Opening the Donguibogam library...
Opening the Donguibogam library...

This content is a carefully translated version of traditional Korean medical records (Donguibogam) and its modern interpretations. While prepared by specialized medical translators, it is provided for informational purposes only. Please consult a qualified healthcare professional before making any health decisions.
Why are we experiencing this pain?
"Every morning when you step out of bed, do you feel a sharp jolt in your heel? Wondering if it might be plantar fasciitis, you went to the clinic only to be told an X-ray shows a bone spur. Aside from the pain itself, were you left feeling lost and worried about what this bone spur actually is and what you should do about it?"

How does modern medicine explain this calcaneal spur? When this spur is found on an X-ray, many people assume that the bone spur itself is the direct cause of their foot pain. In fact, that is often not the case. The precise medical term for this bone spur is calcaneal spur, and in many instances, rather than being the main culprit of heel pain, it is an outcome resulting from another underlying issue. Most heel pain starts from plantar fasciitis. The plantar fascia is a thick, strong fibrous band on the sole of the foot that plays a vital role in supporting the arch of the foot and absorbing shock. However, when this plantar fascia is subjected to excessive stress or repetitive micro-trauma, inflammation develops and degenerative changes occur, triggering pain. It commonly appears in people who stand for long periods, walk a lot, or run, as well as those who are overweight or wear ill-fitting shoes. Why does a bone spur form? When repetitive pulling and inflammation occur continuously at the site where the plantar fascia attaches to the calcaneus, the body attempts to repair the damaged area on its own. In this process, bone-forming cells are activated and calcium is gradually deposited, forming a spur like a small bone fragment where the plantar fascia meets the bone. In other words, a bone spur is often a secondary change that appears when plantar fasciitis has been present for a long time and has become chronic. Interestingly, seeing a bone spur on an X-ray does not necessarily mean there is pain, and in about 10 to 20% of patients who experience pain, a bone spur is not visible at all. Conversely, it is also common to have a bone spur and feel no pain. The key factor is not the bone spur itself, but the chronic inflammation and stress that prompted the bone spur to form. Modern medicine uses various methods to relieve pain caused by plantar fasciitis and bone spurs. Along with sufficient rest, cold compresses are used to calm acute inflammation, and anti-inflammatory analgesics may be taken. The most important step is stretching. Consistently stretching the calves and the plantar fascia reduces the tension placed on the tissue. Wearing insoles that properly support the arch of the foot or well-cushioned shoes is also helpful. Physical therapy or extracorporeal shockwave therapy can provide relief, and when pain is very severe, steroid injections may be considered. Surgery is performed only in extreme cases that do not respond to conservative treatment. Ultimately, whether a bone spur is present or not, the key is to relieve tension in the muscles of the soles and calves and manage inflammation to reduce the mechanical burden on the feet. Because the body is interconnected, maintaining a comprehensive perspective that looks beyond the foot alone is essential.

2 steps you can take right now

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Heel pain occurs because kidney qi is weak, or because the energies of wind, cold, dampness, and heat congest and become blocked.
We analyze Heo Jun's 'Donguibogam', a UNESCO Memory of the World, using modern data science and AI. Our goal is to reinterpret the wisdom of traditional medicine hidden in ancient texts to suit the lifestyles of busy modern people and deliver it in an easy-to-understand way.
Caution (Disclaimer): This content is for providing health information based on historical literature and cannot replace medical diagnosis and treatment. If you have any health problems, please consult a specialist (doctor/oriental medical doctor).