Bone Spurs After Tibia and Fibula Fractures - Orthopedics

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Fracture of the right calf?


Hello Doctor: I had a surgery for a fracture of the tibia and fibula in my right lower leg due to a car accident, and it has been almost two months since then.
Two weeks ago, I noticed pain when touching the back of my right heel.
After consulting my orthopedic surgeon, I was informed that I have developed bone spurs.
Could you please tell me if the bone spurs are a result of the immobility caused by the fracture from the car accident? What methods can improve this condition? My orthopedic surgeon mentioned that he would teach me some exercises once my fracture has healed, but I feel increasingly uncomfortable and experience pain when lying down and touching the area...
Thank you.

Chen, 30~39 year old female. Ask Date: 2017/07/29

Dr. Shi Guozheng reply Orthopedics


Heel pain may occur due to prolonged pressure on the heel while lying down or resting the foot on a flat surface, leading to localized tissue inflammation.
Typically, heel spurs on the calcaneus cause pain during walking or running.
Elevating the calf with a pillow can help prevent the heel from directly contacting the bed or floor.
Additionally, performing some ankle joint exercises may be beneficial.

Reply Date: 2017/07/29

More Info


Bone spurs, or osteophytes, are bony projections that develop along the edges of bones, often where bones meet each other in the joints. They can occur in various locations in the body, including the spine, shoulders, hands, hips, knees, and feet. In your case, the development of bone spurs after tibia and fibula fractures can be attributed to several factors related to your injury and subsequent healing process.

When a bone is fractured, the body initiates a healing response that involves inflammation, new bone formation, and remodeling. This process can sometimes lead to the formation of bone spurs, especially if there is abnormal stress on the joint or if the joint is not moving as it should. In your situation, the limited mobility following your fractures may have contributed to the development of these spurs. When a joint is immobilized for an extended period, the surrounding tissues can become stiff, and the normal range of motion can be compromised. This can lead to compensatory changes in the joint mechanics, which may promote the formation of bone spurs.

Additionally, bone spurs can develop as a response to joint degeneration or wear and tear, which is often exacerbated by inactivity. If the joint surfaces are not moving smoothly against each other, the body may respond by laying down extra bone in an attempt to stabilize the joint, resulting in spurs.

To address your concerns about the pain you're experiencing when touching the area around your heel, it's essential to consult with your orthopedic surgeon or a physical therapist. They can assess the extent of the bone spurs and determine whether they are contributing to your discomfort. Here are some potential strategies that may help alleviate your symptoms and improve your condition:
1. Physical Therapy: Once your fractures have healed sufficiently, a physical therapist can guide you through exercises designed to improve flexibility, strength, and range of motion in your ankle and foot. This can help reduce stiffness and discomfort associated with bone spurs.

2. Pain Management: Over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can help manage pain and inflammation. However, it's crucial to consult your doctor before starting any medication.

3. Activity Modification: Avoiding activities that exacerbate your pain is essential. If certain movements or positions cause discomfort, try to modify your activities to reduce stress on the affected area.

4. Orthotic Devices: Custom orthotics or supportive footwear may help redistribute pressure away from the painful area and provide better support for your foot and ankle.

5. Injections: In some cases, corticosteroid injections can help reduce inflammation and pain associated with bone spurs. This option should be discussed with your orthopedic surgeon.

6. Surgical Intervention: If conservative treatments do not provide relief and the bone spurs significantly impact your quality of life, surgical options may be considered to remove the spurs.

It's important to remember that healing from fractures and associated complications like bone spurs can take time. Regular follow-ups with your orthopedic surgeon are crucial to monitor your progress and adjust your treatment plan as needed. As you recover, be patient with your body and allow it the time it needs to heal properly. If your symptoms persist or worsen, do not hesitate to seek further evaluation and treatment.

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