What is the blockade of
This is a process of drug blockade, in which a drug is injected into the problem site using a syringe. Its action is aimed at reducing pain syndrome and removing the inflammatory process. With successful manipulation, the disease recedes for a long period, the inflammation is blocked and does not bother for many years.
To whom a prick is given with a calcaneal spur
Injections are given after unsuccessful or inconclusive treatment with conservative methods. Prolonged use of anti-inflammatory ointments, which include analgesics and antibiotics, are addictive, and the expected improvement does not occur. In addition, if the cause of plantar fasciitis was chronic illness, its aggravation would be a constant signal for aggravation of the condition.
Congenital flat feet over the years lead to a load on the heel and as a result the appearance of a spur. Since platypodia is an incurable disease, the effect of local drugs is mostly useless. The same result is caused by acquired diseases not sold for cure - diabetes, atherosclerosis. Bone growth occurs due to obstruction of blood vessels and obstructed blood flow in the foot area.
If the built-up edge emerged during the course of an infectious disease, then with medication the main problem, it will become resistant to drug therapy.
With age-related changes, conservative treatment in most cases does not help, but, on the contrary, aggravates the general condition of the patient. The disease progressing over the years and affecting the ligaments and tendons is blocked only by a prick in the heel.
The procedure is performed if the patient wishes, if the spur does not give a normal function or the patient does not want to wait for the result from the drug therapy.
How to proceed
The session should only be a qualified specialist - surgeon or orthopedist. The final result depends on the professionalism of the doctor. Only a doctor can correctly choose the drug, determine the exact area of injection, the depth of penetration of the needle. The main role of manipulation is accuracy. Before the introduction of the drug, the area is treated with an antiseptic, then the zone is anesthetized with an anesthetic or mixed with the active drug. The needle is injected into the most painful place under the control of the ultrasound machine, in order to accurately see the location of the localization and not to damage the nerves and muscle tissue. Because of the specific structure of the calcaneous part of the foot, needle insertion takes longer than a thrust in the thigh or buttock. Everyone has a different process, everything depends directly on the pain threshold of a person. Even with strong pain, you need to remember that then the pain will pass and, probably, never come back. What drugs are used to block spurs.
Anti-inflammatory steroid( hormonal) drugs are used for therapy, the mechanism of their action is aimed at suppressing chemicals of inflammatory tissues. Popular means include Hydrocortisone, Betamethasone, Flosteron, Diprospan. These drugs contain a hormone produced by the adrenal cortex or their synthetic analogs, apart from the removal of inflammation they act on the immune system that suppresses the pain syndrome. Thanks to instant absorption, local local anesthesia and prolonged action are provided.
Course of treatment
More often than not, one session is sufficient for the visible result. A single dose is administered with a solution of ice medicine or novocaine for instant analgesia of the site and the comfort of the procedure. If the pain does not pass after one session a month later, another one is held.
Advantages and disadvantages of a prick with a heel spur
The main advantage of this intervention is the direct effect on the local lesion, so the effect of treatment is increased several times compared to other methods.
Characteristics of the active substance in the composition of the drug allow maximum retention in affected tissues, thereby increasing the duration of the therapeutic effect.
From the injection of glucocorticosteroids, the spur stops development, ceases to grow. Directly on the characteristics of the patient's body and the degree of neglect of the disease depends on how many injections are necessary for effective treatment or complete recovery.
With proper procedure, only one side effect is possible - it is a strong, unbearable pain from penetrating the needle. That's why many are afraid to resort to such a method. If the manipulation technology has been broken and mistakes made, this is fraught with serious complications.
Complications and side effect of the
procedure As with any invasive blockade, there are a number of possible complications. With a needle in soft tissues, if the sanitary conditions are not observed, an infection can occur that will lead to purulent inflammation. Hematomas and even necrosis of soft tissues at the site of drug administration is the most innocuous that can be after such manipulation. Do not forget about allergic reactions of the body. The most serious complication is the rupture of the plantar fascia, which inevitably leads to disability and loss of mobility of the foot. That is why the blockade is an effective, but extremely dangerous, method of treating the heel build-up.
Contraindications for injection
Such a cardinal method is contraindicated in pregnant women and nursing mothers, people with diabetes and people prone to allergic reactions. Care must be taken to treat patients with existing cardiovascular diseases, especially with heart failure. In addition, before carrying out the manipulation, the skin of the damaged area is inspected, and the slightest changes postpone the repeated manipulation for an indefinite time.
Prevention of remission
It is impossible to hope that after one injection all problems will disappear without a trace. This is a fundamentally erroneous opinion, as the early heel spur was said to be chronic, it can not be completely overcome. Blockade only for a while gives a therapeutic effect and relieves pain. How much time will last the result can not be predicted, but in the forces of the patient that time to extend.
Observance of the doctor's recommendations is the right way to a speedy recovery. First of all, limit the load on the damaged leg, avoid long walks. It is also important to use special orthopedic insoles and comfortable shoes. In pharmacies and shops you can find a special podpyater.
It is also useful preventive massage and therapeutic gymnastics. In no case should not allow the neglect of infectious diseases and, in general, their development.
Very often people do not go to the doctor, start self-medication, resort to folk methods, which in the end do not help to solve the problem, but only aggravate it. Delaying with a professional treatment a person, causes irreversible harm to one's own health.
Heel spur: treatment with medications, ointments and other ways of fighting
However, if the disease is progressing, more drastic measures, in particular, surgery, may be needed.
Principles of treatment
The question of how to deal with spurs on the heels, arises in those who experience pain in the heel. Actually, this is the main symptom of the disease.
Externally, it does not manifest itself in any way and is usually found by X-ray examination. The spur itself is a proliferation of the calcaneus in the area of attachment of the calcaneal tendon or ligaments of the foot.
Often, bone growth is the result of flat feet or metabolic disorders. Therefore, such procedures as massage and physiotherapy, which help to restore normal blood circulation, are effective.
Means used topically, help fight inflammation and pain. They are easy to use, and they are available in all pharmacies, so many patients choose the drug treatment: the calcaneal spur does not disappear, but ceases to bother.
As the build-up causes swelling of the nearby soft tissues - thereby making itself known to the calcaneal spur and its treatment becomes necessary, as the pain while walking can be very strong.
Use of medications to combat heel spurs
When diagnosed as a spur on the heel, medication usually works well in the early stages of the disease. For treatment, use topical topical drugs and as injectable solutions. Tablets with this disease are usually included in complex therapy and serve to remove the pain syndrome.
Ointments and creams
With pain in the heel, many doctors prescribe ointments - heel spur after their application causes less pain. In this disease ointments and non-steroidal or steroid-type ointments are used. Nonsteroid drugs have anti-inflammatory effect: temporarily relieve inflammation, reduce pain.
This group of medicines is quite extensive:
- flexin( ketoprofen);
- butadion, etc.
Hormonal preparations often use hydrocortisone ointment: the heel sphincter gives less anxiety, since the agent has an effect on the state of the vessels in the area of the affected area. The course of treatment - two weeks( apply ointment twice a day).
In the pharmacy you can also purchase creams based on raw materials of plant and animal origin to relieve discomfort when walking. Among them, for example, "Shark Fat", "Golden Hens", "Orto".Cream Orto heel spur includes extracts of horseradish, lilac, hazel, volosushki, burdock, essential oils of lemon and juniper. This is a good tool for fighting leg fatigue, cracks and burrs, but from spurs cream Orto and the like do not save .
Ointment is applied to the previously steamed heel, rubbing it intensively into the skin. The duration of the treatment course should be at least two weeks( applied three times a day).At the end of the first week, the pain is already falling.
Sometimes the pain in the heel can be so strong that neither tablets nor ointments save. Then the patient is offered to make an injection in the heel joint. The procedure is performed by a surgeon two or three times.
For the success of the procedure, it is necessary to correctly calculate the dose of the drug, and also to ensure that the prick gets to the desired point. Many patients complain that the injection is painful enough. However, as practice shows, with the diagnosis of the heel spine , the heel in the heel is much more effective than the external means of .
For injections use steroid preparations, for example, diprospan. It is a hormone with a long anti-inflammatory effect.
One of the problems in patients with the disease is calcaneal spur: what to treat, if you need to often be on your feet and because of the shoes there is no possibility to use ointments. Many choose a plaster. It's enough just to stick it on the sore spot and leave it for a day.
Pain medications, antiseptics, natural ingredients are applied to the inner side of the patch. In contact with the skin, these substances favorably influence the active points. However, like any medicine, the patch has contraindications and is not allowed for use in pregnant women, and people with skin allergies and skin lesions.
When choosing a remedy for treatment, of course, you need to focus on the recommendations of specialists. Moreover, it is possible to accurately diagnose and determine the stage of the disease only after a clinical examination.
Description of treatment of calcaneal spur with diprospan
One of the methods of treating the heel spur is treatment with steroid( hormonal) drugs. They are injected directly into the heel( drug blockade is performed).
The effectiveness of the method is based on the provision of steroidal preparations of powerful local anti-inflammatory action, which, as a rule, does not take long to wait. The effect of the introduction of a steroid drug is felt by patients immediately.
Because the cause of intolerable pain in the heel is the development of inflammation in the tissues. Therefore, to achieve an anti-inflammatory effect( rather than eliminate bone growth on the heel) is the goal of treatment. The most common steroid drugs used for this purpose are kenalog, hydrocortisone and diprospan.
Description of treatment with diprospan
Diprospan is a preparation of the group of glucocorticosteroids, with an active substance called betamethasone.
To treat the calcaneal spur, diprospan is used in the form of an injection suspension or injection solution. The suspension contains, in addition to betamethasone, many more auxiliary substances. This, for example, polysorbate, sodium chlorite, nipose, Trilon B and many others.
Solution for injection contains two forms of betamethasone:A new look at the treatment of calcaneal spursHow to get rid of pain in the heel in 2 weeks? More. ..
- disodium phosphate
The first form is easily dissolved and absorbed, and the second form is absorbed more slowly, creating at the injection site a distinctive depot of the drug substance. Therefore, the therapeutic effect after the introduction of diprospan is very long( up to 10 days or more).
Because of this drug has glucocorticosteroid activity, it has three main effects:
- effect of immunosuppression( suppression of immune reactions)
The main effect after the introduction of diprospan is the elimination or significant reduction in pain in the heel. Since the drug is able to be deposited at the injection site, the effect will be prolonged. But it depends on many factors. Some patients have to do an injection of diprospan several times( two or three times).Someone after the first injection is much better. Much depends on the correctness of the procedure by a doctor, which is not very simple - you need to inject the drug in a painful place as accurately as possible.
Diprospan for the treatment of calcaneal spur is not used as often, since it is necessary to inject it directly into the heel, and not just in the heel, but in the point of the most painful. This is a very unpleasant procedure and it is resorted to after the ineffectiveness of all other conservative treatments.
For injection into the heel, use a dose of 0.5 ml. Diprospan can be administered alone or in combination with anesthetics. The second option is preferable. In this case, the steroid hormone must be mixed with an anesthetic directly in the syringe. To do this, first, 0.5 ml of diprospan is injected into the syringe, followed by an anesthetic, for example, lidocaine. The syringe should be shaken well before the start of the injection.
To whom is contraindicated diprospan
Do not use this drug in people with individual steroid intolerance. This, perhaps, is the only contraindication that absolutely excludes the possibility of using diprospan. The remaining contraindications are relative.
For example, use the drug with caution or refuse to use it when:
Heel spur - how to treat with tadition methods
Treating the calcaneal spur is aimed at the removal of inflammation
Anatomical deformation in the form of a painful bony build-up in the Achilles tendon area that hasThe shape of the beak or spine bent upwards is called the heel spur. This pathology requires timely medical attention, as it can lead to disability. Unequivocal answer to the question of how to treat the heel spur, unfortunately, no. Before starting to treat this disease, it is necessary to find out the causes of its occurrence in detail, since only after their elimination all the proposed therapeutic methods will be effective.
And now we'll figure out how to heal the heel spur with the help of conservative therapeutic techniques.
In this case, a number of drugs are used, whose action is aimed at eliminating the inflammatory process in the heel:
- Local medication is the use of anti-inflammatory creams and gels that have analgesic effect.
Recommendation: before the use of drugs in this group, the heel of the patient should be well steamed. Use gels, creams or ointments should be at least three times a day. The duration of the course of treatment is at least two weeks( even if all the painful manifestations disappear much earlier).
- Injection. This technique is recommended for patients with very intense pain.
Warning! This procedure can be trusted only by a professional who has extensive experience in performing such manipulations.
Injections with heel spur produce directly into the inflamed heel joint. In this case, most often used corticosteroid hormones.
According to experts, this method is very effective, however, to achieve a positive result, it is not enough to carry out one injection( as a rule, treatment requires 2 to 3 injections).The procedure itself is quite painful, which is why it is not very popular with patients.
- Applying a patch is one of the easiest and most enjoyable methods of treating the heel spur. The patch from the heel spur contains in its composition various natural extracts, analgesics and antiseptics.
The course of treatment - at least 16 procedures. Each patch is glued for a day. The skin should be clean and dry.
Warning! This technique is contraindicated in patients with allergic skin manifestations, as well as pregnant women.
- In severe cases, when a person is no longer able to tolerate pain, he is prescribed analgesics. It should be noted that this is a temporary measure, and it is not recommended to continually take pain medication, as they can be addictive. Thus, the medicamental treatment of the heel spur is aimed at eliminating inflammatory and infectious processes, as well as restoring normal metabolism. Any remedy for the heel spur recommended to the patient in the course of treatment will give a positive effect only when the person with all responsibility will approach treatment of his illness.
Non-pharmacological treatment methods
- In the process of treating the heel spur, in addition to eliminating inflammation and pain, one of the main tasks is unloading the painful area of the foot. For this, the patient is recommended to wear special orthopedic insoles and heel pads. Such
Podpätzik significantly reduces paindevices support the longitudinal and transverse arch of the foot, reduce the burden on the spine, ankle and knee joints, prevent fatigue and improve blood supply to the feet. Orthopedic insoles with a heel spur provide for wearing standard footwear on a low heel. At the same time, the podpjatochnik has well recommended itself with a heel spur. This device significantly reduces the load on the heel and joints when walking, and also contributes to the anatomically correct location of the heel.
- Treatment of calcaneal spur by ultrasound( shock wave therapy) is a relatively new technique that involves the impact of an ultrasonic shock wave on the affected tissue, while not affecting the healthy. With the help of this technique, it became possible to answer the question of how to remove the heel spur. The fact is that ultrasound, eliminating pathological areas, is not able to affect healthy heel tissues, since their cells are protected from its impact by an elastic membrane.
Traditionally, shock wave therapy is prescribed in combination with diprospan injections.
Note: this procedure has no contraindications, therefore, it is prescribed at any age, and it does not require hospitalization.
- Treating the calcaneal spur with a laser is a technique that has a beneficial effect on the soft tissues of the foot, however, does not completely solve the whole problem.
- Massage with a calcaneal spur improves circulation in the foot, which significantly relieves pain and improves metabolism.
Note: this technique is ancillary, since its independent use is not capable of completely eliminating pathological manifestations.
- Removing the calcaneal spur is the most extreme measure that orthopedic surgeons use to treat the disease. Surgical operation does not eliminate the cause of the disease, but only relieves its manifestations. In this case, relapses often occur.
Prophylaxis of calcaneal spur
To avoid the question of whether a heel spur can be cured, it is necessary to prevent its appearance. For this, it is necessary to prevent the development of flat feet, soft tissue inflammation and heel bone wear.
People who are overweight should take care to reduce it to reduce the burden on the feet. It is very useful to walk barefoot on the grass or along the sand. Such procedures hamper the development of foot diseases and improve blood circulation in the extremities.
Patients suffering from flat feet, are recommended to wear special orthopedic insoles permanently. Of course, in this case it is wiser to give up narrow shoes with high heels. However, a complete lack of heels can also have a negative effect on the condition of the feet. Daily exercise in physical therapy will also help prevent the development of the disease. And most importantly, the load on the legs should be minimized, and then the heel spur will not have a single chance.2 comments
It was the injections that we cured the heel spur of my wife. The doctor called it a blockade. Already a few years have passed, but pain does not return.
The therapist prescribed analgesic and anti-inflammatory gel at the heel spur, moreover, she drank analgesics. For prevention, the doctor advised to do foot massage and wear orthopedic insoles. I noticed that after the massage it becomes much easier to step on the heel.
Is it worth it to do an injection of Diprospan with a heel spur? Igrug said he knows the point where to do himself will do. Sm inside
If you completed a course of nonsteroidal anti-inflammatory drugs( diclofenac, otrofen) and you did not help, then you yourself should decide which of the evils you choose: hormonal treatment( diprospan) or folkmeans, physiotherapy, sparing regimen, etc.
If your patience is over, then Diprospan is not so terrible. It is only necessary to consider contraindications, as with any hormonal treatment.
Drink a decoction of cowberry leaf( buy in the pharmacy).My mom got rid of the spur so much!
evryfek 6 + 525zh.
I did ultrasound with hydrocortisone, ozocerite, applied ointment with vinegar, soared, rolled. I can not take any more, I'll go to X-ray therapy, although I'm afraid.