Treatment of calcaneal spurs in Saratov by X-ray therapy

Treating the calcaneal spur with X-ray therapy

The heel spur is the proliferation of bone tissue in the area of ​​the calcaneus calcaneus, as a result of which plantar fasciitis, an inflammation of the plantar aponeurosis, develops. The damaging effect of the marginal osteophyte on the soft tissues of the foot causes intense pain syndrome, which is enhanced by physical exertion. As a result, the motor activity is impaired, the work capacity is reduced, the quality of life deteriorates.

Treatment of the disease begins with conservative methods: anti-inflammatory drugs, analgesics, physiotherapy. The ineffectiveness of measures requires X-ray therapy of the calcaneal spur, which allows to improve the condition of patients and to refuse surgical intervention.

X-ray properties of

X-rays are used not only for the diagnosis of diseases, but also for therapy of the pathological process. First of all, x-rays are used to destroy atypical cells of malignant tumors, and are less often prescribed as a method of treating benign formations located far from vital organs. The localization of the calcaneal spur is ideal for the application of X-ray therapy without detrimental effects on surrounding tissues.

X-rays are electromagnetic radiation with a short wavelength penetrating deep into the tissue. For therapeutic purposes, use radiation, the energy of which is 10-250 square meters. Depending on the purpose, two types of x-rays are used:

  • short-focus( energy up to 60 kV) - penetrate into tissues to a depth of not more than 5 cm, affect the skin, muscle fibers, fasciae, ligaments;
  • long-focus( energy 60-250 sq.) - penetrate into tissues to a depth of more than 5 cm, affect bone tissue, large vessels, nerve fibers.
Structure of the foot
The structure of the foot and the localization of the calcaneal spur

For each type of radiation, select the appropriate type of X-ray tube. The specificity of therapy depends on the nature of the pathological process, the degree of growth of the calcaneus, the severity of inflammation of the soft tissues.

X-ray treatment has the following therapeutic effects:

  • analgesic - eliminates pain syndrome after the first procedure by blocking the effect on pain receptors;
  • anti-inflammatory - reduces the inflammatory process by improving local blood flow, normalizing metabolism, reducing the synthesis of inflammatory mediators( prostaglandins);
  • hypoallergenic - protects tissues from hypersensitivity to biologically active substances;
  • destructive - destroys old cells, promotes the renewal of tissues in the pathological process.

The heel spur therapy with X-rays is carried out as part of complex treatment of the disease. Before the advent of shock wave therapy, the method was considered one of the most effective in getting rid of the disease and is currently used when contraindications to UVT are found.


X-ray therapy is prescribed by an orthopedic doctor after inefficient use of conservative methods and maintenance of pain syndrome. Given the condition of the patient and the severity of the disease, the doctor recommends the duration of the course of treatment and the duration of the procedure. To improve the condition and consolidate the positive effect, it usually takes 7-10 sessions of 8-10 minutes each. Manipulation is carried out in a clinic or a specialized medical center.

Carrying out the X-ray irradiation procedure for the heel spur

During the procedure, the patient is laid on the couch, the diseased leg is given an elevated position. The area of ​​localization of the heel spur is induced by an X-ray tube, which irradiates the site of the pathological process, without affecting the healthy tissues. After the treatment session, it is recommended to unload the aching leg by restricting physical activity, using orthopedic insoles, walking sticks. To normalize metabolic processes and improve the effectiveness of treatment, before starting the procedure should establish a diet for patients with excessive body weight.

Advantages of X-ray therapy with a calcaneal spur:

We advise you to read: Pain in the heel of the foot How to cure a heel spur folk remedies?
  • procedure is painless and does not take much time;
  • manipulation is performed on an outpatient basis and does not require hospitalization of the patient;
  • reduction of pain occurs after the first treatment session, in order to consolidate the positive effect and eliminate inflammation, it is necessary to complete a complete course;
  • selective exposure to X-rays without adversely affecting healthy parts of the body;
  • carrying out of procedures helps to avoid surgical intervention and complications as a result of the operation;
  • minimum contraindications, which include the period of fetal and lactation;
  • treatment within 10 days in most cases relieves discomfort and pain in the foot, returns the patient to daily life and work activities.

X-ray therapy requires the consent of the patient and is often the last treatment method before resorting to surgery to remove the marginal osteophyte.

Orthopedic insoles
Wearing orthopedic insoles to unload the foot during the treatment of calcaneal spur with X-ray radiation improves the results of therapy

In recent years, there has appeared an effective technique of radical treatment of heel spur by shock wave radiation, eliminating not only the pain syndrome but also bone formation. While the X-ray is unable to remove the osteophyte, it only blocks pain and relieves the inflammatory process. However, UHT has a fairly large list of contraindications, which does not allow the appointment of a technique to all suffering heel spurs. It is in such clinical cases that therapy is prescribed with the help of X-rays.

Treating the heel spur with X-rays has a lot of advantages and is used when conservative therapy is ineffective. The ability to quickly eliminate the pain syndrome and restore full motion of the affected foot with an accessible method allows you to apply the procedure in medical institutions of different levels.

X-ray therapy - irradiation treatment

X-ray treatment is again becoming popular due to the emergence of modern innovative equipment, with which it is possible to accurately calculate and dose radiation on the patient.

In X-ray therapy a narrow beam of ionizing radiation is used. It is common knowledge that such radiation destroys cancer cells and stops the growth of benign tumors. But very few people know that irradiation is successfully used also for the treatment of many non-tumorous diseases, including surgery. The bottom line is to use low radiation doses, which only affect diseased tissues. A healthy tissue is less sensitive and does not collapse as a result of this effect. It is proved that radiation exposure has a high anti-inflammatory and analgesic effect.

Treating the calcaneal spur with X-ray therapy

The use of X-ray therapy in the treatment of heel spurs is possible due to the fact that inflamed foot tissues are easily accessible for directional exposure. X-rays are sent to the sore spot from the sole, the back of the foot, or the Achilles tendon.

The technique uses radiation generated at a voltage on an X-ray tube from 10 to 250 kV.The choice of a particular method of exposure( short-distance or deep-range therapy), doses and the number of sessions should be selected strictly individually. The strategy and tactics of treatment depend on the timing of the onset of the disease, the degree of damage to the joints and the ligamentous apparatus, and the severity of clinical symptoms. Ideally, the doctor should choose the minimum dose of radiation that has a curative effect.

Usually, several irradiation sessions are appointed with intervals between 1-2 to several days. On average, the course is designed for 3-4 weeks, and one session lasts about 10 minutes.

In short-distance X-ray therapy, irradiation is carried out at short distances( 6-7.5 cm from the skin surface).Such an effect is prescribed for resorption of inflammation of surrounding tissues, fasciae and ligaments. On the bone spine itself, this method of irradiation practically does not affect.

For remote X-ray therapy, more intense radiation is generated, generated at a voltage on the tube from 60 to 250 kV.In this case, irradiation is carried out from a distance of 30 to 60 cm and can reach deep pathological foci, as well as directly affect the bone spine. This type of X-ray therapy should be used with extreme caution.

With a properly selected irradiation scheme and no contraindications to treatment, side effects do not develop.

The effectiveness of the method in the treatment of calcaneal spurs

Modern scientific research and practical experience in clinical practice showed that low dose x-ray therapy has a very high therapeutic effect. According to some data, the elimination or significant reduction in pain with heel spurs is observed in 70-90% of cases. Approximately one third of patients noted improvement of their condition after 3-4 sessions.

Dear readers! Our articles tell us about typical methods of treatment, but each case has a unique character. Do not self-medicate. At us on a site there is a rating of doctors who can help or assist with treatment of a heel spur.

The success of treatment is evaluated after a few months, since the effects of irradiation are observed even after the completion of the entire course.

If, after some time, the heel again begins to ache, repeat X-ray therapy is prescribed only in the case of the effectiveness of the first course and not less than six months after its end.

Advantages and disadvantages of X-ray therapy

We list the advantages of the method. These include:

  • Absolute painlessness
  • short irradiation sessions - for only one procedure it takes only 10 minutes
  • high efficiency, good analgesic effect
  • X-ray therapy can be the only treatment for elderly patients

The main and principal drawback of the method is its potential health risk due toharmful effect of ionizing radiation on the human body. The safety of X-ray therapy with a calcaneal spur can hardly be considered definitively proven, as this requires extensive long-term observations of patients. Another important drawback is the lack of standard treatment protocols depending on the clinical picture of the disease and other factors. This means that the treatment is administered subjectively, which does not guarantee the selection of the most effective and at the same time safe radiation scheme.

It should also be mentioned possible negative psychological moments, which are associated with quite understandable fear of any exposure.


The relative contraindications for X-ray therapy in spurs are age up to 40 years.

Absolute contraindications for use are:

X-ray treatment

In general, X-ray therapy refers to methods of irradiation in which X-ray radiation( energy from 10 to 250 kV) is used for medical purposes. And two types of X-ray radiation are used:

  • short-focus therapy, at which the energy used does not exceed 60 square meters. This type of X-ray therapy is used to treat tumors, as well as other growths of the body tissue, located shallow from the skin surface( 6-7 cm);
  • long focus therapy, when the depth of penetration of the rays is 30 to 60 cm, and the length of the rays - from 60 to 250 square meters.

Depending on the depth of exposure, two types of X-ray tubes are used. The mechanism of action and the effect of therapy are based on suppression of cell growth processes, as well as processes of destruction( destruction) of some cells. These processes are due to the absorption of rays by certain tissues( in the region of the focus of pathology).

The results of X-ray treatment depend on the age, general condition of the patient, dose, rhythm of radiation, as well as on the stage of the disease and the severity of clinical symptoms.

The effect of X-ray therapy

  • Anti-inflammatory effect. X-ray beams effectively suppress inflammation and relieve its symptoms.
  • Destructive action. Old cells are destroyed, and the process of cell renewal is launched.
  • Analgesic effect. Irradiation reduces pain sensitivity and relieves pain syndrome.
  • Desensitizing effect. The signs of hypersensitivity of tissues are eliminated.

Treatment of calcaneal spur with X-ray is performed as a part of complex therapy and gives in most cases a positive effect. In patients after several sessions, signs of inflammation are removed, bone growths are destroyed, and pain at the site of a soft tissue injury is reduced, and then completely disappear.

How is the

treated? The physiotherapeutic effect that is performed during the treatment of the heel spur is very useful and gives good results. Before the appearance of the shock wave method, the X-ray method was almost the only method that gave good results in conservative treatment.

Short-focus and long-focus therapy are used to treat the disease. With the help of short-focus treatment, the area of ​​the skin, as well as the adjacent fascia and ligaments, is treated. With the help of long-focus radiation, the bone tissue and the outgrowths on it are irradiated.

In terms of the convenience of impact, the calcaneal spur is located far from other organs and systems, therefore, during short-term irradiation of bone growths, other organs are not harmed. How to get rid of the heel spur, applying the X-ray treatment?


One procedure for the duration of exposure lasts only 8-10 minutes. The number of necessary procedures is determined only by an orthopedic physician and depends on the individual characteristics of the patient and the severity of the disease. The average number of sessions is 9-10.

X-rays are sent to the heel bone, which immediately block the nerve endings and reduce pain. Since the main symptom of this disease is painful, the effect of X-rays greatly facilitates the movement of patients and improves the quality of life.

But you need to know that X-ray treatment is not a panacea for the treatment of the heel spur. It is the complete unloading of the foot and the combination with other methods of treatment that will lead to a relief of the condition. If you do not remove the main causes of the disease( uncomfortable narrow shoes, high heels, excess weight, and so on), then the need for treatment will have to come back again and again.

The method of X-ray therapy can not be carried out only during pregnancy and during breastfeeding. In other cases, the method has no contraindications.

Advantages of the

  • method The procedure is absolutely painless and does not cause any discomfort to the patient.
  • The duration of the session is not more than 10 minutes, which reduces the time for treatment.
  • To achieve the therapeutic effect of a course consisting of 10 procedures, usually enough.
  • Minimum of contraindications( except pregnancy and lactation) and no side effects.
  • Pronounced analgesic, desensitizing and anti-inflammatory effects.
  • The course does not require hospitalization in a hospital.

If necessary or exacerbation of the disease, X-ray treatment can be repeated after 2-3 months. The method itself is inferior to the efficiency of shock wave therapy, and this is its minus. But, on the other hand, this extreme measure, which is used in cases where all other methods of treatment have not had the desired effect. In practice, it turns out that the orthopedic doctor can resort to such treatment before the appointment of an operative intervention.

Reviews for radiotherapy heel spurs are always positive. And during the research it was proved that exposure to small doses of X-ray irradiation does not cause any harm to the body and does not cause side effects.

Treating the calcaneal spur with X-ray therapy

If the conservative methods of treating the calcaneal spur do not give the desired results, the doctor can recommend X-ray therapy. This method in most cases allows you to get rid of the problem, after a few sessions the pain is significantly reduced, and after the end of treatment is lost at all.

Spur no longer bothers! How to get rid of pain in the heel for 2 weeks at home?

Does X-ray therapy have disadvantages?

Its main advantage is that it has practically no contraindications. The restriction is imposed only on pregnant women, because if there is a possibility, then it is better to avoid x-ray exposures. Also, some doctors do not recommend using it to nursing mothers. There are no other reasons for refusing to perform X-ray therapy for the calcaneal spur.

But do not forget that this is still radiation, so you should not insist on using this method without trying conservative methods of treatment. In any case, doctors at first recommend physiotherapy procedures, leaving this method for an extreme case. But even during the treatment with X-rays, you will need to wear the correct insoles, monitor your nutrition, weight and avoid excessive stress on the feet.

Of course, some stop the cost of the procedures: taking into account the fact that for a complete cure is recommended to visit about 10 sessions, spend on treatment will have a lot. On the other hand, this procedure will be cheaper than the operation. After all, if you start the disease, then without operational intervention, it will be difficult to manage. In doing so, do not forget to take into account that the operation on the foot is not only a waste for treatment, but also a loss of efficiency for a long period.

Principle of treatment

If you decide to use X-rays for healing, then for sure you are interested in how the procedure itself goes. So, first of all it is worth noting that this is absolutely painless. On the heel, at the site of localization of the heel spur, a low-dose x-ray beam is sent. The process lasts about 10 minutes: during this time, the nerve endings are blocked.

Of course, do not expect that the problem will disappear immediately after the first session: for a complete recovery, you need to go to this procedure about 10 times. But x-ray therapy of the calcaneal spur facilitates the patient's condition after several visits. Note that this method does not remove the bone growth itself, it simply blocks the nerve endings and discomfort disappears. The X-ray apparatus adjusted in a certain way allows to carry out anti-inflammatory, analgesic and other types of treatment.

But taking into account the fact that the build-up on the bone remains, during the treatment and after it it is necessary to make sure that you do not overload the foot, wear special liners in shoes or orthopedic insoles. This procedure is quite successfully carried out on an outpatient basis, you only need to come to the hospital by the appointed time. There is no need to remain under observation after the session, patients can lead a habitual way of life. The main thing is not to interrupt the treatment: even if you feel relieved, it will be necessary to consolidate the result.

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Methods for treatment of calcaneal spur

Disease of the heel spur is often found in people of different ages, due to various reasons: age-related changes in the body, excessive body weight, stress on the soles during exercise. The disease is characterized by severe pain and discomfort, which intensifies with time. Timely treatment of the heel spur will help get rid of painful sensations, return to the usual way of life. There are several options for getting rid of plantar fasciitis - traditional medicine, folk remedies. See below for this.

Diagnosis of the disease

Plantar fasciitis( code for ICD-10: M77.3) is a disease characterized by inflammation of the soft tissues in the heel that leads to bone growth in the sole area. Externally, education looks like a peg or a thorn, but only a doctor can establish an accurate diagnosis. In order to apply to a medical institution and to know which specialist to go to, you need to be able to recognize the heel spur, its symptoms:

  • Strong pain in the heel. The pain becomes more intense in the evening or in the morning, when the emphasis is on the feet when lifting.
  • The pain subsides as the patient with suspicion of the heel spurs pacing.
  • Presence of education with a dense texture in the heel zone, which is clearly distinguishable by palpation.
  • Unpleasant sensations in the area of ​​the heel, sort of like "hammered nails".
  • Appearance of lameness, it is possible to change gait.

Having found out one or more symptoms, it is necessary to find out where to treat a heel spur in Moscow, to go to a medical institution, to undergo research on the basis of which a conclusion will be issued. To diagnose the disease, you need to go to a specialist who will conduct a study, determine what the spur formed, the nature of the education and prescribe the treatment.

Many people are interested in the question of which doctor heals spurs on heels? With complaints and suspicions of the disease you need to contact an orthopedist, a rheumatologist or a surgeon. The doctor will conduct a thorough examination of the foot, ask questions about the nature of the pain and prescribe other methods and methods of diagnosis:

  • X-ray of the foot. An X-ray photograph shows with maximum accuracy whether there is an education, a spine that causes pain. This is a reliable method of medical examination by means of which it is possible to confirm the diagnosis - calcaneal spur.
  • Ultrasound examination of the patient's foot.
  • In order to exclude other possible diseases that may occur in the heel area, the doctor prescribes blood biochemistry and a general medical blood test.

After performing all the necessary tests, by making analyzes and getting their results, the doctor determines and prescribes methods that will help get rid of the spur on the heel. The choice of ways to treat the disease affects the patient's general health, the stage of development of the disease, the intensity of pain and the tolerability of certain medications, procedures.

Ways and methods of calcaneal spur

If the heel hurts and the doctor diagnosed a calcaneal spur, it is necessary to immediately start fighting the problem. To relieve pain, the doctor can inject xylocaine with adrenococcistosteroid, and to facilitate the fascia, often injected botex. Modern methods of treating the calcaneal spur are divided into several aspen directions:

  • Medical procedures( for example, laser, shock wave therapy, ultrasound).
  • Surgical intervention.
  • Physiotherapeutic procedures( mud treatment, paraffinotherapy, special foot baths)
  • Medication.
  • Electrophoresis.
  • Treatment with Vitafon.
  • X-ray therapy - the impact of X-rays on the heel with modern equipment. Effective, painless method to effectively treat the calcaneal spur. When appointing a doctor, it is necessary to clarify where to do X-ray therapy, since equipment is not available in every clinic.
  • Use of orthopedic insoles, beys and other construction to relieve pain.
  • Folk ways of treating the disease.
  • Magnetotherapy.

Shockwave therapy

A reliable way to get rid of the heel spur and the painful sensations that causes the disease is the use of shock wave therapy. This technique is effective for formations of small dimensions, and in the presence of large growths, the procedure has a therapeutic effect: painful sensations are removed, the growth of blood vessels is stimulated, whereby a source of nutrition and blood supply appears in the soft tissues of the foot.

The basic principle of the procedure: the formation of crushing under the influence of waves, and the body gets rid of the decomposition products naturally. The treatment is as follows:

  • The handle of the device is applied to the foot with the heel spur and the doctor directs shock wave impulses to the formation.
  • During the procedure, the patient may experience unpleasant or painful sensations. If the pain is too strong, pain medication can be used.
  • For a small spur, there will be enough 4-6 procedures for 10-15 minutes, which are carried out once a week, sometimes 10 sessions are necessary. Already after the first visits to the doctor's office, the patient will notice significant improvements in well-being, and the pain will be minimally expressed.

Ultrasound effect

The method of getting rid of the heel spur by ultrasound is very effective, therefore the procedure is often prescribed to patients with this diagnosis. The treatment is carried out in a medical cabin, where there is the necessary equipment - UHT apparatus. Its essence is to increase the regeneration of tissues and maximize the acceleration of metabolic processes in the heel area. This occurs by heating the painful areas on the heel, but it is permissible to raise the temperature by 2 degrees. The impact of ultrasound on the heel spurs has several advantages:

  • Effective treatment.
  • The procedure does not take much time and lasts only fifteen minutes.
  • Treatment is absolutely painless, has no side effects.

Treating the calcaneal spur with laser

Laser therapy for getting rid of the calcaneal spur is often prescribed by doctors as a therapeutic treatment. It is important to understand that this method only affects the soft tissues with which the zone of the disease is surrounded, and on the growth of bone tissue does not have any effect. This kind of procedure is used to reduce pain in the area of ​​the calcaneal spur, which is achieved by exposing focused areas of the heel to focused laser radiation.

Laser treatment of the calcaneal spur is carried out in several stages: the first lasts 10 days and procedures are conducted daily with an impulse frequency of 50 Hz. After two weeks the course is repeated, but the frequency of the beam is increased to 80 Hz. If necessary, the doctor may prescribe a third stage of therapy. Treatment has such therapeutic effects:

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