Background: Calcaneal spur is a common musculoskeletal condition frequently identified in adults presenting with chronic heel pain, especially in individuals above 45 years of age. It is often associated with degenerative changes of the plantar fascia and prolonged mechanical stress at the calcaneal insertion. Although calcaneal spurs are easily detected on plain radiographs, their clinical relevance and demographic distribution vary across populations. Systematic evaluation of radiographic patterns and patient characteristics is essential for improving diagnostic accuracy and guiding clinical management.

Aim: To assess the demographic profile, radiographic characteristics, and clinical presentation of calcaneal spur in patients aged over 45 years presenting with heel pain.

Methods: This descriptive case series was conducted over a four-month period in the Departments of Radiology and Orthopaedics at a corporate hospital in Muzaffarpur. Forty patients aged more than 45 years with heel pain and radiographically confirmed calcaneal spur were included. Standard lateral radiographs of the calcaneum were obtained using a 500 mA X-ray unit. Data on age, gender, side of involvement, and type of calcaneal spur (plantar, dorsal, or combined) were recorded. The collected data were analyzed using descriptive statistical methods.

Results: The highest number of patients belonged to the 51–60 year age group. Female patients were more commonly affected than males. Plantar calcaneal spur was the predominant radiographic finding, followed by dorsal spur. Most patients reported long-standing heel pain, and a strong association was observed between plantar spur formation and clinical symptoms. No significant difference was noted between right and left heel involvement.

Conclusion: Calcaneal spur is a frequent radiographic finding in patients over 45 years of age presenting with heel pain, with plantar spurs being the most common type. Plain radiography serves as a simple, effective, and economical diagnostic tool. Early detection and proper clinicoradiological correlation can facilitate timely management and improve patient outcomes.

Keywords: Calcaneal Spur, Heel Pain, Plain Radiography, Degenerative Changes