Heel spurs

Than to treat spurs on heels

Than to treat spurs on the heels

Than to treat spurs on heels

What is heel spurs and what are the main reasons for their formation

Spurs on the heels, or, as they are called medical language, plantar fasciitis, represent bone protrusions on the plantar part of the foot. The calcaneal spur has the form of a hook or spine, and if you perform an X-ray examination, you can see how it protrudes toward the fingers. Usually, its dimensions range from 0.5-1 cm.

Imaging the heel spur

Visualization of the calcaneal spur

The disease most often occurs in people of advanced age, especially in the risk group are women after forty. The most important reasons for the appearance of spurs include: excess weight, stoop( due to displacement of the center of gravity), joint disease, spine disease, heavy physical stress on the feet, uncomfortable shoes, broken gait.

The most important cause of plantar fasciitis is the deposition of calcium in the calcaneus, the process can develop over many months. Quite often, the appearance of the disease is due to the multiple rupture of the membrane covering the calcaneus, the stretching of the muscles and ligaments of this region. But the development of plantar fasciitis is not ruled out without any reason, the disease can arise on its own.

To certain risk factors, increasing the probability of occurrence of spurs on the heels, include:

  • advanced age;
  • diabetes;
  • flat feet;
  • regular long walking with the feet;
  • high arch of foot;Calf muscle tightening.

Symptoms of calcaneal spurs

In most cases, in patients with plantar fasciitis, there is no pain syndrome, so often treatment is treated with drug therapy, without surgical intervention( spur removal).Out of 10% of patients, only 5% complain of pain in the foot.

Painful sensations and wounds are the main symptoms of the heel spur

Painful sensations and wounds are the main symptoms of the heel spur

The most common symptoms of the disease are: pain sensations directly in the heel area;pain occurs immediately after the morning rise from the bed, while it quickly passes after the person diverges;pain intensifies after physical exertion, and not during it. Often, the spurs do not cause pain, pain can occur not because of the presence of the spur, but because of the soft tissues that are injured and the presence of an inflammatory process.

Patients characterize pain with plantar fasciitis, comparing it with a needle sticking in the foot. In the mornings, this pain is acute, and already during the day acquires a stupid character. Also, an acute attack of pain can occur when you get up, after a long sitting position.

Diagnosis of the disease

Diagnosis of the disease

Diagnosis of the disease is carried out by radiographic examination, MRI, ultrasound. The doctor examines the patient's leg, examines the medical history and, based on the results of the examinations, appoints the appropriate treatment.

Treatment of spurs on the heels of

After a person has had the main symptoms of plantar fasciitis, he, of course, immediately asks the main question: how to treat spurs on the heels. It is not recommended to engage in self-medication, since sometimes treatment requires surgery.

If you see signs of spurs on your heels, you should consult your doctor. Only he will be able to conduct a qualitative examination, make an accurate diagnosis and prescribe the appropriate treatment. Treatment can be medicated or operative. Of 100% of patients in 90% of conservative treatment it is possible to achieve a positive effect after 9-10 months.

Treatment of plantar fasciitis will depend directly on the severity of the disease and the causes of its occurrence. Drug therapy is aimed at reducing pain syndrome and removing the inflammatory process in the affected area. Usually, doctors prescribe NSAIDs, for example, ibuprofen, voltaren.

Ibuprofen

Ibuprofen

Drugs of this group can be used either orally or externally. An external application should be understood as the application of ointments and gels containing NSAIDs. These include doloben, indomethin ointment, hydrocartisone ointment, turpentine ointment, "Vishnevsky" ointment. Sometimes doctors prescribe injections of corticosteroids, this allows you to significantly reduce the pain and quickly remove the inflammatory process.

Blockages in the heel give a very good result, after a few injections the patient feels relieved. But the lack of blockades is such that the injections are very painful, so patients reluctantly agree to such a procedure.

Great value in the treatment of this disease is given to physiotherapy procedures. Most often used electrophoresis, shock wave therapy( UVT), magnetotherapy. UHT promotes the destruction of the calcaneal spur by shock-wave impulses, which very often allows avoiding surgical intervention.

Therapeutic exercises are designed to improve blood flow. Performing regular special gymnastic exercises, you can not only improve blood circulation, but also help reduce pain.

LFK with heel spur

LFK with calcaneal spur

Very well assisted by therapeutic massage and wearing special orthopedic insoles or heel pads. Putting such an insole in shoes, you can evenly distribute the load on the foot, it will significantly reduce the pain. Although such devices are expensive, but the opportunity to walk without experiencing severe pain, justifies the money spent on them.

Do not forget about cleaning the whole body. In addition to taking prescribed medications, consult your doctor, perhaps colonotherapy, magnetized water, running or rubbing will only improve the overall effect of the treatment. Indeed, effective treatment of the disease can be achieved only with the integrated application of the above activities.

Quantum Therapy

Quantum therapy

In order to avoid the appearance of a spur on the heels, it is necessary to monitor the weight, not to allow excessive stress on the foot area, to consult a doctor in a timely manner and to treat diseases of the spine and joints. If you have flat feet, it is better to purchase special insoles in advance to prevent the appearance of the disease.

Traditional methods of treatment of heel spurs

Today quite a lot of people talk about folk medicine and, undoubtedly, some folk methods can significantly reduce the pain syndrome. But still it is not worthwhile to completely trust and dwell only on such treatment, it is better to use it as an adjunct to the main medication.

Using only folk methods, you can achieve a positive result only after a considerable amount of time, and conservative treatment will bear fruit in the coming days. There are a lot of methods of traditional medicine aimed at combating spurs on the heels, you can identify some of them.

Treating the heel spur with red pepper allows you to get rid of the pain after a week and a half. To do this, it is necessary to pour a little ground paprika in the toe under the heel and walk until the evening. The procedure should not be repeated at night, only during the day until the pain disappears completely.

A good mixture of honey and sea salt is good, mixing is one to one. First you need to steam your legs, then spread the heel area with the prepared mixture, wrap it with a double layer of gauze, then with polyethylene or food cellophane, put the socks on top and get warmer on the feet. This procedure should be conducted no more than 10 days.

Relieve pain and potato packs. It is necessary to grate it on a grater, lay on a heel, properly wrap it with polyethylene and, if possible, walk with a compress throughout the day.

Folk treatment of calcaneal spur.- Compressor

Folk treatment of calcaneal spur.- Compress

The folk method with the use of foot baths is very widely used. To do this, you need to buy at the pharmacy salt of the Dead Sea and dilute one tablespoon in two liters of water, cooled to 40 degrees. The duration of the procedure is about 20 minutes, one should spend it every day without interruption for ten days.

Often when treating spurs on the heels use a black radish. It is necessary to rub it, without peeling, on a fine grater, attach it to the heel area and wrap it with gauze. The procedure should be carried out at night, usually after 2-3 days the pain disappears.

You can also use a compress made of honey, table salt and iodine. We take 1 tbsp.a spoonful of honey, mixed with 1 teaspoon of salt and poured with iodine( standard vial 50ml).The resulting gruel is applied to a piece of cotton wool and applied to the affected area, wrapped with polyethylene and tightly bandaged. Follow the procedure after a morning awakening, walk with a bandage no more than fifteen minutes. The prepared mixture is enough for five procedures, the rest is stored in the refrigerator. Iodine can also be used as a bath. Pour a solution of iodine into the dish and dip the heel into it for 10-15 minutes, a similar procedure must be repeated every day for a week.

The most common burdock helps to chop spurs. It is necessary to fold the burdock leaf three times or four times, fix it well and put it under the heel. The leaf dries very quickly, so if you decide to use this method, you should stock up on this plant, and it will be even better if it grows nearby, and you can replace the dried leaf with freshly cut leaves.

Video - How to treat spurs on heels

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Treatment of calcaneal spur

Recently, hepatic spurs( plantar fasciitis) are considered a very common disease. It is an inflammation of the aponeurosis, which supports the arch of the foot and connects the calcaneus to the anterior part of the foot. Fascite is a small growth on the foot, which looks like a spike. When pressing, soft tissues are compressed, which leads to excruciating pain. To eliminate discomfort and acute pain, correct and timely treatment of the heel spur is necessary.

Treatment of calcaneal spurs at home

To determine the cause and complete removal of the heel spur, you need to see a doctor, undergo procedures for detecting the disease and pass appropriate tests( for example, with chlamydia, rheumatoid arthritis or gout).But you can not endure the pain until you find out the causes of the calcaneal spur and you do not need to get the appropriate doctor's prescriptions, you can yourself anesthetize the spur and at home.

  • First of all, it is worth to reduce the load( or remove it at all) from the sole where there is a spur. To do this simply, it will require a rubber roller or "horseshoe", cut out of rubber. Such accessories are stacked or glued to the shoes so that there is space between the heel and the shoes. This will significantly reduce the load and ease the pain.
  • At home you can use various anti-inflammatory drugs. Often, for these purposes, doctors prescribe gel Doloben or indomethacin ointment.
  • The treatment of medical bile is used. You can buy such bile in almost every pharmacy. From this drug should do lotions for the whole night. After waking, the compress is removed, and the heel should be rubbed with lotion or boric alcohol. After a few procedures, you will be able to observe changes for the better and relief.
  • At home, traditional medicine, iodine treatment( drawing of a reticulum) or baths( which are very undesirable to use in the first stages of the disease, so as not to worsen the situation) are also used.

Treatment with folk remedies

Medical technologies are actively developing, but some people use at home folk remedies for treating calcaneal spurs. The following methods and recipes are considered the most common:

  • Strew your feet in warm water for 15 minutes, and then apply a mixture of chicken bile, shampoo and alcohol( in a ratio of 40: 5: 20 g).Put on the cellophane and sock. It is advisable to leave such a compress for the night or at least 6 hours.
  • Make a tincture from the root of the iris, ground on a blender or meat grinder( 300 g), and alcohol 30 ml. Pour the mixture into a glass container, cover it tightly and leave to stand for 2 weeks. After it is worth doing with this tincture compresses, alternating every other day with vaseline applications. The course of treatment is 20 days( 10 sessions).
  • Pour onion husks vinegar in a 1: 1 ratio and let it steep for two weeks. Apply the mixture on the foot( about 1 cm), wrap it with cellophane and put on a warm sock. It is not recommended to conduct more than 6 sessions in a row. In between, it would be nice to lubricate the heel with a special cream or butter.
  • Porridge from ripe walnuts should be put daily to the foot with a calcaneal spur, leaving a compress for the night.

When you are going to be engaged in self-treatment of a heel spur at home, remember: not always such amateur performance leads to positive results. If after the procedures you do not notice improvement, you did not manage to stop the pain syndrome or only becomes worse, we recommend to see a doctor. You will be given a course of necessary procedures and recommend medication.

Medical treatment

For the treatment of painful heel spurs, the doctor will most likely prescribe pain medication and anti-inflammatory drugs. These include novocaine, dimexide, potassium iodide, hydrocortisone. To improve the perception of the body of these drugs, often use electrophoresis.

Recently, it has become very popular to treat the calcaneal spur using a vitaifon apparatus that has a vibroacoustic effect directly to the site of inflammation. Due to this influence, lymph circulation in the foot improves and the inflamed cells disintegrate. But it is worth remembering, the effect of this effect is temporary, because the spur does not collapse, but temporary relief comes. Ideally use the device to prevent spurs.

Drug blockade - an injection of painkillers and inflammatory drugs that is taken directly to the lesion site. The procedure must be performed by a specialist in order not to damage the ligaments and tendons of the calf muscles.

Ointments from calcaneal spurs

Treating heel spurs is possible using a variety of ointments, which also need to be applied correctly to get the maximum effect. Ointment should be applied to the steamed heel and carefully rub it into the skin. Use the cream for at least 2 weeks. Ointments soften the skin, remove inflammation, relieve pain and improve blood circulation in the foot.

To treat heel spurs used as steroid-containing drugs, and non-steroidal( anti-inflammatory), for example, butadione, flexin, voltaren. Hydrocortisone ointment( a hormonal drug) is used to improve the condition of vessels located near the spur. The course of treatment is 14 days, the ointment should be applied several times a day.

A good effect on the spur is provided with ointments containing extracts of vegetable or animal origin. For example, "Tiger eye Orto", "Golden mustache", "Shark fat", etc.

Treatment by shock wave therapy

Shock-and-beam therapy is a modern technique for combating the heel spur. This is a procedure with the use of special technologies aimed at reducing painful sensations. The principle of operation consists in the influence on the bone growth( osteophyte) of ultrasonic waves with a certain frequency.

The advantages of this method include the effectiveness and almost complete absence of side effects. You do not have to go to the hospital to undergo treatment. It eliminates the need for surgical intervention( operation).

It is worth noting - treatment shock wave therapy is not suitable for everyone. Contraindications to the application of the method are as follows:

  • pregnancy
  • acute infectious diseases, intoxication of the body
  • nervous system disorders
  • blood clotting disorder
  • cardiovascular system diseases, low blood pressure

To exclude all contraindications it is worth consulting with the doctor. The question of the application of the method is solved individually with each patient.

Often, radiation and laser therapy, magnetotherapy are used to combat spurs.

Treatment: calcaneal spur in children

Many believe that heel spurs are the lot of people of advanced age. But, alas. This is not true. Often there are cases of detection of pathology in children. As a rule, these are overweight children or those who are actively involved in sports. The foot in children under the age of 17 years is plastic and easily deformed, which can lead to flat feet.

It is important to buy a child's shoes, taking into account the anatomical features of the foot structure. The heel should be raised by a maximum of 2 cm and should preferably be anatomical. Children should not wear high-heeled shoes.

If you have identified a heel spur in a child, you should immediately go to a medical institution and do not delay with treatment. Because of pain during walking, it is possible to hold a stiff gait, which can lead to problems with posture, scoliosis, inflammation of the joints and others. The system of treatment of the disease in children is similar to the treatment of adults, only the doses will be different.

The causes of calcaneal spurs

The main causes of heel spurs are:
  • heavy heel loads( especially with flatfoot)
  • age changes
  • excessive loads resulting from sports
  • common diseases and poor body condition
  • stretching of the fascia, resulting in inflammation,deposition of calcium salts( calcification) and build-up of build-up
  • complications after trauma

Symptoms of

Evidence of a heelsecond spur is considered a sharp pain in the heel when walking, pain on palpation of the heel, changing gait.

To find out what a heel spur is from a doctors perspective, see the following video instruction:

Symptoms of

The first symptom of a calcaneal spur is a sharp burning pain during a support on the heel. Typically, there is such pain in the morning after sleep, after a resting state. It is worth noting, the size of the spur does not affect the strength of pain. The level of painful sensations depends on the location of the spur: the closer it is to the nerve endings, the greater the pain.

Diagnosis

For the diagnosis of calcaneal spur, the following complaints are necessary: ​​

  • pain in the heel in the mornings and after a long resting state
  • pain after walking or running
  • pain reduction as a person paces
  • painful feeling when you press a finger on the heel

To confirm the diagnosis, you should take an X-ray, and in some cases, an ultrasound. As the spur in the photo looks, you can look at the presented photo.

Prevention

To prevent the development of a calcaneal spur, preventive measures must be taken. Here is a list of what needs to be done to prevent this disease.

  • Fighting overweight( with diet, gymnastics).
  • Daily maintain moderate motor activity.
  • Do not overload the stop.

sovets.net

Plantar fasciitis - Wikipedia

Pathogenesis Control

Plantar fascia( aponeurosis) is attached to the calcaneus and metatarsus of the metatarsal bones, supporting the longitudinal arch of the foot. In the vertical position of a person, approximately half of the mass of his body exerts pressure on this fascia, with the greatest strain on the tissues at the point of attachment to the heel of the hump. Due to the constant load, microscopic fascia fascia are possible, which normally regress independently. However, in some cases, permanent microtraumatism can cause chronic aseptic inflammation with pain syndrome. Against the background of plantar fasciitis, as the compensatory reaction, the formation of marginal bone growths( osteophytes), called "heel spurs", is possible.

The heel spur is predominantly affected by people over 40 years of age, with more women predisposed to this disease. The likelihood of development of calcaneal spurs increases excess weight, problems with the spine, arthritis, flat feet, diseases of large leg joints, heel injury, gout, impaired blood circulation of the legs. Also, plantar fasciitis occurs in athletes with prolonged loads in the heel area.

Symptoms and differential diagnosis Correct

Marginal bone calcification osteophyte( heel spur) on the chest X-ray

The leading symptom of plantar fasciitis is pain in the calcaneal region, arising or increasing with exercise. Painful sensations are more pronounced in the morning hours. In most cases, to analyze the plantar fasciitis, it is enough to analyze the patient's complaints, physical examination and radiography, which makes it possible to detect the presence of a calcaneal spur. The absence of a calcaneal spur in conjunction with heel pain requires a differential diagnosis, primarily with systemic inflammatory diseases( rheumatoid arthritis, Reiter's syndrome, etc.), which can also debut with heel pain. Fasciitis can be complicated by fractures of osteophytes.

Treatment Treatment of plantar fasciitis consists in providing relief by using various types of insoles and thrusts, physiotherapeutic complex treatment aimed at eliminating inflammation of soft tissues and softening the spurs: massage, various warming sprays, mud applications, warm and mineral baths. In more complex cases, ultrasound therapy, low-intensity laser therapy, local administration of corticosteroids( diprospan, flosteron), X-ray therapy is used. In the presence of calcaneal spurs of large size, shock wave therapy is shown, in which the bone outgrowth is destroyed by directional action of the sound wave energy. In the absence of the effect of the above methods, surgical treatment is used - surgical removal of the bony outgrowth and excision of the altered tissues.

Often patients are also helped by physical therapy and massages, aimed at eliminating the causes of the calcaneal spur. The reasons in this case are associated with shortening and stiffness of connective tissues of the foot and lower leg( fascia, tendons, etc.).They are stretched by special physical exercises( especially in the mornings) so that when walking does not occur microfractures in the foot area. Patients are advised to lead an active lifestyle, but avoid overload of the foot, also to treat flat feet and arthritis on time. People with excess weight should be discarded to reduce the load on the foot.

To reduce pressure when walking to the heel area and maintain the longitudinal arch of the foot, it is recommended that patients use orthopedic insoles and special soft pads with a recess in the center of the heel. Also there are special prosthetic devices( orthoses), which have the form of a boot, and the foot in them is rigidly fixed at an angle to the shin. They are put on for the night, which allows to stretch the plantar fascia and achieve the correct intergrowth of micro-ruptures during sleep.

  • Korzh NA, Prozorovsky DV Modern aspects of diagnosis and treatment of some painful foot syndromes in adults( Russian).Health of Ukraine( 27.06.2013).Checked January 3, 2014.

en.wikipedia.org

Heel spikes

Heel spurs .or plantar fasciitis, is a chronic microtrauma of the plantar ligament that connects the calcaneus to the anterior part of the foot.

As a matter of fact, the heel spur looks like a small, but nevertheless very unpleasant on sensation spiky growth on the sole of the foot and is an osteophyte( bone growth) on the surface of the calcaneus. This sprouting appears in the form of a spine and, when loaded, compresses the soft tissues of the foot. This causes characteristic painful pains.

Often, especially in the early stages of the disease, it is difficult to detect such a spur. Sometimes this happens only during an X-ray examination. On an x-ray, this area is similar in density and brightness to bone tissue. Therefore, it seems that he continues the heel bone and looks like its pointed protrusion or spine. Heel spurs can be of various sizes. Most often its length is from 3 to 12 mm. The sharp end of the growth usually looks in the direction of the toes and slightly bent upwards.

Causes of calcaneal spur

Modern medicine believes that calcaneal spur is formed as a result of the following reasons :

  • high load on the heel area, for example, with flatfoot,
  • due to age-related changes,
  • at a young age - as a result of significant loads on the foot when playing sports and training too hard,
  • with excess weight,
  • as complications of injuries, rheumatic diseases, vasculardisorders or pathologies associated with the defeat of the nerves of the lower extremities.

Flattening

In 90% of cases, calcaneal spurs develop against the background of flat feet. The reason for this is that with flatfoot changes the load distribution on the bones of the feet, which causes too much tension of the tendons. The consequence of this is their easy traumatization under any sufficiently strong impact when walking - small stones or roughness of the soil.

After an injury, inflammation occurs, which is accompanied by pain. In the area of ​​ligament ligament, its fibers are replaced by scar tissue. This fabric does not have high strength and elasticity, and therefore often becomes the site of the following damages. In particularly severe cases, certain tendinous fibers can even completely detach from the bones to which they are attached. As a result, the inflammation captures not only the tendons themselves, but also the surface layer of bone tissue located beneath them.

Age-related disorders of

In elderly people, the development of this disease is mainly associated with age-related changes and long-term stress on the lower surface of the foot. All this, coupled with reduced ability to regenerate tissues, as well as age-related disorders in the blood supply of the lower limbs and leads to the development of a calcaneal spur.

Sport and training

Heel spurs are pathologies that are characteristic not only of elderly patients. Young people develop it most often with intensive training and frequent training. Such sports as, for example, running, jumping, etc.always imply increased stress on the osteo-ligamentous apparatus of the foot and do not exclude the appearance of its micro-injury.

Excess weight

Overweight, which is one of the most characteristic diseases for a modern person, also causes an increased load on the feet when walking. In addition, fat people are much more at risk of foot injuries arising from uneven ground.

Common diseases of the body

The reason for the formation of the calcaneal spur can be acute and chronic traumas of the calcaneus, as well as pathologies associated with metabolic disorders in the body, for example gout. In addition, the development of this disease can lead to significant circulatory disorders in the lower extremities in patients with poor vascular patency, for example, in diabetes mellitus.

The formation of the heel spur can also be the result of a number of chronic inflammatory joint diseases .rheumatoid arthritis. Bechterew's disease, etc. The pathologies of the large joints of the lower extremities and the spine disrupt the normal distribution of the body's weight when walking over the surface of the foot and the risk of developing calcaneal spurs increases.

Quite often heel spurs are accompanied by inflammatory processes in the mucous bags of the foot( Achilles bursitis or subclavian bursitis) and inflammation of the fascia - the shells of the foot muscles( fasciitis).

As early as the beginning of the 20th century, this disease was rare and in most cases it was caused by trauma, not flat feet or overweight. But in the modern world heel spur has become a very common disease. According to statistics, in 80% of cases it affects women, and more than half of them are residents of cities.

Diagnosis of calcaneal spur

Usually this diagnosis does not cause any special difficulties when staging. It is based on typical enough complaints :

  • pain in the heel area in the mornings after a night's sleep,
  • pain in the heel after periods of rest and rest,
  • pain arising after running or long walking,
  • gradual reduction of pain sensations,as the patient paces,
  • the occurrence of local soreness when you click on the area of ​​inflammation.

To confirm the diagnosis, an X-ray examination is usually performed. However, the calcaneal spur in most cases is detected accidentally by X-ray examination of patients who do not even complain. Therefore, it is believed that the presence of such a spur does not yet mean disease. It can be just an individual feature of the structure of the foot of a particular person. And if it does not deliver any unpleasant sensations and does not increase with time, then usually such a spur does not need treatment. Also, it is not uncommon for some patients with severe heel pains to show no spurs on the X-ray. In this case, the cause of complaints should be sought in other areas.

Signs and symptoms of calcaneal spur

Pain sensations

The most common symptom of the calcaneal spur is the appearance of acute, burning pain while supporting the heel. Often, patients describe it as a feeling of "nail in the heel."Pain is caused by pressure of bone formation on soft tissues. In this case, the intensity of pain depends little on the shape and size of the build-up. Quite often sharp and large heel spurs are not felt by the person, and flat and small are very painful. The intensity of pain is more closely related to the location of the build-up than to its size. In addition, the closer the spur is located to the nerve end of the foot, the more painful it will be.

In the future, pain can occur without stress. This is due to the fact that scar tissue, formed at the site of the injury with time, begins to accumulate insoluble calcium compounds. These deposits cause irritation of surrounding tissues, mucous membranes of articular bags, bone elements and, as a result, inflammation, which is also accompanied by a characteristic pain syndrome.

The most common disease develops after the age of 40 years. One of the first signs of a calcaneal spur is pain while supporting the heel. Particularly painful are the first steps after getting up from bed in the morning or after long breaks in traffic - the so-called "starting pains".During the day, when walking, the pain subsides somewhat, and by the evening, with the accumulation of fatigue and stress, again intensifies.

Changes in gait

Pain can spread to the entire surface of the foot or be present only from the inside of the heel. Therefore, the patient involuntarily tries to unload the heel area, which affects his gait. It is statistically determined that with a calcaneal spur in 93% of cases there are violations of the nature of gait.

In this case, the transfer of the center of gravity from the heel to the outer edge and the forefoot causes an incorrect distribution of body weight and leads to the development of transverse flatfoot. In cases where heel spurs develop on both legs, it becomes particularly difficult for such a person to move.

An additional factor that increases pain in the calcaneal spur is the thinning of the subcutaneous fat on the heel, since this layer acts as a natural shock absorber when walking.

How to determine if I have a calcaneal spur?

If you mark pain on the feet in the foot of the heel - this does not mean that you have heel spurs. To clarify your diagnosis, you need to contact a surgeon.orthopedist and rheumatologist. First of all, it is necessary to exclude other diseases that have similar painful manifestations in the heel area: rheumatoid arthritis, Bekhterev's disease and Reiter's syndrome. These diseases are diagnosed with the help of biochemical blood tests - it reveals specific rheumatoid factors. The very presence and size of bone growth is determined by X-ray examination. But the intensity of the pain depends no more on the size of the spur, but on the sensitivity of the surrounding tissues and the proximity of the nerve endings. Therefore, to refine the diagnostic data, it is recommended to supplement X-rays with ultrasound.

Heel spur for children

Bunches of the child's foot are usually not yet strong enough to resist prolonged and effective loads. Therefore, children who are overweight, intensively engaged in sports or grow rapidly, are always at high risk of forming heel spurs. In addition, until the age of 16-18 years, the baby's foot is still very plastic and easily deformable. This leads to rapid and frequent flatfoot development. Also, with intensive growth of the child, which requires an increased intake of energy and building material, his joint-ligamentous and bone apparatus may suffer from a shortage of nutrients. Often this leads to the development of diseases of the spine and foot.

The most important thing is shoes!

It is important to choose children's shoes, taking into account the anatomical features characteristic of each of the ages. For example, for the first steps, when children still have a fat pad on the arch of the foot, it is better to buy shoes with ordinary even soles and a heel level raised by 2 cm.

Later, depending on the condition of the foot and the individual needs of the child, you need to select shoes, which will perform preventive functions or use orthopedic insoles. The sole of any children's shoes for everyday wearing should not be completely flat, as, for example, with a sneaker or ballet shoes. But the heel should be selected not more than 3 cm in height. It is necessary to teach the foot of a child to quality footwear from the very early childhood. And one more tip: do not use worn sandals and shoes, because each child's foot tramples the insole strictly individually.

Therapy for calcaneal spur in children

All such decisions related to footwear for children should be taken only after examination and with the assistance of an orthopedic physician.

If a heel spur has already formed in a child, then treatment should begin as soon as possible. Due to the stiffness of the gait, resulting from painful sensations in the heel and foot, the child can quickly develop scoliosis.violation of posture.inflammation of the joints of the lower extremities. The program of heel spurs therapy in children practically does not differ from that of adults, but often the cure comes much faster. This is due to the fact that the children's body has much more opportunities to repair damaged tissues.

Treating the calcaneal spur

Can I heal the heel spur?

Of course, yes! Currently, there is a very wide choice of ways to effectively heal spurs :

  • providing unloading of the foot by using various types of thrusts and insoles,
  • ultrasound therapy,
  • mineral baths,
  • X-ray therapy,
  • in the absence of effects - surgical treatment, which consists in removingbone build-up by surgery and excision of altered tissues.

In most cases, the treatment of the calcaneal spur is conservative and depends on the cause of the disease.

Shock Spine Shock Wave Therapy

Shockwave therapy is a relatively new method of treatment. In our country, this procedure began to practice not very long ago, but the first results are already encouraging. Of course, it is not yet possible to judge the effectiveness of this method of treatment unambiguously, since there is still no opportunity to study the long-term results of therapy.

The available experience allows us to state that the effectiveness of getting rid of the heel spur is very high when using this method of treatment. The method is based on the action of pulses of ultrasonic waves of a certain frequency. The shock wave effect of ultrasound loosens calcium deposits in the heel spur. This allows later to wash the loosened deposits from the body with the bloodstream. The affected ligament is thus rid of accumulated calcium salts.

In addition, tissue regeneration processes are activated, puffiness and inflammation are reduced. With each procedure performed, the pain syndrome becomes less and, as a rule, completely disappears by the end of the treatment. The affected area in many ways restores its natural structure and regains the ability to tolerate everyday loads without causing painful sensations. In the initial stages of the disease heel spur is completely eliminated, and with a long duration of the process, deposition in a bunch of calcium compounds stops and inflammation is removed.

However, it is not possible to carry out shock-wave therapy for everyone. Contraindications to the treatment of calcaneal spur by ultrasound are :

  • bleeding disorders,
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The heel spike is a calcium deposit on the lower part of the calcaneus. On the X-ray, the calcaneal spur can protrude 0.5-1 cm forward. Although the heel spurs are often painless, nevertheless, they can cause quite severe pain. Heel spurs are often associated with plantar fasciitis. Plantar fasciitis is the most common cause of pain in the lower part of the heel. Approximately 2 million patients in the US are treated for plantar fasciitis every year. Plantar fasciitis occurs when a strong band of tissue that supports the arch of the foot( plantar fascia) is irritated and inflamed. Heel spurs on the back of the heel are also often associated with inflammation of the Achilles tendon( tendonitis) and can cause soreness and pain in the back of the heel, which is strengthened when the foot is unbent.

Heel spurs and plantar fasciitis can occur on their own or be caused by diseases such as arthritis( including Reiter's reactive arthritis) Bechterew's disease, diffuse idiopathic hyperostosis. It is important to note that heel spurs may not cause any symptoms at all, and can be accidentally detected during an X-ray examination.

Cause

A heel spur occurs when calcium deposits are formed on the lower part of the calcaneus and this is a process that usually occurs for many months. Heel spurs are often caused by stretching of muscles and ligaments, traction of the plantar fascia, and repeated ruptures of the membrane that covers the calcaneus. Heel spurs are especially common among athletes who are involved in sports with a large number of jumps and running.

Risk factors for calcaneal spurs include:

  • An abnormal gait that causes excessive stress on the heel bone, ligaments and nerves in the heel area.
  • Running on hard surfaces
  • Poorly matched or worn shoes
  • Overweight, obesity

In most cases, plantar fasciitis develops for no particular reason.

But there are certain risk factors that increase the possibility of plantar fasciitis, and include:

  • Elderly. Involutional changes in the tissues lead to a decrease in the elasticity of the plantar fascia and a reduction in fat tissue in the heel area.
  • . Diabetes
  • . Activities related to long standing on the legs.
  • . Active physical activity episodes.
  • . The presence of flat feet or vice versa high arch of the foot.
  • Calf gastrocnemius and limited flexion of the foot.

The function of the plantar fascia is the absorption of loads that fall on the foot. But at some point the fascia does not withstand the loads, and there are tears and inflammation of the fascia.

Symptoms of

Although many patients with plantar fasciitis have heel spurs, the spurs do not always lead to pain. Almost 10% of the adult population has spurs, but only 5% have pain in the foot. And therefore, the treatment of pain in the heel, most often, does not require removal of the spur.

The most common symptoms of plantar fasciitis:

  • Pain in the lower part of the foot near the heel
  • Pain from the first steps after getting out of bed in the morning, or after a long period of rest, for example, after a long trip by car. The pain decreases after a few minutes of walking.
  • Increased pain after( and not during) exercise or physical activity.

Heel spurs often do not cause any symptoms. But heel spurs can lead to episodic pains or chronic pain - especially during walking, jogging in the event that inflammation develops in the place of formation of the spur. In general, the cause of pain is not the calcaneal spur itself, but the trauma of the soft tissues with this spur.

Many patients describe pain at the calcaneal spur of and plantar fasciitis as a pin protruding in the lower part of the foot when they rise in the morning and this pain is later transformed into dull pain. The complaint is also that the acute pain also appears immediately upon standing up, after sitting for a long period of time.

Diagnosis

After examining the medical history, patient complaints, the physician examines the legs: the presence of a high arch, the area of ​​soreness in the heel area, the presence of restrictionsmobility in the foot. To verify the diagnosis, instrumental research methods may be required. Radiography provides a clear image of bone tissue. This research method makes it possible to exclude other causes of pain in the heel, such as fracture or arthrosis. The calcaneal spur is well visualized by radiography.

MRI is a very informative research method that allows you to visualize not only the foot bone tissues, but also soft tissues( ligaments, cartilaginous tissue), which is important in diagnosing damage to the plantar fascia, achilles tendon or cartilage damage in arthritis. The

ultrasound study is also widely used for to diagnose the heel spurs of and plantar fasciitis, and although the image quality is inferior to MRI, but given full safety, it can be used quite often, for example, to monitor the effectiveness of treatment.

Treatment of

Treatment of calcaneal spur can be conservative and operative. In 90% of patients with plantar fasciitis( heel spur) conservative treatment gives an effect within 10 months.

Conservative treatment methods include:

Drug treatment includes the use of drugs from the NSAID group( ibuprofen, voltaren, naproxen), which can be used either as tablets or topically as ointments, gels with NSAID content. In some cases, the use of injections of corticosteroids, which allows you to quickly remove the inflammatory process. A corticosteroid can be injected into the plantar fascia, which reduces inflammation and pain. But repeated injections of the steroid can lead to rupture of the fascia, and therefore the use of steroids should have clear indications.

Extracorporeal shock wave therapy( ESWT). During this procedure, powerful pulses of a sound wave can break calcium deposits in the heel spur and stimulate the regeneration process in the plantar fascia.

The procedure for SWT in some cases helps to avoid surgical treatment.

Physiotherapy ( laser therapy, electrophoresis, cryotherapy) can significantly reduce inflammation in the plantar fascia and reduce pain.

Orthopedic products .There are various products that allow to reduce the load on the foot, especially effective are the heel pads made of silicone, which significantly reduce the burden on the calcaneus and plantar fascia.

LFK .Exercises aimed at strengthening the foot muscles are quite effective in treating the calcaneal spur and plantar fasciitis in combination with other methods of treatment.

Surgical methods of treatment are applied only in the absence of the effect of conservative treatment for 12 months.

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Some statistics

Most often intense pain in the heels begin to bother in the second half of life. People with excessive body weight suffer from this ailment several times more often than slender ones. Lovers of high heels or shoes with a very low heel forget about pains in the foot area much less often than those who prefer heels 2 to 4 cm high.

What is a "heel spur"

Most often in medicine under the calcaneal spur is meant a plantar fasciitis,when for some reason the powerful fascia of the sole, which extends from the heel to the toes of the foot( more precisely from the calcaneus to the heads of metatarsal bones), is inflamed. If the process goes too far, impregnation with calcium salts of the inflamed area( calcification) and the growth of small bone formations-osteophytes-can occur.

Why the spur

is formed

Under normal conditions when walking, the plantar surface of the foot experiences maximum load. In this case, about half of all the exposures fall precisely on the heel hill and the portion of the aforementioned fascia attached to it, on which microscopic cracks and tears are formed. As a rule, they heal independently, but if they are formed very much, the plantar fascia strongly inflames and the person begins to feel pain.

Overweight, high-heeled shoes increase the load on the heel of the heel( for this reason women suffer from pain in the heel more often than men).Also flat feet, various curvatures of the spine can change the gait and redistribute the weight on the feet, increasing the impact on the heel hill.

Chronic latent infections, rheumatic diseases or accompanied by a metabolic disorder( eg, chlamydia, rheumatoid arthritis and gout) can contribute to the appearance of plantar fasciitis even in cases where the foot is not subjected to increased loads.

Sometimes heel spurs can be observed among sports fans( especially athletes), if they wear uncomfortable shoes.

If the inflammation of the fascia lasts a long time, you may experience reactive bone formation( osteophytes) or simply deposition of calcium salts( calcinosis).

As hepatic spine

appears If the inflammation is relatively small, a person can millet feel the pain in the heel area, especially at the first steps after awakening. During the day, this pain may disappear, and by the evening appear again. These symptoms can be the first signs of the appearance of the heel spur, so you should immediately see a doctor to establish the exact cause of these pains( heel spur formation, arthritis, etc.)

If the inflammation progresses, the pain intensifies and the person complains that heas if "a nail was hammered into the heel", begins to limp( sparing a sick leg).If the heel spurs appear immediately on both lower limbs, then the patient can not walk at all, except on socks only.

Treating the calcaneal spur at home

The first thing to do is to see a doctor in order to clarify and eliminate the cause of the pain in the heel. To do this, sometimes you need to take an x-ray of your foot or go through an ultrasound. With rheumatoid arthritis, chlamydia or gout, you will most likely have to pass an appropriate blood test.

Before finding out the reason for alleviating the general condition, it is necessary to remove the load from the inflamed part of the foot as much as possible. This can be done by placing a rubber cushion in the shoes in such a way that, when resting on a sick leg, the "spur" does not come into contact with anything. If desired, you can cut out the "horseshoe" made of soft porous rubber and glue it to your home slippers so that the gap between the inflamed tissues and the shoe insole is preserved. In this case the inflammation passes quickly enough.

The second thing that can be done at home is to lubricate the area of ​​the sole of the foot with any means that relieves inflammation. More often for this purpose use medications after a proper consultation with a doctor: doloben, indometacin ointment and other means. Vannochki and other thermal procedures are good at later periods, because at the very beginning of the inflammatory process, they can increase the pain syndrome and swelling of surrounding tissues.

If the basis for the appearance of calcaneal spurs is some kind of ailment, it is necessary not only to treat the spinal spur directly, but also to undergo treatment for the underlying disease.

MyFamilyDoctor.ru

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