1) The onset is slow, and generally in one side. There is pain in the heel. The pain is worsened when standing or walking after the patient gets up in the morning. After a while of walking, the pain gets relieved, and a long period of walking again makes it deteriorated. Continue to read Chinese medicine Treatment for Traumatic Arthritis.
2) Usually there is no swelling in the heel, but tenderness on the plantar aspect and lateral aspect of calcaneus. In the case of big calcaneal spur, a bony eminence will be felt.
3) X-ray film can show calcaneal hyperosteogeny, but its severity is not directly proportional to the clinical manifestations.