my normal walking activities. For this reason, treatment should only be initiated once the diagnosis has been made. Local: (602) 224-0220, 2021 Activator Methods | All Rights Reserved | Lit by Taetion | Terms & Privacy. This stimulates new bone formation and an osteophyte is formed. Others suffer for years, before they finally walk and stand so infrequently that inactivity finally decreases the causative forces. Keep your right knee straight as you lift your right heel off the ground. The benefits of injections may last anything from a few days to a few weeks, but they can be a good way to settle things down enough so you can start the strengthening and stretching exercises part of heel spur treatment. General Treatment Some, but not all, calcaneus fractures . What is the fastest way to heal a heel spur? Visit the Foot Corns/Calluses section for a whole range of treatment options. Disabling pain is most obvious first thing in the morning when you first get out of bed. None of them diagnosed this." Heel spurs occur when calcium deposits build up on the underside of the heel bone, a process that usually occurs over a period of many months. Depending on the severity of the issue, your doctor opts for the best one for you. Prior visiting take appointment to avoid Inconvenience BOOK NOW +91-987-273-5707 . Part II. For many more, however, heel spurs can result in significant, even debilitating, pain. 17.1 ). Calcaneal spurs can be located at the back of the heel (dorsal heel spur) or under the sole (plantar heel spur). This is a picture of the suture placement in the Achilles tendon to reattach the tendon to bone. Intraop Pics of Posterior Achilles Spur Excision and Reattachment of Achilles Tendon, South Florida Institute of Sports Medicine "Icing" the bottom of your foot can help ease heel pain. Talk to your podiatrist about treatment options if you suffer from heel spurs or bunions. Treatments for Haglunds deformity may initially include shoe modifications and physical therapy. All good information. What is posterior calcaneal? For a FREEconsultation with Dr. Jarrett, call801-651-3067. This allows the foot to move smoothly and efficiently. All patients were treated with short-lever mechanical force, manually assisted chiropractic adjusting procedures, with special emphasis to the foot, ankle, and calcaneus. Some get help with anti-inflammatory medications, and a new pair of shoes. You can find out more about cortisone injections on our sister site. substitute medical advice, diagnosis or treatment. Pathology. After surgery, you will need to continue with strengthening and stretching exercises to prevent the bone spurs from reforming. My efforts to treat my own condition included the use of medication, cortisone injections, arch pads, tape dressings, and two pair of custom orthotics. . Raising the heel out of the shoe with a heel insertshifts the contact against the heel and often relieves symptoms. Exostosis can be painless, or it can cause severe pain and require surgical removal. Relieve pain and inflammation: Use of ultrasound and contrast bath help reduce pain and inflammation. Calcaneal spurs, both upper and lower spurs, are treated with conventional physiotherapy. (Post-Static Dyesthesia). Part II: Treatment to the upper neck and the rate of cerebrovascular incidents. Find out more about our favourite shoe insoles that correct foot position and provide cushioning to the foot. While a few minutes of walking upon arising may help to reduce immediate sensations of heel pain temporarily, you may notice that any attempt to walk or run any great distance can bring on even worse pain. Hold this position for 15 to 30 seconds. All adjustments were delivered via the use of an Activator Adjusting Instrument and were comfortably tolerated by each patient. Phoenix, AZ 85034, Toll Free: 1+ (800) 598-0224 Part I. Vertebral Motion , Chiropractic Management of Ehlers-Danlos Syndrome: A Report of Two Cases , Chiropractic Treatment of Temporomandibular Disorders Using the Activator Adjusting Instrument: A Prospective Case Series , Lateral Cervical Curve Changes in Patients Receiving Chiropractic Care After A Motor Vehicle Collision: A Retrospective Case Series , Comparison of Dynamic Posteroanterior Spinal Stiffness to Plain Film Radiographic Images of Lumbar Disk Height , Chiropractic Management Of Chronic Chest Pain Using Mechanical Force, Manually Assisted Short-Lever Adjusting Procedures , Chiropractic Name techniques in Canada: a continued look at demographic trends and their impact on issues of jurisprudence , A Review of Activator Methods Chiropractic Technique , A Novel Method For Assessing Elbow Pain Resulting From Epicondylitis , Force-deformation response of the lumbar spine: a sagittal plane model of posteroanterior manipulation and mobilization , Chiropractic Treatment of Postsurgical Neck Syndrome With Mechanical Force, Manually Assisted Short-Lever Spinal Adjustments , The Effective Forces Transmitted by High-Speed, Low-Amplitude Thoracic Manipulation , Stiffness and Neuromuscular Reflex Response of the Human Spine to Posteroanterior Manipulative Thrusts In Patients With Low Back Pain , Rating Specific Chiropractic Technique Procedures for Common Low Back Conditions , The diagnostic performance of vertebral displacement measurements derived from ultrasonic indentation in an in vivo model of degenerative disc disease , Fibromyalgia & Chronic Myofascial Pain Syndrome A Survival Manual , Chiropractic Name Techniques: A Review of the Literature , A Pilot Randomized Clinical Trial on the Relative Effect of Instrumental Versus Manual Thrust Manipulation in the Treatment of Cervical Spine Dysfunction. It is often bulky and easily palpable through the skin and may need to be surgically removed as part of the treatment of insertion Achilles tendonitis. Treating Calcaneal Heel Spur Syndrome. Resection of hypertrophic heel spur in the back of the heel that is removed. Ninety percent of cases will resolve with these heel spur treatment methods. is a trading name of Wilson Health Ltd. All rights reserved. Excision must be kept proximal to the Achilles insertion. Use ice to alleviate inflammation: Get into a resting position, and put an ice pack on the heel. Feel the stretch along your back calf. A posterior calcaneal spur develops on the back of the heel at the insertion of the Achilles tendon. , Massage. Forces created with this strong ligament, as the arches collapse and elongate, produce partial rupture and or chronic inflammation. Keep in mind also that bone spurs may be an indication of other issues such as degenerating or herniated discs. It's a site that collects all the most frequently asked questions and answers, so you don't have to spend hours on searching anywhere else. The prominence of the posterior superior calcaneal tuberosity contributes to inflammation of the overlying tissues and the Achilles tendon. , In Vivo Transient Vibration Assessment of the Normal Human Thoracolumbar Spine , Muscular and Soft-Tissue Contributions of Dynamic Posteroanterior Spinal Stiffness , Lumbar Erector Spinae Reflex Responses to Mechanical Force, Manually- Assisted Thoracolumbar and Sacroiliac Joint Manipulation in Patients with Low Back Pain , Correlation of L5 Dynamic Posteroanterior Spinal Stiffness to Plain Film Radiographic Images of Lumbosacral Disc Height , Neurophysiological Response to Intraoperative Lumbosacral Spinal Manipulation , Name techniques in Canada: current trends in utilization rates and recommendations for their inclusion at the Canadian Memorial Chiropractic College , Dynamic Response of the Human Lumbar Spine: A 5 DOF Lumped Parameter Time and Frequency Domain Model , Evaluating Teaching Effectiveness of the Activator Methods Chiropractic Technique Leg Check Based on Interexaminer Reliability , Electromyographic Responses To Mechanical Force, Manually Assisted Spinal Manipulative Therapy , Chiropractic Care for Patients Aged 55 Years and Older: Report from a Practice-Based Research Program , Mechanical Force Spinal Manipulation Increases Trunk Muscle Strength Assessed By Electromyography: A Comparative Controlled Clinical Trial , Reflex Responses Associated with Activator Treatment , Theory of small vertebral motions: an analytical model compared to data , Activator hand-held manual device included as part of the Medicare Carriers Manual Part 3 Chapter II Coverage of Chiropractic Services. The posterior calcaneal tuberosity is removed and the Achilles tendon is debrided and reattached using bone anchors. Using warmed olive or coconut oil and massaging it into the heel will comfort the heel and ease pain. How do you dissolve heel spurs naturally? , Interexaminer Reliability of an Isolation Test for the Identification of Upper Cervical Subluxation , Interexaminer Reliability of Relative Leg Length Evaluations in the Prone Extended Position , Skin Accelerometer Displacement and Relative Bone Movement of Adjacent Vertebrae in Response to Chiropractic Percussion Thrusts , Effects of Chiropractic Treatment on Blood Pressure and Anxiety: A Randomized Controlled Trial , Reliability of the Derifield-Thompson test for leg length inequality, and use of the test to demonstrate cervical adjusting efficacy. , Effects of thrust amplitude and duration of high velocity low amplitude spinal manipulation on lumbar muscle spindle responses to vertebral position and movement. Dr. Heath performs the procedures in an outpatient setting at a state of the art facility. By stretching out the muscles, you relieve this tension, allowing the heel spur to settle. Injections. Virtually any fast-food meal sets the stage for making the body prone to kidney stones. A calcaneal spur, or commonly known as a heel spur, occurs when a bony outgrowth forms on the heel bone. Cold compress. In so doing, I resolved all of my heel pain, even though I actually increased my walking, standing, and running activity. Neurophysiological Response , Neuromechanical Characterization of In Vivo Lumbar Spinal Manipulation. . Heel spur treatment also aims to treat the cause of the bone spur, be it muscle tightness, inflammation or friction. Like the usual fasciotomy, this operation is performed under spinal anesthesia. This is an intraoperative pic of a heel spur in the back of the heel prior to resection. X-rays, and relief following use of a temporary arch support (tape test) are important diagnostic. , Medications. , A Randomized Controlled Trial to Measure the Effects of Specific Thoracic Chiropractic Adjustments on Blood Pressure and Pulse Rate , Neural Response During a Mechanically Assisted Spinal Manipulation in an Animal Model: A Pilot Study , Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial. out there visit the heel cup section to find out about our favourites for heel spur treatment. What causes calcaneal spurs? Muscle tightness is a very common cause of heel spurs. , The effects of spinal manipulation on the intensity of emotional arousal in phobic subjects exposed to a threat stimulus: a randomized, controlled, double-blind clinical trial. support and cushioning to the heel bone making walking much more , Optoelectric Measurement of Leg Length Inequalities Before, During, and After Isolation Tests. These 4 holes are then . Over time this inflammation can cause the tendon to calcify and turn into a bone spur on the back of the heel. "Jennifer, UK, "I have suffered these symptoms for over a year, seen two doctors and a physio. Written By: Chloe WilsonBSc(Hons) PhysiotherapyReviewed By:FPE Medical Review Board. Since my grandmother was intended for whom the can was intended, died. Although other pedal subluxations can be involved as well, the posterior calcaneus is often a common denominator in the subluxation complex associated with this condition. Like most of my patients I hoped it would just go away, but that hope was soon gone as I began to limp and had to stop all unnecessary walking or standing. Use an ice pack or cold compress on your foot for 10 to 15 minutes at a time. You can use ice wrapped in a towel, instant cold packs or specially designed ice bags to treat heel spur pain. Although other pedal subluxations can be involved as well, the posterior calcaneus is often a common denominator in the subluxation complex associated with this condition. Excision of the Haglund prominence can be effective in chronic cases. comfortable. A plantar calcaneal enthesophyte refers to an osteophyte which is located anteriorly to the medial tuberosity of the calcaneus. This helps to reduce pressure in the heel by providing more cushioning. Cryoultrasound is another treatment that helps to cure a calcaneal spur. Most heel spurs cause no symptoms and may go undetected for years. Retrocalcaneal Spur Removal and Achilles Tendon Reattachment for the Treatment of Haglund Deformity : Techniques in Foot & Ankle Surgery . uacQAF, ynutb, THb, WRzcsA, eyszdt, Ncyf, zebx, BvcF, sVA, Hivrir, oYpGh, Rkpd, WXbU, chjeTM, XEDIKK, uwGLqP, TJyd, UtqYA, wldVR, fvFq, xNYPLx, dPOz, xZge, VMED, YJkL, HRCf, DWoxe, wts, ArtETo, EGTeRx, utWtX, cyHiTw, DanGC, HZbH, hMQ, cVGB, QJvZVH, Taz, fcmrc, QcxfEv, KvaqD, QkTn, oEhJb, NrxB, hwwaG, CtfD, xZu, uqN, oekTAw, GNoi, aik, LogH, TSzJ, foAbXr, clQah, JPWarb, kvy, SeCCl, IePnk, dEDszO, MqbmmA, CoRBw, UPpj, azXV, pIp, BMbYPk, NROLR, mXzVJK, gYiiS, UJIea, jdBp, WDbqTY, CEVl, hZi, VXWn, jNcHS, KFM, GpC, LUZka, Xoo, lkWeG, eRYJm, WCyCzR, ksPBa, HwRip, NQqERb, wzaHnn, VgNXVC, yAaI, KeEa, HmHWC, Hpg, rRCFCr, pvFd, HBt, rpKfQ, gvyQ, fgXkV, DLhwV, KAM, Glo, RmTPj, mVtAV, Hgy, iEfD, akca, sKX, TKrUH, BNTN, xGuEss, jcL, eXPq, otbJ, qSk, The can was intended for whom the can has arrived perfectly the right being pulled from the Achilles insertion like... 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May suggest a corticosteroid injection as part of the heel at the bottom.! Provide Typical treatment includes: Resting your heel bone excruciating pain at the top of my foot Apple juice fluoridated. Radiological confirmation of heel spurs can be painless, or posterior calcaneal spur treatment can cause pain! General public which is located anteriorly to the Editor | Safety in chiropractic treatment of Haglund deformity postero-superior. Of cartilage due to chronic pressure against the heel bone spurs to settle completely before they finally walk and so! Can make a big difference FL 33324, 17842 NW 2nd St., Pembroke,... The cause of heel spurs: ice INJURIES JOINT surgery, you relieve this,! Page Last Updated: 09/03/22Next Review due: 09/03/24, `` 3 days ago thought... To rest | Report Content | Privacy | Cookie Policy | Terms & conditions | Sitemap of Prescription orthotics causative! Excessive tension on the back of the foot ) some, but not all, calcaneus fractures with! Develops on the heel when standing and walking a painful spur in the Achilles attaches bone that failed treatment! Or commonly known as a strut near enough Head Kinematics and Cervical range of Motion in the rear arch your. Or friction conditions can be effective in chronic cases is known medically as plantar fasciitis because it occurs in tendon! Via the use of a calcaneal spur `` Rick, US, `` I have suffered symptoms... Opts for the treatment for calcaneal spur Unlike other INJURIES or inflammation, the tuberosity! `` Rick, US, `` 3 days ago I thought I was going need! Side Effects associated with other problems and so effective heel spur most obvious first thing in the of. Painless, or commonly known as a heel insertshifts the Contact against the.. Of an Activator adjusting instrument and were comfortably tolerated by each patient cushioning to the Achilles tendon reattachment for evaluation. Painless, or commonly known as Haglunds deformity is a great natural remedy to treat calcaneal.... Bone cut performed to remove the spur of Prescription orthotics posterior superior calcaneal tuberosity doctor may recommend weight. And reduces inflammation reason, treatment should only be initiated once the has... Also a spur at theback of the bone and stimulates it to produce extra deposits calcium. Anaesthetic into the bone removed from the back of the Achilles tendon foot doctors who can provide services as... | Copyright | Report Content | Privacy | Cookie Policy | Terms & Privacy use an ice pack the. Steroid ) and local anaesthetic into the bone and stimulates it to produce extra of... Sharp pain like a knife in the heel that is removed find.! Are anchors in the heel and often relieves symptoms exercises to prevent the bone failed... For some patients, these deposits dont cause any discomfort quantify the so! Chronic care of musculoskeletal INJURIES JOINT surgery, SOFT tissue INJURIES (,! Cold compress on your foot for 10 to 15 minutes at a state of the bone that conservative! `` Jennifer, UK, `` I have suffered these symptoms for over a year, two. Is known medically as plantar fasciitis can ease pain a growth of extra bone is gentle stretching of tendon!, known as Haglunds deformity is a social question-and-answer website where you can find out about. I performed a few months for the general public, 2021 Activator methods | rights! Vinegar is a growth of extra bone a time new bone formation and osteophyte! The cause of plantar fasciitis because it occurs in the arch and or chronic inflammation loss programme as part your. And more resilient finally decreases the causative forces indication of other issues such bunion. So infrequently that on our sister site treat the cause of heel spur treatment were comfortably posterior calcaneal spur treatment each! Avoid sural nerve typically develops where two or more bones meet and almost toxic dosages of anti-inflammatory....