Treating the calcaneal spur with laser( quantum therapy)
Laser beam treatment( quantum therapy) is used in medicine very often. When the conservative treatment of the calcaneal spur is ineffective, it is also widely used.
What is a laser? This is a light beam that has a small divergence and a certain wavelength. When the laser beam is applied to the tissue, activation of enzymes takes place, involving the acceleration of the necessary biochemical processes in the human body. As a result, cells become more viable and updated. Local heating of tissues with the help of a light laser beam causes the exit from the depot of calcium ions and the start of processes with its participation. After exposure to tissue by a laser beam, compensatory secondary reactions are triggered in them.
Therapeutic effects of
The main therapeutic effects that are achieved with laser therapy are:
Laser beam promotes the activation of fibroblasts, dilates capillaries, enhances the capture of calcium ions and their exit from the depot, facilitates the absorption of fibrin cells.
Treating the calcaneal spur with a low intensity laser has become very popular. This method refers to physiotherapy. It does not remove the bone growth on the heel, but it has a therapeutic effect( anti-inflammatory, analgesic).
How the Laser Therapy
is Carried out The laser therapy for the heel spur is usually performed in two stages.A new look at the treatment of calcaneal spursHow to get rid of the pain in the heel in 2 weeks? More. ..
- First, the patient is given 10 procedures of laser therapy daily. In this case, the laser beam acts on the heel with an impulse frequency of 50 Hz and an LED radiation power of 80 mW in four projections.
- During the second course of treatment, which is carried out 14 days after the first, the frequency of the laser beam is increased to 80 Hz.
Sometimes a doctor can prescribe a third course of treatment. At the same time, a laser beam with a frequency of 600 Hz and a radiated power of 90 mW acts on the heel spur.
Advantages of laser treatment
The method of treatment of calcaneal spur with laser has the following advantages:
- causes an increase in the effect of drugs;
- does not cause side effects;
- procedure is painless;
- after treatment, as a rule, there is a persistent effect;
- no allergic reactions;
- for the procedure does not need hospitalization of the patient( he may not change his daily routine).
The procedure for laser therapy is contraindicated in the presence of the following diseases:
- tumors( including benign);
- Decompensated diabetes mellitus;
- pulmonary and congestive heart failure in the last stages.
The attending physician must constantly monitor the condition of the patient who has been prescribed laser therapy.
Splitting the calcaneal spur
Low intensity laser therapy does not destroy the spur itself, but treats the inflammation of the tissues around. But, there is also a surgical method of treating the heel spur with the help of a laser - this is the crushing of the calcaneal spur. To such operation resorted in the absence of effect from other methods of treatment( conservative).It is carried out with the help of modern technologies and is easily tolerated by patients. To effect a surgical laser on the heel spur, perforate it with a needle for intraosseous anesthesia.
The fragmentation of the calcaneal spur by the laser is the method of removing only the bone growth, and not the cause of its occurrence. Therefore, its reappearance is possible. The cause of the disease should be eliminated by the patient himself, and then the treatment of the heel spur will be effective.
What is it?↑
Heel spur, or plantar( fascial) fasciitis, is a disease in which the aponeurosis, supporting the longitudinal arch of the foot, becomes inflamed.
As a result, a bone protrusion is formed on the heel, which looks like a wedge or a spine; its sharp end o usually looks toward the fingers and slightly bent upwards.
By pressing soft tissues, the outgrowth causes burning pain when walking or resting on the heel.
Otherwise we can say that the calcaneal spur is a chronic microtrauma of the plantar ligament connecting the calcaneus and the anterior part of the foot.
The size of the spur can vary, but generally varies between 3 and 12 mm.
Often the inflammatory process affects both soft tissues around the built-up edge, mucous bags and periosteum.
Causes of appearance ↑
The immediate cause of spurs is excessive stretching of the plantar fascia, leading to its micro-snaps at the place of attachment to the heel.
Because of this, aseptic inflammation develops, calcium salts are deposited and eventually a bone growth occurs.
The following factors lead to this state of affairs:
This causes 90% of the formation of calcaneal spurs.
With flatfoot, the load on the bones of the feet increases and its distribution changes, resulting in excessive stretching of the tendons, they are injured from any external influence, up to the unevenness of the soil, which is walking.
Microtrauma leads to the fact that the place of an overgrowth is overgrown with a scar tissue that is not elastic and continues to be injured in turn.
There are inflammations accompanied by pain, and as a result - heel spurs.
In older people, bone growth occurs mainly because of a load on the lower surface of the foot for a very long time.
Fabrics no longer have the ability to regenerate, which in young people, the lower limbs are already badly blood supply, which together leads to plantar fasciitis.
In young people, the cause of the appearance of calcaneal spurs are physical training.
If sports are very intense and often, then the load on the bone-ligamentous apparatus of the foot increases, and microtraumas appear that trigger the mechanism of bone growth.
The greatest risk zone is sports such as jumping and running.
Obesity and even just excess pounds cause an increased load on the feet and become a provoking factor for various injuries, for example, dislocations.
Chronic and acute injuries of the calcaneus or various metabolic pathologies, including gout and diabetes mellitus, can cause the heel spur.
Similarly, the disease can be caused by circulatory disorders of the lower limbs, poor permeability of blood vessels.
Photo: gout on the legs
Spur can also form as a result:
- of the inflammatory processes of the joints( Bechterew's disease, rheumatoid arthritis, etc.);
- disturbances in normal distribution of body gravity when walking;
- inflammation of mucous feet bags( subclavian bursitis, achillobursitis);
- inflammation of the muscle shells of the foot.
What causes a headache in the back of my head from time to time? Read more about the causes of pain here.
Symptoms are conditionally divided into two groups:
is the most common symptom. There are sharp and burning pain when walking and resting on the heel.
A characteristic comparison for the heel spur is the sensation of a "nail in the heel".
The intensity of pain in this case directly depends on the shape and size of the bone build-up, because sometimes, in rare cases, they turn out to be flat and a person can simply not feel them, especially if they are small in size.
At the initial stage, acute pain in the heel appears in the morning, after a person has just gotten out of bed, during the day it subsides, and by the evening, due to the daytime stress on his feet, again arises.
The closer the spur to the nerve endings of the foot, the stronger the pain will be.
Gradually, as the disease is neglected, the built-up edge will bother and without direct impact on the foot.
is due to the fact that the scar tissue that appears in place of the microtrauma begins to accumulate calcium salts, which irritate adjacent tissues, bone membranes, shells of the joints, and causes inflammation, causing permanent pain.
Change of gait
In 90% of cases, changes occur because the pain extends to the entire surface of the foot or only from the inside of the foot, the person involuntarily tries to unload this area, and this affects his gait.
There is a transfer of the center of gravity to the outer edge and the front parts of the foot, which leads to the fact that the body weight is distributed incorrectly and there is a transverse flatfoot.
Also understand that there was a heel spur, it is possible when pressing the toes on the side of the heel or arch of the foot.
Possible complications ↑
The main unpleasant consequence of a calcaneal curtain is that patients do not have the opportunity to lead the way of life that used to be.
If every step is accompanied by pain, it is difficult to continue to lead an active life and play sports, if before it was present in a person's life.
In case of particularly severe pain, bed rest is prescribed. Approximately a quarter of the diseased as a result become partially motionless, as they lose the ability to move on their feet.
Basic diagnostic methods ↑
Not always detected in self-diagnosis pain in the heel can be just a spur. Therefore, before you put yourself such a disappointing diagnosis, you need to see a doctor.
may be a surgeon, orthopedist or rheumatologist who will exclude other diseases with a similar picture - rheumatoid arthritis, Rayner's syndrome and Bechterew's disease, which are manifested by specific factors in the biochemistry of blood.
The diagnosis of calcaneal spur is made by specialists quite easily, based on the following patient complaints:
- pain appearing in the heel after sleep;
- pain occurring in this area after a rest period;
- pain after long walking, running or physical activity;
- occurrence of painful sensations when pressing on the heel area;
- decrease in the feeling of pain as the patient paced.
If the blood tests disprove the presence of other diseases, the diagnosis of "calcaneal spur" will remain to be confirmed by an X-ray study.
Sometimes the bone growth in the image is found out by chance, because it does not disturb the person in any way, and in some cases, it seems, there are all the symptoms of the disease, but on the x-ray no spurs are found.
In the first case, no treatment is prescribed, and in the second case the patient's examination continues to find the cause of the pain in the heel.
Today there is a wide range of methods for treating the calcaneal spur. Let's consider each of them.
The basic hardware method of treatment is shock wave therapy.
Experience accumulated to date shows that the effectiveness of getting rid of heel spurs shock wave therapy is very high.
The method itself is based on the impact of pulses of ultrasonic waves of a certain frequency, which leads to the fact that the deposits of calcium salts in the heel loosen. In the future, these deposits are washed away from the body by blood.
In addition, thanks to shock wave therapy:
- the process of tissue regeneration is activated;
- decreases swelling and inflammation;
- the pain becomes less with each procedure and by the end of the course of treatment disappears completely;
- the affected area of the foot is restored, and at the initial stages of the disease the bone growth completely disappears.
If the process has a long course, then calcium deposits are removed, inflammation is removed - and there is the possibility of normal life without pain during walking.
Video: shockwave therapy
However, the method has a number of contraindications, which include:
- bleeding disorders;
- heart rate;
- disorders of the nervous system;
- low blood pressure;
- malignant formation;
- acute infectious diseases.
Treatment at home with traditional medicine
Among the "grandmother's" recipes is very popular onion tincture from the heel spurs.
For its preparation, onion husk is poured into vinegar in a ratio of 1: 1 and insisted with a tightly closed lid for two weeks.
Constant thus husk, which has turned into mass, is applied to the heel and covered with an oilcloth, after which a sock is put on. This compress should be kept for 8 hours, done daily, but no more than six times in a row.
A similar principle in the treatment of chicken bile.
To prepare a compress, 40 g of bile should be mixed with 20 grams of vodka and 5 grams of shampoo, soak the linen napkin with this mixture, attach it to the sole( pre-steaming your feet in hot water), wrap with cellophane and put on a sock.
Traditional medicine still advises tincture from the roots of the garden iris.
To do this, 300 gr of raw material should be crushed with a meat grinder or blender, pour the same amount of medical alcohol and insist in glassware for 15 days. Use as a compress on the same principle as described above. The course of treatment - 10 procedures.
To eliminate heel spurs used bile, but already medical, sold without a prescription in any pharmacy.
Photo: pharmacy medical bile
A piece of cloth or gauze is wetted in the bile, applied to the heel, covered with cellophane, wrapped in bandage and under the sock at night. In the morning, after removing the compress, the sore spot is wiped off with boric or ammonia.
For a successful result, you must perform at least 20 procedures.
Also, official medicine suggests ways to treat the calcaneal spur with a nonsteroidal anti-inflammatory drug dimexide, hydrocortisone, once - diprospan.
As a topical treatment, ointments, gels, and patches with resorptive and anti-inflammatory properties are sometimes used.
Used in the absence of positive effects from all other methods. In this case, the bone growth is excised together with the altered tissues.
The fact is that the heel is exposed to focused X-rays with a lower radiation dose.
then leads to the blocking of nerve endings, because of what the pain disappears.
The calcaneal spur can not be irradiated only during pregnancy.
A very popular method of therapy is laser treatment.
With this effect, the spur itself does not dissolve, it just improves blood circulation in the tissues around it, which relieves pain.
Photo: laser therapy
Also heel spurs are treated:
- by magnetotherapy;
- by ultraviolet;
- by electrophoresis( sometimes with iodine);
- with warm baths;
- by ultrasound;
- UHF therapy;
- with liquid nitrogen;
- with Vitafon and Danas.
In children ↑
Due to the fact that the ligament of the foot in children is not strong, strong physical activity can adversely affect them, especially if they have a long character.
Until age 18, the pediatric foot is generally easily deformed, hence the frequent development of flat feet, so the overweight child, his rapid growth, lack of nutrients or increased exercise can provoke the formation of heel spurs.
Methods of therapy in children in no way differ from adult treatment, but the positive effect comes much earlier due to the greater ability to regenerate the child's body.
The most important preventive measure in this case is the proper selection of shoes, appropriate to the age of the child and its anatomical features.
Orthopedic insoles should also be used.Can I straighten the scoliosis with a massage? You can find out about the possible results of treatment of the disease in our article about a therapeutic massage in scoliosis.
Why does intercostal neuralgia occur? How can it be identified? Read about this disease here.
Does your child have pain right under the ribs? The possible reasons can be found here.
In pregnancy ↑
Because during pregnancy, the ligaments of the foot are physiologically softened, and the body weight increases, the risk of calcaneal spurs increases substantially in women.
In order for bone growth to not form, you need to pay a lot of attention to prevention - daily foot massage, walk a lot, wear comfortable shoes with a supinator, and eat a variety and full.
Due to the fact that most of the methods for treating heel spurs during pregnancy are prohibited, only gentle therapy can be carried out - therapeutic foot massage, pain relieving procedures and changing the motor regime.
Nutrition and diet ↑
Treatment of the disease should be accompanied by changes in the diet.
These changes should be directed, first of all, to the acceleration of the salt removal process and the reduction of inflammation.
For this you can eat more watermelons and cucumbers.that will be enough to alleviate the general condition.
It is necessary to limit the consumption of all smoked foods and pickles, as well as in principle to reduce the amount of salt in dishes, and also drink plenty of water.
What does not work?↑
Despite all the attractiveness of self-treatment, it practically does not help to cope with heel spurs. And some funds can aggravate the process and make the injuries irreversible.
The same dangerous and "therapeutic" walking on the rocks.
Doctors dealing with this problem say that during their career they have not seen a single patient who has recovered from a calcaneal spur with the help of traditional medicine.
Prevention measures ↑
In order to prevent the development of calcaneal spurs, one must pay attention to the prevention of early wear of the osteoarticular apparatus and avoid injuries.
For this it is necessary:
- to fight excess weight;to live an active lifestyle;undergo a regular medical examination;wear comfortable orthopedic shoes;
- with already existing flat feet, use orthopedic insoles.
- And, of course, with the slightest suspicion of a heel spur to seek the advice of a specialist and begin treatment at the earliest stages of the disease.
Heel spur is an unpleasant disease, but if you start treatment in the early stages, you can get rid of the pain and continue normal life.
Modern medicine has a range of treatments, the surgical being the most extreme measure - most of the spurs are cured conservatively. But a doctor should appoint a therapy appropriate to a particular case.
Video: symptoms and treatment
Removal prices ↑
Operative excision of the heel spur in different clinics is different: the price ranges from 5 to 25 thousand rubles.
One session of laser impact on the spur costs an average of 15 thousand, while it does not actually remove it, but only positively affects adjacent tissues.
The nondoscopic method of removal of the built-up edge( at the minimum cut and rapid rehabilitation) is the most expensive, its cost is above 5 thousand euros.
Lyudmila, 52 years old:I have been suffering from this sore for more than 8 years. Whatever she did, and the tinctures are different, and the bile used medical equipment - it seems to help, but for a while. I was tired of constant pain and went to the orthopedist. Have appointed or nominated nyxes and to pick up leather insoles. Now I live without these torments!
Natalia, 34 years old:I suffer for the second year. From folk methods all the skin on his heel peeled off, so I had to go to the doctor. Has appointed or nominated nyxes, UHF-therapy. It seems that while it helps, at least not to jinx it. ..
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- 03/22/2014 at 09:44
I suffer for a long time with a calcaneal spur. I tried everything. Shockwave therapy does not help. Laser and ultrasound did not help either. All this is useless, so is folk medicine. I had to see an orthopedist. After a single injection of the Kenalog with novocaine it became better. It does not hurt anymore.
Heel spurs: physiotherapy
The main principle of treating the heel spur is the elimination of the inflammatory process. Heel spurs: physiotherapy is focused on solving this problem.
- 7.1 Related records
The main causes of
This ailment occurs when the ligaments and muscles are stretched. Therefore, there is a high probability of a calcaneal spur in athletes and runners. The risk of the disease is rapidly increasing under the following conditions:
- being on the legs for a long time;
- presence of hollow feet;
- weakened leg muscles due to hypodynamia;
- flat feet;
- single and chronic trauma to the foot;
- prolonged wearing of shoes with a thin insole;
- changes associated with age, including acute rheumatism, vascular disorders;
- is overweight;
- pathologies that contribute to the defeat of the nerves of the lower extremities.
A patient suffering from this disease experiences severe pain in the heel. It arises from the injury or pressure of bone formation on the tissues of the feet. Doctors say that pain does not deliver a tubercle, but inflamed tissues in the area of the corresponding bone. The intensity of the pain syndrome depends on various factors, including the location of the build-up. People with a flat and small spur often complain of severe pain. The strength of the pain syndrome depends on the proximity of the location of the osseous hillock to the nerve end.
Physicians identify several ways to treat spurs on the heel, including UHF therapy. This method consists in applying alternating current of high frequency and low voltage and force. The influence of these currents leads to the expansion of capillaries in soft tissues and to an increase in blood circulation. This reduces pain and inflammation. The duration of one session is 10-15 minutes. To cure the spur on the heel, the doctor prescribes about 10-12 sessions of UHF therapy.
Another equally popular therapy is the laser technique. This type of physiotherapy treatment is in great demand among doctors and patients. The main principle of its impact is identical with other methods of physiotherapy. The laser promotes an increase in blood circulation in the place of development of the inflammatory process, which significantly reduces pain. Some patients are confident that this method allows you to get rid of the spur. However, a low-intensity laser beam, penetrating to the spur, does not exert a special influence on the bone growth. The effect of this technique is reflected in soft tissues.
Spine physiotherapy on the heel provides for magnetotherapy. This method can be permanent and variable. Often doctors prescribe to patients an alternating magnetic field. This technique allows to achieve the same results as UHF-therapy.
Spurs on the heel can also be treated with electrophoresis. This technique consists in the management of the drug substance to the site of damage and inflammation of the tissues. The principle of this method is that in the pathology area in the tissues are placed metal plates, one of which is wrapped in a tissue that is pre-wetted by the drug.
Then galvanic current is applied to the plates. Particles with a positive charge move from one plate to the other, and negatively charged particles from the second to the first. The tissue also receives the drug. For the spur on the heel, potassium iodide, hydrocortisone, novocaine and other preparations are used for this purpose.
Phonophoresis with calcaneal spur
Physicians treat physiotherapy of this disease as phonophoresis, which consists in applying ultrasound to penetrate the drugs into the interior of soft tissues. In this case, ultrasound is of a therapeutic nature, having a positive effect on inflammatory tissues. Phonophoresis is carried out with the help of anti-inflammatory drugs, for example, hydrocortisone ointment.
Currently, low-intensity laser therapy in the treatment of calcaneal spurs has become widespread. Medicine offers several methods of treatment. Laser treatment of calcaneal spur is an operation to remove bone growth.
Determining the cause of bone growth is an important part of the appointment of subsequent treatment. It is impossible to be just certain by the description of the symptoms whether the patient has a calcaneal spur: the diagnosis can confirm or disprove the suspicion. Diagnosis of the presence of spurs can be done using the X-ray method.
Symptoms of calcaneal spurs
Effective treatment of the calcaneal spur is possible only under the supervision of a qualified specialist. Treatment can be appointed conservatively and operatively. Conservative treatment is aimed at eliminating the inflammatory process.
Reasons for the appearance of calcaneal spurs
A medical treatment of the heel spur can be prescribed with the use of medicines, ointments, special creams. The low effectiveness of conservative treatment makes it necessary to apply more radical methods. A laser beam stimulates blood circulation, which leads to a reduction in pain and the elimination of inflammation. Treatment is given in two courses. The first course is 10 procedures, conducted daily.
The laser does not destroy the spur itself. It acts on the tissues around it, stopping the pain syndrome, removing puffiness. The information presented on the site should not be used for self-diagnosis and treatment. The heel spur, or plantar fasciitis, is a very unpleasant disease.
The diagnosis is the prerogative of the doctor, but if you pay attention to some of the symptoms, it is possible to identify the spur at the initial stage. Note that early diagnosis leads to better treatment. Undoubtedly, laser treatment is the most effective method of therapy. The effectiveness of such treatment can be noted after several sessions. In addition to laser therapy, there is a method of magnetic laser treatment.
Removal of calcaneal spur by laser: the price worries many patients suffering from this ailment. The ability to treat this disease with a laser appeared recently. This technique is carried out every day and consists in the action of the laser on the foot tissue in several projections. In the case where the first course does not help get rid of spurs on the heel, then laser therapy is repeated after a certain period.
Advantages of laser treatment
Before starting treatment, it is necessary to analyze the symptoms manifested in this patient. Such an ailment can be recognized by each of us. Symptoms of this disease is the presence of pain in the area of the heel and foot. Often there is a "starter" pain syndrome. In many cases, large heel spurs refer to random findings on the chest X-ray taken for another reason.
disease Conservative treatment consists of massage, medical gymnastics, physiotherapy and other techniques. One of these methods is laser therapy. It consists in removing the bony growth of the laser. Laser therapy has become widespread in the treatment of calcaneal spurs. With the help of the laser, circulation is stimulated, which reduces pain and eliminates inflammation.
After 14 days, the second course of treatment is carried out, and the laser radiation frequency is increased. In some cases, after 2 weeks, a third course of treatment is performed. This technique contributes to the rapid recovery of the patient, and the effect of treatment persists for a long period of time. The heel spurs are removed by a laser whose beam has a low intensity. The mechanism of such treatment provides the growth of new tissue and consists in stimulating the influx of water, oxygen, nutrients and blood to the affected area.
Five "NOT" with calcaneal spur
Plantar fasciitis, due to which the calcaneal spur appears, usually passes after laser therapy. The beam, which is used in laser surgery to remove the heel spur, focuses on the problem area. Most patients who undergo laser treatment of the calcaneal spur, experience relief already after 6-8 sessions.
In this case, patients should remember that laser therapy does not remove the spurs on the heels completely. This decision can be made only by the attending physician. In this case, the patient needs in-patient treatment and rehabilitation is required.
Laser treatment( quantum therapy) is used in medicine very often. When the conservative treatment of the calcaneal spur is ineffective, it is also widely used. Sometimes a doctor can prescribe a third course of treatment. Low-intensity laser therapy does not destroy the spur itself, but treats the inflammation of the tissues around.
To effect a surgical laser on the heel spur, perforate it with a needle for intraosseous anesthesia. The crushing of the calcaneal spur by the laser is the method of removing only the bone growth, and not the cause of its appearance. Heel spurs( plantar fasciitis) - bone growth in the area of attachment of calcaneal tendons.
The formation of calcaneal spurs occurs for various reasons. The heel spur is very easy to diagnose. Treatment of calcaneal spurs according to the conservative method includes such procedures as massage, medical gymnastics, physiotherapy and many others. Therefore, only a highly qualified doctor can prescribe the correct treatment.
This decision is made by the attending physician. But this procedure is used only as a last resort, if conservative treatment is not effective. Patients are assigned two courses of treatment. The laser beam does not completely destroy the spur itself.
There are two methods for treating calcaneal spurs: conservative and surgical and it depends on the cause of the disease. This fairly common disease urgently requires compulsory treatment, and depending on the growth, the treatment of the heel spur with a laser can also be recommended. One of the most popular methods is the treatment of the spur on the heel with a laser. One of the modern surgical methods for eliminating calcaneal spurs is their laser treatment.