🦶 Heel Spur vs Plantar Fasciitis Differential Simulator

The Heel Spur — A Radiographic Bystander

Placeholder: shpora chasto z'yavlyayetsya na znimku vypadkovo.

• ~1 in 10: Seen on X-ray (placeholder stat)
• Minority: Symptomatic cases (placeholder stat)
• Calcaneal tuberosity: Typical location (placeholder stat)
• Often none: Clinical action needed (placeholder stat)

What the X-ray actually shows

Placeholder: kistkovyy vyrist bez pryamoho zv'yazku z bolem.

How Common Are Heel Spurs Without Pain?

Placeholder: bagato lyudey mayut shpory i niyakoho болю.

• ~50%: Asymptomatic spurs (placeholder stat)
• High share: Pain-free carriers (placeholder stat)
• Increases w/ age: Age correlation (placeholder stat)
• Common: Bilateral finding (placeholder stat)

Prevalence data overview

Placeholder: poshyrenist shpory ne zbigayetsya z poshyrenistyu болю.

Plantar Fasciitis as a Separate Inflammatory Process

Placeholder: zapalennya fastsiyi maye vlasnu nezalezhnu dynamiku.

• Microtears: Main driver (placeholder stat)
• Overuse/load: Risk factor (placeholder stat)
• Independent of spur: Onset (placeholder stat)
• Fascia thickening: Imaging marker (placeholder stat)

Mechanism of fascia inflammation

Placeholder: povtoryuvane navantazhennya zapalyuye fastsiyu okremo.

Pain Tracks Inflammation, Not Spur Size

Placeholder: rіven болю zminyuyetsya z zapalennyam, ne zi shporoyu.

• Weak (r≈0.1): Correlation w/ spur (placeholder stat)
• Strong: Correlation w/ inflammation (placeholder stat)
• Frequent: Pain without spur (placeholder stat)
• Frequent: Spur without pain (placeholder stat)

Scatter evidence against causation

Placeholder: rozkyd tochok pokazuye vidsutnist pryamogo zv'yazku.

Treat the Fascia, Not the Spur

Placeholder: klinichnyy vysnovok — shpora ne е prychynoyu.

• Plantar fascia: Recommended target (placeholder stat)
• Rarely: Spur removal need (placeholder stat)
• Stretching/rest: First-line therapy (placeholder stat)
• Not causal: Causal role of spur (placeholder stat)

Clinical takeaway

Placeholder: likuvannya spryamovane na fastsiyu, ne na kistku.

Placeholder: shpora — suputnya znakhidka, ne dzherelo болю.