X-ray spine X-ray: the benefits of this treatment
The main disadvantage of this method is that it has virtually no contraindications. Restrictions are only for pregnant women, since during this period, exposure to X-rays should be avoided. It is not recommended to undergo a similar procedure to mothers breastfeeding.
The first step of the
It should be noted that physicians initially use all conservative methods of treating the heel spur, including carrying out physiotherapy procedures. If X-ray therapy is not avoided, then the patient will need to: • wear regular orthopedic insoles on a regular basis, • monitor their weight, • not burden the foot.
Methods of treatment of heel spurs are based on the use of expensive drugs and therapies. To completely heal, you need to visit at least 10 sessions of shock wave therapy. However, if this method is compared with a surgical procedure, it is much cheaper at the price of the second method. In this case, the patient should remember that the operation on the foot contributes to the loss of his working capacity for a long time.
Principle of treatment
Heel spur X-ray therapy is painless. A low-dose x-ray is sent to the heel in the region of localization of this disease. This procedure takes no more than 10 minutes. In this period, the nerve endings are blocked.
The heel spur does not disappear immediately after the first session. However, X-ray therapy significantly alleviates the condition of the patient after several such procedures. It should be noted that the bone growth is not removed, it blocks the nerve endings and all those unpleasant symptoms that are characteristic for this disease. With the help of special equipment, physicians carry out various anti-inflammatory, analgesic and other types of therapy.
Since the build-up on the bone does not disappear, so doctors advise during and after treatment to make sure that the stop is not overloaded. The patient will need to wear special liners in shoes or orthopedic insoles. You can conduct this procedure on an outpatient basis. In this case, the patient does not need to remain under the supervision of doctors upon completion of such sessions. The main thing is that the treatment is not interrupted even in the case when there comes a relief.
The basis of X-ray therapy
X-ray therapy is one of the methods of irradiation, which is based on X-ray radiation. The energy is in the range of 10-250 square meters. Physicians use for this purpose two types of radiation: 1. short-focus therapy - the energy does not exceed 60 square meters. This technique is used to treat tumors, various growths of the body tissue, which are located shallow from the surface of the skin - no more than 6-7 cm, 2. long-focus therapy - the rays penetrate deep into 30-60 cm, while their length is 60-250 sq..
Depending on the depth of influence of the rays, two types of X-ray tubes are used. At the same time, the process of cell growth is suppressed. The cells themselves do not collapse. The result of this therapy directly depends on the age, the general condition of the patient, the dosage used, the rhythm of the radiation, the stage of development of this ailment and the degree of symptoms manifested.
The effect of
The X-ray therapy has several effects. The anti-inflammatory effect is to suppress inflammation and relieve symptoms. Destructive action consists in destruction of old cells and start of processes of their updating. With the help of analgesic effect, pain sensitivity decreases and pain is relieved. Due to the desensitizing effect, the main signs of hypersensitivity of tissues are eliminated.
Principles of therapy
Treatment of spurs on the heel is included in complex therapy and often gives a positive result. Patients who have gone through several sessions feel a decrease in the pain syndrome. In this case, the main signs of the inflammatory process are removed, and bone growths are destroyed. Short-focus treatment treats the skin area, ligaments and adjacent fascia. Due to long-focus radiation, radiation of the bone tissue and the outgrowths present on it occurs.
The principle of X-ray therapy lies in the direction of the X-ray beams on the heel bone. In this case, there is an instant blocking of nerve endings and a reduction in pain sensations. This technique directly affects the pain syndrome, reducing it and improving the patient's quality of life.
However, complete relief comes only with complex therapy. It will be necessary to remove all the main causes of the development of this disease.
The advantages of X-ray therapy
The advantages of this technique include:
- duration of one session no more than 10 minutes,
- short course of treatment - about 10 sessions,
- no side effects,
- provided anti-inflammatory, desensitizing and analgesic effect,
- no need for hospitalizationpatient in a hospital.
In the case of aggravation of the calcaneal spur, the treatment of this disease with x-rays is repeated. However, the effectiveness of this technique is somewhat inferior to shock wave therapy. On the other hand, X-ray treatment is considered an extreme method, which is used when other methods are not effective.
The conducted studies have proved that the effect of low doses of X-ray irradiation does not cause negative harm to the patient, with no side effects.
In any case, X-ray therapy is prescribed only by the attending physician after a complete examination. Conduct similar sessions should only an experienced specialist.
Heel spurs, treatment guide
Why do heel spurs appear? How can I get rid of them?
"For many years, I have been worried about one problem: the right heel hurts badly when I attack. The pain is especially strong in the morning . When I get out of bed, the first few steps I go as on hot coals. When I walk a little, it goes away, but then, in the afternoon, when I sit down on the sofa for a while and get up - it hurts again. When you need to walk a lot or stand in line too it hurts.
Once upon such a pain complained and my mother. She said it was a calcaneal spur. I laughed: which is spur ?Now here and from me is .Say , please, that can do, to solve this problem ? »
In similar cases, the pain in the heel can indeed be associated with the" calcaneal spur ".
Especially often heel spurs appear in people older than 40-45 years.
In 90% of cases, pains with heel spurs can be eliminated without surgery with a fairly simple treatment. Below, we will give detailed recommendations on this matter.
What is heel spurs? What is plantar fasciitis?
Many people who face the problem of heel spurs believe that the pains in the heel are associated with the "spurs" and that they are due to the fact that the skin in the heel area stumbles on an acute bony spine-out growth that grows under the skin.
However, as shown by scientific research, in this field, such an idea of the problem is erroneous.
In fact, "spurs" are not always the cause of pain. They are in many people who have no pain in the heel area.
The true cause of pain in the heel area is most often an inflammation of the dense membrane that lies deep beneath the skin of the feet and supports the curved shape of the arch of the foot.2
In medicine this membrane is called plantar( platy) fascia .On the one hand, the plantar fascia is attached to the heel bone - on the other hand - to the bones before the beginning of the toes and to the tendons of the muscles bending the toes.
During walking, the plantar fascia works like a shock absorber: it stretches when a person steps on the foot and again contracts when the leg ascends into the air, returning the curved shape to the foot to absorb the next step.
When walking and with other physical exercises, the part of the plantar fascia to which it is attached to the calcaneus is subjected to the greatest load. Because of the loads, individual fibers of this fascia are torn, and the tissues around them become inflamed;The attachment of the fascia to the calcaneus begins to ache.
Inflammation of plantar fascia in medicine is called as plantar fasciitis .
Over time, due to the inflammatory reaction, calcium salts begin to be deposited in the thickness of the fascia and it ossifies in the form of an elongated process - thus a "spur" appears.
Thus, the appearance of "spurs" and pain in the heel area are consequences of the same cause - inflammation of the plantar fascia( plantar fasciitis).
The dimensions of the "spurs" can reach from 1 mm to 3 cm or more in length and more than 5-6 mm in thickness.
What complications and consequences can the heel spurs cause?
In themselves, the heel spurs and plantar fasciitis do not pose a danger to life. However, without adequate treatment, the pain associated with them can be intensified and can greatly reduce the quality of human life.3
What kind of treatment is needed to remove the heel spurs?
From the above explanation of the reasons for the appearance of heel spurs and associated pains in the heel, it can be concluded that to solve the problem, it is important not to remove the spurs( they themselves do not cause pain), and to eliminate the cause of their appearance - inflammation of the plantar fascia. Below we show how you can achieve this.
Step 1: How to quickly heal the heel spurs
There are no quick methods for treating "heel spurs".Nevertheless, if the spur causes severe pain before the systematic treatment and as long as it works, you can reduce the pain in the following way:
- For severe pain, try to compress the heel with ice for 10-15 minutes. In order not to cause frostbite, it is better to apply a compress through the sock. You can not hold a compress for more than 15 minutes.
- You can try to apply a cream, ointment or gel with an anti-inflammatory substance( for example, with diclofenac) to the heel.
- For severe pain, you can take an analgesic pill( ibuprofen).
- With very severe pain, you can consult a doctor. The doctor can make an injection with anesthetic and anti-inflammatory drugs( blockade) in the "spur" area, or he can prescribe several electrophoresis sessions with these substances.
Step 2: Changing the shoe
Since the distribution of physical stress on the individual parts of the feet is largely dependent on the shoes, one of the first steps that you can take to solve the problem of heel spurs is to change the shoes that you wear.
In particular, it may be a good idea to have special running shoes designed for running, with a soft sole that you will wear at home.
For your regular shoes for every day, you can buy special heel pads( orthopedic insoles) made of silicone or other soft and resilient material.4
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Step 3: Massage, gymnastics and exercises
For the treatment of pain associated with inflammation of the plantar fascia, a set of simple exercises is developed. You can perform these exercises at home. For this, no special conditions or simulators are needed.
Exercises to increase the elasticity of the plantar fascia
Plantar fascia( as well as other ligaments in the human body) is arranged in such a way that in a state of rest it always strives to contract and become shorter. This helps the ligaments to maintain the normal shape of the joints, but also increases the load on them during exercise: the shorter the ligament becomes during rest, the stronger it will have to stretch during the next physical exertion and, therefore, the greater the tension in the places of its attachment tobones.
In this regard, for the treatment of inflammation of the plantar fascia, orthopedic doctors recommend that their patients periodically do exercises that would support the plantar fascia longer and more elastic.
These are the exercises:
Sitting on a chair, bring a sick leg to the knee of a healthy leg, grasp the fingers of her hand and pull them toward you, so as to maximally pull the foot out. Having done this, you can feel the foot with the other hand. Under her skin you will feel a tight web. Hold your foot in this position for a few minutes, and then release.
Repeat the exercise several times a day, gradually increasing the strength with which you pull the foot.
Noticeable relief of pain can occur after several weeks of regular exercise of this exercise.
The results of some studies have shown that such an exercise can be more effective than more complex therapies, for example, shock wave breaking of spurs, described below.
Sitting on a sofa, on a chair or in an armchair, put a sore foot on a round or cylindrical object( tennis ball, an elongated glass jar or bottle).Roll this object on the carpet back and forth in front of you for a few minutes. Repeat this exercise several times a day.
Exercises to increase the elasticity of the gastrocnemius muscle
The calf muscle is attached to the heel bone behind and from above through the Achilles tendon and when walking pulls the heel up.
In the course of scientific research it was found that the reduced elasticity of the gastrocnemius muscle and Achilles tendon during walking creates an increased burden on the plantar fascia, which in turn can contribute to its inflammation, the appearance of pain during walking and heel spurs.
In this regard, specialists in orthopedics often recommend their patients with heel spurs to do simple exercises to stretch the gastrocnemius muscle.
Stand against the wall, with both hands on the wall. A healthy leg, push forward and slightly bend at the knee. She will be the supporting leg. Sick leg off, do not bend it in the knee, keep the sock perpendicular to the wall and do not tear off the heel from the floor, during the entire exercise. Slightly relaxing your arms and supporting leg - lean towards the wall. You should feel the tension of the gastrocnemius muscle in the aching leg. Hold the tension for a few minutes, and then return to the starting position. Repeat this exercise several times a day.
Stand with the toes of both feet on the edge of the step, keeping your hands on the railing. After this, several times with springing motion, lower the heels below the step level.
You can perform this exercise at home on a more or less high threshold, holding on to the door frame. Repeat these exercises several times a day.
Step 4: Temporarily restricting physical activities
Many people who have heel spurs spend a lot of time on their feet.
If possible, try to do part of your homework or work in the office while sitting on a chair.
If it is important for you to maintain a good physical shape and you are used to walking or running a lot, you can temporarily switch to other sports that do not put a heavy load on the heel bone: swimming, cycling.
If you are overweight, try to lose weight .
Step 5. Treating the calcaneal spurs under the supervision of the doctor. To what doctor to address?
If you do everything that is possible from the above and within 2 months it will not help you to solve the problem of pain in the heels, be sure to consult a doctor orthopedist or traumatologist. Also, be sure to see a doctor if you have pain in the heels that show up differently than described at the beginning of this article, or if you have any other health problems besides these pains( for example, a prolonged temperature rise above 37 C, weakness and pain throughout the body, pain in other joints).7
In addition to plantar fasciitis, there may be other causes of pain in the heels( including pinching of nerves, rupture of the fascia, fracture of the calcaneus, arthritis, gout, osteomyelitis, tumors, etc.), which we will describe later in a special article and which require a completely different treatment.
Diagnosis: which examinations can a doctor appoint to identify heel spurs?
In most cases, in order to identify the plantar fasciitis and heel spurs, the doctor needs to examine the leg and ask the person about how the problem developed.
In order to clarify the diagnosis( for example, if the pains appeared immediately in both heels, which is not very characteristic of heel spurs or appeared in a young person), the doctor can prescribe a conventional calcaneus x-ray.
If the doctor confirms that the heel pains in you are really related to the plantar fasciitis , he will be able to offer you to continue the treatment already begun and supplement it with the following measures:
Wearing special tires holding the foot in the unfolded state of
In order to increase the elasticity of the plantarthe fascia doctor may suggest that you wear a special night tire during rest or overnight.
The doctor will show you how to properly put on such a tire and in what position you need to fix the stop.
Many people who try to wear such tires at night and take them off in the morning before getting out of bed notice that after a few days the pains that were in the heel in the morning during the first steps disappear.
Shockwave therapy( uvt)
If the above treatment does not help within the next 3-4 months, the doctor may suggest that you do several sessions of so-called shock wave therapy.8
During these sessions, the micromodification of the calcaneal spur is performed using ultrasound or electromagnetic waves. In the course of scientific research it was found that this stimulates the production of new tissues in the area of the inflamed and damaged area of the plantar fascia.
X-ray therapy( irradiation, radiotherapy, radiotherapy) of heel spurs
Instead of shock wave therapy or after it( if it is not effective enough), the doctor can offer you the so-called X-ray therapy ( blue radiotherapy, radiotherapy), during which the area of the inflamed plantar fascia and heel spur is irradiated with X-rays.
In the treatment of heel spurs used small and perfectly safe doses of X-rays, which have a prolonged anti-inflammatory effect.
To eliminate pain, you may need only a few sessions or longer treatment( all depends on the degree of inflammation in your case).
Observations of large groups of people who received such treatment showed that carrying out radiotherapy of heel spurs does not cause any side effects and helps many people get rid of pain for a long time.
Given the high efficiency, safety and low cost of radiotherapy, many experts consider it to be the No. 1 treatment method for heel spurs that do not lend themselves to a more simple treatment.9
Surgical( operative) removal of calcaneal spurs
Surgery for heel spurs and plantar fasciitis is carried out only in those cases when a person was not helped by all other methods of treatment, within 6-12 months.
During surgery, the doctor removes the spur and / or cuts part of the fibers of the plantar fascia.
This operation helps to cope with pain in about 50% of cases.
Step 6. Prevention of calcaneal spurs and plantar fasciitis
After you achieve the disappearance of pain with the above methods of treatment, continue to periodically perform the described exercises, try to give your feet more rest and wear comfortable shoes. This will help prevent the re-development of plantar fasciitis and pain in the heels.
No special diet is required for this problem.
Treatment of heel spur with X-ray therapy
X-rays( X-rays) are widely used in medicine, both for human examination and for the treatment of certain diseases. X-ray radiation is a kind of electromagnetic radiation that has an extremely short wavelength. This gives the radiation a high energy, which allows it to penetrate deep into the tissues, which is used to achieve a therapeutic effect. Usually with the help of X-rays, they treat oncological diseases, affect benign tumors, and also remove warts and other skin growths.
But we must not forget that X-rays, it's all the same radiation radiation, which at a certain dosage harms the human body. But only the prolonged and intense exposure of the X-ray to the human body can harm. In addition, X-ray therapy is recommended for use in the lesion of those areas that are easily accessible.
X-ray therapy with calcaneal spur
The heel spur has a very convenient location to act on it with X-rays, without causing harm to the whole body, so X-ray therapy of the heel spur is a very popular method of treatment.
The method of treating calcaneal spur with X-ray is used when other conservative methods of treatment are ineffective. The doctor with the help of special equipment directs the action of the X-ray beam with a low dosage of radiation to the site of localization of bone growth on the heel. This causes the blocking of the nerve endings in the "sore spot" and the pain disappears. Since the pain in the heel of this disease is the main symptom that prevents people from living, relief from pain greatly improves the quality of life for such patients. The calcaneal spur itself under the influence of X-rays does not disappear, but there will be no pain when walking.
One procedure for X-ray therapy of the calcaneal spur lasts about ten minutes. Such procedures for the course of treatment will take ten. After complete course of X-ray therapy and observance of all medical recommendations, patients completely get rid of painful sensations in the heel. You just need to make efforts to unload your feet( wear special shoes, fight excess weight and so on).
Advantages of Treating Spinal Spurs with X-ray Therapy
- No pain during the procedure.
- A small amount of time is spent on the procedure( only 10 minutes).
- It is enough to undergo one course of treatment lasting 10 days.
- Provide long-lasting analgesic, as well as anti-inflammatory and anti-allergic effects.
- Ambulatory treatment( immediately after the procedure the patient can go home).
- The ability to direct the action of the X-ray beam strictly to the location of the calcaneal spur.
Contraindications and shortcomings
But x-ray therapy has some contraindications - it is contraindicated in pregnant women. Radiation can have a negative effect on the developing fetus.A new look at the treatment of the heel spur How to get rid of pain in the heel in 2 weeks? More. ..
Although X-ray therapy gives very good results, there are no reliable studies on the effectiveness of this method of treatment of plantar fasciitis.
Treating a calcaneal spur with X-rays is not the method of choice or the method that is most effective. Rather, it is an extreme method. If the doctor diagnosed a heel spur, then he would start treatment with the most simple conservative methods. But if they do not bring relief and do not eliminate the pain in the heel, the doctor can prescribe X-ray therapy.
Heel spurs. Causes of calcaneal spur.
About the calcaneal spur
The heel spike is an inflammatory-degenerative soft tissue disease( plantar fasciitis) that surrounds the heel of the calcaneus at the point of attachment of the tendons of the muscles - this is the place of the square foot muscle and short flexor of the fingers.
Often the calcaneal spur is combined with the inflammatory process in the periosteum - periostitis. Periostitis occurs due to locally increased loads and micro-exfoliation of the periosteum. The site of the microtrauma becomes inflamed and ossification of the inflammatory foci occurs, resulting in the formation of exostoses - these are the bony outgrowths, called heel spurs.
Causes of calcaneal spur
Heel spur in 85% of cases is formed against the background of flat-footed .
Heel spurs can occur in people suffering from excessive body weight or with fluid retention in the body with a slowed-down salt, as well as with such a disease as longitudinal flatfoot. With a combination of these factors, under conditions of increasing stresses on the attachment of the foot muscles, with permanent microtraumatizations of the periosteum and tendon, chronic inflammation leads to the formation of periosteum prolapses and partial ossification of the tendon - the calcaneal spur.
An additional factor that reinforces the cause of the calcaneal spur is the reduction of the layers of fatty subcutaneous tissue in the heel area. The heel plays the role of a natural shock absorber when moving, supporting the arch of the foot.
The presence of the calcaneal spur without intensive formation of bone growths indicates the presence of hidden infections - in particular chlamydia. The predisposing cause of calcaneal spurs and, as a consequence of flat feet, is a lumbosacral osteochondrosis with the formation of chronic sciatica( sciatica) inflammations.
Treating the calcaneal spur
Treating the calcaneal spur is mostly conservative and largely depends on the causes of the onset of the disease. To effectively treat the heel spur in the shortest possible time, a set of therapeutic and prophylactic measures is recommended that are aimed at eliminating inflammatory processes.
Complex methods of conservative treatment of calcaneal spurs contain:
- Massage with therapeutic gymnastics, which are aimed at improving blood circulation ;
- Physiotherapeutic procedures, the use of laser therapy, magnetotherapy, ultraviolet radiation, electrophoresis, ultrasound;
- The most important condition for effective treatment is the removal of the painful area from the loads, and orthopedic individual insoles are also appointed;
- With strong pain, in the absence of positive dynamics, X-ray therapy is used;
- A new effective method for treating the heel spur - shock wave therapy .But you can not do it to all patients. Contraindicated for people who suffer from blood clotting disorders, as well as malignant formations, pregnant women. In our country, the shock wave therapy procedure has been practiced relatively recently, and the first results give a visible positive effect.
Treating the calcaneal spur with shock wave therapy
Treating the calcaneal spur with shock wave therapy( UHT), as well as joint pain, is a method that allows you to get rid of various ailments of the musculoskeletal system. This method is actively used in our medical center.
The essence of the method is as follows: the shock wave, which is generated by a special device, affects the tissue sites with negative changes. With this influence, crystals of calcium salts are destroyed and are removed from muscles, tendons and ligaments. Thanks to shock wave therapy, heel spur is effectively treated, and the metabolism improves and the blood supply in certain parts of the body of the is increased.
Over time, pain and crunches in the joints after treatment with shock wave therapy, pass, and also muscle spasms disappear, ligaments and tendons become more mobile and elastic. This method of treatment is recommended as part of a comprehensive impact on diseases of the musculoskeletal system.
Shockwave therapy in our medical center is very popular with because of its huge advantages:
- Painlessness of the procedure and good tolerability;
- Ability to treat on an outpatient basis;
- After the complex of procedures, the patient normalizes micro circulation and metabolism, pain disappears with edema, damaged tissue is restored;
- Shockwave therapy, unfortunately, is contraindicated in infectious diseases, oncological diseases, and in pregnancy in women.