Heel spurs to which doctor to consult

Symptoms of calcaneal spur: how and with whom is this disease manifested and how to cure it?

Heel spur, or plantar fasciitis is a degenerative disease of the plantar fascia, which causes pain in the heel area, caused by the proliferation of bone tissue in the form of a spine( which, in fact, is called a calcaneal spur).In this article, you will find out what kind of disease it is, who it occurs, what symptoms are manifested, and what are the methods of treating this ailment.

Article content:

Why does heel spur?
Who gets this disease. Risk factors.
Symptoms and signs of illness + video
Treatment: heel pads, medicines, physiotherapy, curative gymnastics, surgical treatment

Why does this disease occur?

Although the heel spur is often referred to as a synonym for plantar fasciitis, this is not entirely true. Plantar, or plantar fascia - is a connective tissue formation( you can say - a bunch) that supports the longitudinal arch of the foot. Well, since the weight of our whole body lies on the foot, by and large, it turns out that almost all the time the weight in 50, 70, or even 100 kilograms weighs on this longitudinal fascia!

spur or plantar fasciitis

spur or plantar fasciitis( scheme)

Therefore, it is not surprising that, due to such a large load on it, small micro-snaps occur occasionally from the fascia. Usually, these microtraumas are healed on their own, but in some cases this does not happen, and aseptic inflammation( ie, inflammation without the participation of bacteria) of the fascia itself, as well as nearby formations, including the calcaneus, occurs. And the heel bone reacts to aseptic inflammation in the same way as it happens with deforming arthrosis of the joints: bone tissue proliferation( formation of marginal osteophytes) by the type of bone spines. So there is a disease, which is called the heel spur in the people. Who has this disease?

Most of all, the appearance of the calcaneal spur affects middle-aged people( after 40 years), and mostly women. It is not yet possible to find out exactly why this is happening and why some people have plantar fasciitis and others do not. But at the same time, the factors that trigger the onset of this disease are known.

Risk factors:

  • risk factors and causes of spurs flat feet( longitudinal);
  • is overweight;
  • gout;
  • dystrophic diseases of the joints of the legs, mainly large ones - such as arthrosis of the knee joint, osteoarthrosis of the hip joint, etc.;
  • leg injuries, in particular - calcaneus injuries, which often "trigger" the development of the calcaneal spur;they can be both acute and chronic;
  • metabolic disease;
  • presence of diseases in which blood circulation in the legs is disturbed( diabetes mellitus, etc.);
  • significant and prolonged loads in the heel area( especially often in athletes);
  • diseases of the spine( Bechterew's disease, uncovertebral osteoarthritis, etc.);
  • inflammation of various joints( arthritis), reactive arthritis, etc.

Symptoms of

signs and symptoms of spurs

pain in the heel area - the first symptom of the spine

The main and main symptom of the heel spur are heel pains that occur during movement, which increase with walking and physical exertion, andalso after a prolonged state of rest( the so-called "starting pain").

Usually these pains are especially pronounced in the morning, in the morning. The pain in the heel is sharp, sudden and sharp. In order to reduce it, the patient can use a cane or try to attack mainly on the toe of the diseased leg.

According to what signs the doctor diagnoses

Usually, in order to make such a diagnosis, an experienced doctor does not need a lot of time. As a rule, for this purpose it is enough to carefully examine the patient and find out when and how he has pain, and also to examine the area of ​​the heel and make an x-ray of the patient's foot. Usually on such an X-ray image with the naked eye can be seen the growth of the calcaneus in the form of an acute spine( see the figure), which, in fact, causes painful sensations.

x-ray of the calcaneal spur

x-ray of calcaneal spur

If the pain in the calcaneal region is there, and the X-ray examination does not show the presence of a spur, the doctor, in order to make the correct diagnosis, will have to exclude other diseases of bones and joints, primarily rheumatoid arthritis, as well as reactive arthritis.

But, as a rule, the statement of this diagnosis still does not cause difficulties for the doctor. And after he is delivered, it's time to start treating this disease.

Treatment of

Therapy of this disease should be comprehensive and conducted immediately in several ways. There are several types of treatment for calcaneal spurs: non-drug methods, medicinal methods, physiotherapy and therapeutic gymnastics, as well as surgical treatment.

Non-pharmacological treatments for

Horseshoe pads for pain reduction during spur

horseshoes to reduce pain in the spine

Since microfractures of the longitudinal fascia are an important factor in the development of the disease, it is very important to ensure that they do not occur, walking is most comfortable for the patient, and physical stress on the foot is not too great.

First of all, this is achieved using the use of special orthopedic insoles, and the use of special non-rigid liners with a special groove in the center of the heel - so that the soft tissues around this bone growth are not injured.

Medical treatment

Since the main symptom of this disease is pain, the heel spur is prescribed anesthetic non-steroid drugs, which are designed to both reduce pain and reduce inflammation in the fascia and calcaneus zone. To this end, it is prescribed, for example, ibuprofen or diclofenac.

In addition to medications for calcaneal spurs that are ingested, various external ointments and gels are often used, which help to further reduce pain, but due to local action, they do not give the body side effects typical for NSAIDs.

medication spurs

medication spurs only by

doctor. In cases where pain can not be defeated with drugs from this group, more powerful hormonal drugs are used. Since they have rather strong side effects when administered internally, with a calcaneal spur they are usually prescribed as injections directly into the heel and the plantar fascia. Usually, in order to reduce pain and inflammation, one or two injections of such hormonal agents as diprospan or hydrocortisone are sufficient.

Please note: these preparations are presented in this article for informational purposes only! Do not self-medicate: this can lead to serious consequences. To treat the heel spur, you need to seek medical treatment internally!

In addition, there are quite effective folk methods for treating the calcaneal spur. Wise nature has created medicinal plants, decoctions and infusions of which can help to reduce pain in the foot, reduce inflammation, improve the nutrition of tissues in the diseased area. The main thing - do not forget that any methods of treating the spur of folk medicine must necessarily be coordinated with the attending physician. These methods of healing are useful only if they are carried out in parallel with medical treatment: it is only with the help of folk treatment that the spur does not pass!

Physiotherapy and Curative Gymnastics

shock wave therapy plantar fasciitis, photo

Shockwave Therapy for Plantar Fasciitis

Therapeutic exercises with a calcaneal spur help to train the plantar fascia in such a way that micro-ruptures do not form. To do this in the morning, special therapeutic exercises are carried out, designed to stretch and strengthen the fascia in a special way, so that its resistance to injury is increased.

A special place in the treatment of the calcaneal spur is physiotherapy. A good effect is provided by such procedures as greeotherapy( peloid-therapy), special therapeutic mineral baths, ultrasound therapy, Vitafon apparatus treatment, laser therapy and other methods. But the most effective method of treating spurs, especially when the bony outgrowths have reached a large size, is shock wave therapy. In this procedure, the bone growth( spur) is destroyed by a special narrowly directed source of sound that is beyond the audibility of a person.

Surgical treatment

In those rare cases when all of the above methods have not helped to cope with the disease, one has to resort to a surgical or surgical method of treatment. During this procedure, excision and removal of the bony outgrowth is performed, which traumatizes the surrounding tissues.

However, the earlier the patient discovers the symptoms of the calcaneal spur and turns to the doctor, the more likely the disease will be stopped by conservative methods and dispensed with without surgery.

Do not delay coming to the doctor, this will help you avoid unnecessary pain and again become a healthy person!

ArtrozamNet.ru

Heel spear

It is believed that the heel spurs can develop due to flat feet, acute or chronic injury, gout, neurodystrophic disorders, etc. Elderly age can contribute to the development of calcaneal spurs.

Symptoms of

If a patient complains of a sensation of pain in the base of the five, which may increase gradually or appear suddenly, and the pain is like a nail on walking, then you should suspect the presence of a spur and make a roentgenogram of five in the lateral projection. When the patient is examined clinically, no pathological changes are detected, except for the reaction to pain when pressing on the plantar heel area.

Diagnostics of

On the roentgenogram, bone exostosis is found, which departs from the calcaneus on a somewhat wider basis and is pointed with a sharp end along the fibers of the aponeurosis of the sole. The dimensions of exostosis vary, but sometimes there is pain in the presence of a small spur, while large spurs may not be felt by patients.

Sometimes a doctor may doubt whether the pain in the heel is due to the spur, because it is small in size. In such cases, pain in the heel can be caused by bursitis or periostitis of the calcaneus, and also by a spur that is not ossified, and therefore it can not be seen on the roentgenogram.

Histological examination of distant spurs revealed the presence of a bone structure, at the apex tightly connected to the fibers of the aponeurosis of the sole, and petrified cartilage.

In clinical practice, most often calkanodinia and achillodynia are caused by bursitis and inflammation around them.

Prevention

The choice of method of treatment depends on the patient's complaints and the cause of the calcaneal spur.

If the calcaneal spur is caused by a flatfoot, the patient should recommend shoes with insteps and a small "steering wheel" under the heel or a cut in the instep under the painful point in the heel. Women are helped by high-heeled shoes with a good pivot of the arches of the foot. In a word, the patient should not load the heel.

Assign anti-inflammatory drugs, UHF or ultrasound therapy, overnight compresses, paraffin applications.

Operative treatment is rarely used, with ineffective conservative treatment.

The operation is performed under anesthesia. The wound is sutured after hemostasis and drained for 1-2 days. Apply a plaster, well-banded bandage, which is removed after two weeks. The patient is prescribed paraffin applications on the foot and allows her dosed load. Full load in normal footwear is possible in 3-4 weeks.

Online consultation of a doctor Ask questionnar: 11.03.2013, please tell me if you can advise me on fibrotic ankylosis of the first metatarsophalangeal joint.in October I had arthroplasty of the joint, now I do not know what to do next, that I would avoid relapse. I can send the rengensimki.in advance many thanks Hello Natasha! Thank you for contacting us. The endoprosthesis is both a complex and delicate construction. That's why you should not abandon the scheme of control over a new joint of artificial origin, which you were recommended. Do an x-ray of the operated joint shortly before each check-up visit to the doctor. In addition, it is necessary to pass blood and urine tests. Three months after the operation, the first follow-up visit takes place. During it, determine the condition of the joint to determine whether it is possible to give full load. Six months later, a second follow-up inspection is carried out. This time, determine the changes in the bones and muscles that surround the joint, whether there are pathologies of bone tissue. The third examination takes place one year after the replacement of the joint. The doctor notes how the joint has grown, what changes have occurred in the bones and soft tissues, the muscles in the process of adaptation. Then the doctor is visited as needed, but at least once every two years. In addition, contact your doctor if you experience pain, redness, swelling, or an increase in skin temperature in the joint area. You can address, on consultation to the doctor-traumatologist-orthopedist for a residence.

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Methods for treatment of calcaneal spur

Skin spur disease is common in people of different ages, due to various causes: age-related changes in the body, excessive body weight, load 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( ICD-10 code: 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 know which specialist to go to, you need to be able to recognize the heel spur, its symptoms:

  • Strong pain sensations in the heel area. 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 discernible on palpation.
  • Unpleasant sensations in the area of ​​the heel, sort of like "hammered nails".
  • Appearance of lameness, change of gait is possible.

Having discovered one or more symptoms, it is necessary to find out where the heel spinal cord is treated in Moscow, to go to a medical institution, to undergo research on the basis of which a conclusion will be issued to confirm the diagnosis. 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 studies, 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.

Methods and methods of treating the heel 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).
  • Operative intervention.
  • Physiotherapeutic procedures( mud treatment, paraffinotherapy, special foot baths)
  • Medication.
  • Electrophoresis.
  • Treatment with Vitafon.
  • X-ray therapy - the effect 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 in a natural way. The treatment is as follows:

  • The handle of the device is applied to the foot with the heel spur and the doctor directs the impulses of the shock wave 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 calcaneal spur by ultrasound is very effective, so 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 a number of 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:

sovets.net

To which specialist doctor to apply to cure the heel spur?

Irishka

Go to the surgeon!

yurik

it is necessary to be nervous, spurs to stati from nerves, but I do not know, come to the therapist there to tell you!

Your

PET to the dermatologist

Personal Cabinet Removed

You do not need to go anywhere, you only need time while the spur, then the bone does not round, and everything goes by itself!

Maria

Orthopedic Surgeon

10 Sprays for 7 minutes for the heel. The stink is incredible. It helped me.

Olka

Make an X-ray of the calcaneus in order to accurately "spur" it or not. Usually heel spur, sooner or later starts to hurt! And of course, contact the surgeon!

tani mosquito

The surgeon will give direction to rengen and advise to start to do a compress of Medical bile for the night of 10 days, walk with magnetic insoles. So it was with me, treated with long and persistently different compresses, but ultimately it helped. .. I think it's better to go three times to a painless laser breakdown, this is a new method than to get rid of it so long. ... And it's up to you....

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