|Rehabilitation for bone spurs depends on the location of the bone spur as well as the extent of the condition. Individuals with bone spurs may require outpatient physical therapy to address pain and swelling, whether or not surgery is anticipated.|
The primary focus of rehabilitation is to reduce the pain associated with the spur. This can be achieved by reducing pressure on the surrounding tissue and using modalities involving heat, cold, and ultrasound as appropriate. For symptomatic spinal osteophytes causing nerve root compression, the therapist will loosen (mobilize) stiff vertebral joints, educate individuals about improving posture and body mechanics, and initiate an exercise program to restore spinal flexibility and strength.
With heel bone spurs, the therapist will reduce the pressure on the spur through activity modification and/or use of orthotics, such as heel cushions. Night splints have not been shown to reduce the pain associated with bone spurs on the heel, although they can be useful to maintain a stretch on tight plantar fascial tissues (Beyzadeoglu).
With shoulder bone spurs, the therapist focuses on improving the individual's biomechanics with reaching activities, performing joint mobilization to restore normal joint mechanics, and instructing the individual in a stretching and strengthening program to reduce muscular imbalances in the involved area.
In addition to undergoing supervised rehabilitation, the individual should be instructed in a home exercise program to be practiced daily and continued independently under a physician's supervision after the completion of rehabilitation.
FREQUENCY OF REHABILITATION VISITS
|Physical Therapist||Up to 12 visits within 6 weeks|
|The table above represents a range of the usual acceptable number of visits for uncomplicated cases. It provides a framework based on the duration of tissue healing time and standard clinical practice.|
Source: Medical Disability Advisor