Bone Spurs in the Foot: What They Are and How They’re Treated

What Is a Bone Spur?

A bone spur, also known as an osteophyte, is an extra growth of bone that develops over time. Bone spurs usually form as a response to repetitive stress, inflammation, or joint degeneration. In the foot, they often develop where bones, tendons, and ligaments meet.

Common Locations of Foot Bone Spurs

Bone spurs can occur in several areas of the foot and ankle, including:

• Heel bone (calcaneus) – commonly associated with plantar fasciitis or Achilles tendon irritation

• Top of the foot – often linked to arthritis or midfoot joint degeneration

• Big toe joint – frequently seen with arthritis or hallux rigidus

What Causes Bone Spurs in the Foot?

Bone spurs typically develop over time due to:

• Chronic inflammation

• Arthritis and joint wear

• Repetitive stress from walking, running, or standing

• Poor foot mechanics or flat feet

• Tight tendons or ligaments

• Ill-fitting footwear

Symptoms of Foot Bone Spurs

Many bone spurs are painless and discovered incidentally on X-rays. When symptoms occur, they may include:

• Localized pain or aching

• Stiffness or reduced joint motion

• Swelling or inflammation

• Pain that worsens with activity or certain shoes

• A noticeable bump or pressure point

How Bone Spurs Are Diagnosed

Diagnosis begins with a clinical exam and review of symptoms. Imaging such as X-rays can confirm the presence and location of a bone spur and help guide treatment decisions.

Treatment Options

Treatment focuses on relieving pain and addressing the underlying cause of the spur.

Conservative Treatments

Many patients improve with non-surgical care, including:

• Shoe modifications or padding

• Custom orthotics to improve foot mechanics

• Activity modification

• Anti-inflammatory measures

• Stretching and physical therapy

Surgical Treatment

If conservative care fails and pain persists, surgical removal of the bone spur may be recommended. Surgery is typically outpatient and aims to relieve pressure, restore motion, and reduce pain while preserving surrounding structures.

When to See a Podiatrist

You should seek evaluation if foot pain is persistent, limits daily activities, or worsens over time. Patients with diabetes, arthritis, or circulation issues should be evaluated early to avoid complications.

Takeaway

Bone spurs in the foot are common and often manageable with early intervention. With proper diagnosis and a personalized treatment plan, most patients can return to comfortable movement and daily activities.

Author

A.J. Solomon, DPM A.J. Solomon, DPM is a podiatric surgeon practicing at Orthopedic Foot & Ankle Institute in Henderson, Nevada. Dr. Solomon has undergone training in all scopes of foot and ankle surgery, with focuses on trauma, sports medicine, minimally invasive surgery (MIS), limb salvage and elective surgery. Dr. Solomon attended the University of Iowa for his Bachelor of Arts and Sciences. He then attended the College of Podiatric Medicine and Surgery at Des Moines University in Des Moines, Iowa, where he earned his medical degree. From Des Moines, he ventured to Philadelphia where he completed his surgical residency at Temple University Hospital. In his personal time, Dr. Solomon likes to spend his time outdoors with his wife and two dogs. His hobbies include golfing, hiking, camping and traveling.