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February 4, 1939


JAMA. 1939;112(5):423-424. doi:10.1001/jama.1939.62800050002009b

Painful heels have for purposes of treatment been classified into those cases in which a calcaneal spur can be demonstrated roentgenographically and those in which no spur is present. In most cases in which no spur is demonstrable, relief is obtained by the use of well fitting supports applied to the plantar area of the foot which relax the structures. In those cases in which a calcaneal spur can be demonstrated and in which there is pain (many cases of calcaneal spurs cause no symptoms) treatment has been both conservative and radical. The conservative treatment consists of avoidance of weight bearing as well as the use of certain types of heels, shoe correction and the use of soft insoles. The radical treatment is concerned with either the surgical removal of the spur or some other method designed to remove weight bearing on the point of the spur, such as the

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