Epin Calcanei is a widely prevalent issue characterized by the formation of a bony protrusion beneath the heel bone, specifically on the plantar aspect of the foot. This prominence, commonly referred to as a spur, is frequently observed in individuals who engage in walking or running activities on rigid surfaces while wearing shoes with firm soles, as well as in older individuals with advanced age-related joint degeneration. Additionally, it is prevalent among individuals who are overweight, those who endure prolonged periods of weight-bearing activities, and individuals with certain rheumatic disorders. Notably, the condition manifests as pain upon applying pressure to the heel on the plantar surface of the foot.
The management of epin calcanei entails the utilization of centrally perforated heel pads or the excavation of the area beneath the shoe’s heel, alongside the administration of analgesic and anti-inflammatory drugs to alleviate inflammation. In cases where pain persists despite these conservative measures, corticosteroid injections are administered directly into the region of the heel where the bony protrusion is present. If pain relief remains elusive, surgical intervention becomes necessary to excise the protrusion.
