Treating the calcaneal spur with shock wave therapy( UHT)Heel spur is a violation of caused by bone growth in the sole of the heel bone of the .
This outgrowth is like a spike or wedge, the dimensions of which vary from 3 to 12 mm. The pointed end of the built-up edge, mainly directed towards the fingers and bent upwards. This causes compression and damage to the tissues of the foot.
The heel spur has a standard clinical picture and is characterized by acute unbearable pain when attacking the heel. Despite the current development of medicine, treatment of lesions is quite an urgent problem.The use of various physiotherapeutic manipulations and medicines does not always bring relief and often eliminate pain only for a small amount of time.
Breakthrough in the treatment of this deviation was performed by shock wave therapy. To apply UHT with a heel spur began in the 80s in Switzerland and Germany and immediately the method became widespread in the treatment of many abnormalities.
Initially, the technique was used for crushing stones in the internal organs, but later it proved to be an effective method for treating lesions of the musculoskeletal system: arthrosis, enthesopathy, trigger points, heel spur.
Treating the calcaneal spur using traditional medicine
Treating the calcaneal spur with folk remedies
Spore spur( plantar fasciitis) is a pathology related to a group of degenerative-inflammatory diseases in which bone growth occurs. ..
The essence of the
method The effectiveness of using the shock waveThe effects of bone growth are associated with high-energy waves that, when ingested into thetissue, cause splitting of seals and damaged tissues.
In this , there is also a significant improvement in the blood circulation of at the site of exposure, which is why metabolic processes are restored, and inflammation decreases.
The method is not a thermal type of treatment, and therefore the list of contraindications for it is less than that of other physiotherapeutic measures.However, it should not be used for thrombophlebitis, neoplastic lesions, infectious inflammation, skin lesions, acute injuries.
More on the essence of the
method When the shock wave therapy is most effective
Shockwave therapy is a method of treating the spine and joints. This is the effect of acoustic waves on the affected area. Waves cause destruction to. ..
Application of the method with calcaneal spur
Shock wave therapy of the calcaneal spur is one of the most effective ways to eliminate this pathology.
Treatment is aimed primarily at to neutralize the pain senses of .
The procedure is performed using special equipment. The principle of its operation consists in the action of a shock wave on specific sections of tissues. The shock wave favors the blocking of pain signals, which greatly facilitates the patient's condition.
In addition, the wave activates tissue repair in the affected areas, which helps to recover sooner.
Before performing UVT, the physician by means of palpation determines the site of pain localization, which is mainly in the central part of the lower surface of the heel, but can sometimes be shifted downward.
After this, the procedure is carried out directly, with the effect being carried out on the pain localization zone.
Treatment of build-up by means of wave action includes, basically, 7 sessions of 30 minutes, which are optimal to perform with interruptions of 4 days. If the pain intensifies, the manipulation is transferred until the moment of their subsidence.Shockwave therapy is a fairly young technique, but it has already proved its effectiveness in combating many disorders of the skeleton and muscles, including deviations such as heel spurs.
This method of elimination of the calcaneal build-up is an alternative to surgical intervention, but before the doctor prescribes this kind of manipulation, it is necessary that conservative methods of treatment have already been tried.
Treating the heel spur with this method will cost the patient an average of 1000 rubles.
Pros and Cons of theProcedure
The main advantages of UHT:
- has almost no side effects;
- possibility of treatment without a permanent presence in the hospital;
- is not invasive;
- reduces the need for surgery.
The doctor's shortcomings include only the cost of a course of manipulation.What kind of oriental gymnastics Qigong for the spine helps you and your body you can learn by reading our article.
Osteophytes of the spine. Why they arise and what you need to know about these entities is described in detail here. Also in the article on the prevention of spine diseases.
What physicians and patients say about the
technique The reviews on the use of UHT with heel spurs are mostly positive.
Has got rid of a heel spur. Until that time, I had no idea of such a violation. Constantly worried nojushchaja a pain in a foot, but did not assume the reason before inspection. Several of the procedures of UTV have been relieved of pain. I think that for a long time or at all. I advise everyone to go through similar problems. But first - to a competent doctor!
The heel hurt for a long time, my brother forced me to go to the hospital when it was 4 months later, ultrasound revealed heel spur, which is called differently for doctors. In general, he listened to the advice and went to the doctor, namely - to the physiotherapist for shock wave therapy.
Five procedures with a break of 3 days saved the problem. No inconvenience. It's all over. I advise everyone.
Shockwave therapy is a huge step forward. The method helped many of my patients to abandon the operation. He generally has a lot of advantages. Restored metabolic processes, swelling and pain, inflammation. If there are no contraindications, then go through the course, and do not even hesitate.
The effectiveness of treatment of the heel spur with the help of UVT procedure is extremely high, and the volume of contraindications is minimal.
Among other things, the shock-wave effect not only treats the disorder, but also has a pronounced analgesic effect, allows to refuse or significantly reduce the intake of analgesics during treatment.
As a rule, the first session is somewhat painful, but with each subsequent pain goes away, and in 95% of cases at the end of treatment absolutely passes.
When shock wave therapy is most effectiveShock wave therapy - is a method of treating the spine and joints of .This is the effect of acoustic waves on the affected area.
Waves cause destruction of bony outgrowths, seals, as well as affect muscle spasms, eliminate inflammation, normalize blood circulation and work of muscles.
The essence of the method is that the waves that create a special device for UVT, affect the diseased tissues of , destroying calcium salts that cause joint pain, improving blood flow and activating recovery. As a result, metabolism in the tissues is restored, swelling and pain take place.
Indications and contraindications for the use of the
procedure. Basic indications:
- osteoarthritis of large joints;
- osteochondrosis of different parts of the spine;
- calcaneal spur;
- sports injuries;
- rehabilitation for fractures;Synovitis of the joints;
- Schlatter disease;
- pain in the spine and coccyx;
- syndrome of "tennis elbow";
- "golfer" syndrome;
- flat feet;
- recovery after arthroplasty;
- hernia of vertebral discs;
- myofascial syndrome.
Than chondromalation of patella cartilage can be caused and methods of treatment of this disease we discuss in the article of our site.
Treatment with UHT calcaneal spur is the main method of therapy for this disease.
As with other procedures, shock wave therapy also has contraindications:
- tumors in the part to be affected;
- acute infections;
- blood diseases and increased vascular fragility;
- the presence of a pacemaker.
How the procedure is performed
The procedure is extremely simple and painless.
The patient lies on the couch. The doctor covers the skin areas that come into contact with the sensor of the device, a layer of a special gel. Then he sets the device settings, depending on each individual case and the violation to be treated.
The sensor is tightly pressed against the skin, and the session begins. It lasts from 5 to 30 minutes. Sessions are held every 7 days, full course - 5-7 sessions. Naturally, the duration and frequency of manipulation depends on the severity of the disease.
Patients' feedback on UHT indicates that pain decreases after the first procedure.
No training is required for the session, and after it rehabilitation is not needed. In addition, the method has no side effects. With caution it is used to treat children and adolescents.
Opinion of specialists and patients about the
procedure Let's study the responses of doctors and patients who were assigned shock wave therapy.
I have been conducting shock-wave treatment for about two years. The results are very good, especially with problems with tendons, muscles, with arthritis.
It is a monotherapy and does not require any additional treatment, but it significantly surpasses all other methods because of its effectiveness.helps restore tissues and activate regeneration, and not only neutralize inflammation, swelling, or temporarily relieve pain.
Orthopedic Physician, Chelyabinsk
Periodically, my arthritis worsens. With acute pain I cope quickly, but aching - remains. Than only smeared, but nothing helped. On the Internet I saw good reviews about shock-wave impact.
I went to the doctor. He recommended that I undergo such a procedure. It was inexpensive, but it became easier almost immediately, after the first time. The pain by the end of the day, of course, returned, but not so strong. In total there were 10 sessions, after which the pain no longer returned.
Heel spout tormented me for several years. Recently I decided to use the shock wave method. UHT with a calcaneal spur helped a month later the pain disappeared, I recommend it, anyone who found such a deviation - everything went quickly, for several sessions.
Most of my patients with gonarthrosis have positive results. Complications of this method, none of them did not cause. It is simple, safe and highly efficient. In comparison with other treatments, this method gives better results. For many of my patients, he became an alternative to the operation.
Trauma doctor, Tver
The price of the procedureDepending on the violation to be affected, the number of procedures may vary.
Standard for lesions of the musculoskeletal system, 6 procedures of UVT are performed one per week.
The cost of treatment depends on the clinic, the city of your residence and other reasons. So the price of one procedure in Moscow for one session on average costs from 1200 to 1800 rubles.
Having many advantages, the shock wave method for chronic disorders of the musculoskeletal system is the most promising and financially profitable today. It makes it possible to avoid surgery.
What is it?↑
The heel spur, or plantar( fascial) fasciitis, is a disease in which the aponeurosis, supporting the longitudinal arch of the foot, becomes inflamed.
As a result, a bone protrusion is formed on the heel, which looks like a wedge or a spine; its sharp end o usually looks toward the fingers and slightly bent upwards.
By pressing soft tissues, the outgrowth causes burning pain when walking or resting on the heel.
Otherwise we can say that the calcaneal spur is a chronic microtrauma of the plantar ligament connecting the calcaneus and the anterior part of the foot.
The size of the spur can vary, but generally varies between 3 and 12 mm.
Often the inflammatory process affects both soft tissue around the built-up edge, mucous bags and periosteum.
Causes of appearance ↑
The immediate cause of spurs is excessive stretching of the plantar fascia, leading to its micro-snaps at the place of attachment to the heel.
Because of this, aseptic inflammation develops, calcium salts are deposited and eventually a bone growth occurs.
The following factors lead to this state of affairs:
This causes 90% of the formation of calcaneal spurs.
With flatfoot, the load on the bones of the feet increases and its distribution changes, resulting in excessive stretching of the tendons, they are injured from any external influence, up to the unevenness of the soil, which is walking.
Microtrauma leads to the fact that the place of an overgrowth is overgrown with a scar tissue that is not elastic and continues to be injured in turn.
There are inflammations accompanied by pain, and as a result - heel spurs.
In older people, bone growth occurs mainly because of a load on the lower surface of the foot for a very long time.
Fabrics no longer have the ability to regenerate, which in young people, the lower limbs are already badly blood supply, which together leads to plantar fasciitis.
In young people, the cause of the appearance of calcaneal spurs are physical training.
If sports are very intense and often, then the load on the bone-ligamentous apparatus of the foot increases, and microtraumas appear that trigger the mechanism of bone growth.
The greatest risk zone is sports such as jumping and running.
Obesity and even just excess pounds cause an increased load on the feet and become a provoking factor for various injuries, for example, dislocations.
Chronic and acute injuries of the calcaneus or various metabolic pathologies, including gout and diabetes mellitus, can cause the heel spur.
Similarly, the disease can be caused by circulatory disorders of the lower limbs, poor permeability of blood vessels.
Photo: gout on the legs
Spur can also form as a result:
- of the inflammatory processes of the joints( Bechterew's disease, rheumatoid arthritis, etc.);
- disturbances in normal distribution of body gravity when walking;
- inflammation of mucous feet bags( subclavian bursitis, achillobursitis);
- inflammation of the muscle shells of the foot.
What causes a headache in the back of my head from time to time? Read more about the causes of pain here.
Symptoms are conditionally divided into two groups:
is the most common symptom. There are sharp and burning pain when walking and resting on the heel.
A characteristic comparison for the heel spur is the sensation of a "nail in the heel".
The intensity of pain in this case directly depends on the shape and size of the bone build-up, because sometimes, in rare cases, they turn out to be flat and a person can simply not feel them, especially if they are small in size.
At the initial stage, acute pain in the heel appears in the morning, after a person has just gotten out of bed, during the day it subsides, and by the evening, due to the daytime stress on his feet, again arises.
The closer the spur to the nerve endings of the foot, the stronger the pain will be.
Gradually, as the disease is neglected, the built-up edge will bother and without direct impact on the foot.
is due to the fact that the scar tissue that appears in place of the microtrauma begins to accumulate calcium salts, which irritate adjacent tissues, bone membranes, shells of the joints, and causes inflammation, causing permanent pain.
Change of gait
In 90% of cases, changes occur because the pain extends to the entire surface of the foot or only from the inside of the foot, the person involuntarily tries to unload this area, and this affects his gait.
There is a transfer of the center of gravity to the outer edge and the front parts of the foot, which leads to the fact that the body weight is distributed incorrectly and there is a transverse flatfoot.
Also understand that there was a heel spur, it is possible when pressing the toes on the side of the heel or arch of the foot.
Possible complications ↑
The main unpleasant consequence of a calcaneal curtain is that patients do not have the opportunity to lead the way of life that used to be.
If every step is accompanied by pain, it is difficult to continue to lead an active life and play sports, if before it was present in a person's life.
In case of particularly severe pain, bed rest is prescribed. Approximately a quarter of the diseased as a result become partially motionless, as they lose the ability to move on their feet.
Basic diagnostic methods ↑
Not always detected in self-diagnosis pain in the heel can be just a spur. Therefore, before you put yourself such a disappointing diagnosis, you need to see a doctor.
may be a surgeon, orthopedist or rheumatologist who will exclude other diseases with a similar picture - rheumatoid arthritis, Rayner's syndrome and Bechterew's disease, which are manifested by specific factors in the biochemistry of blood.
The diagnosis of calcaneal spur is made by specialists quite easily, based on the following patient complaints:
- pain appearing in the heel after sleep;
- pain occurring in this area after a rest period;
- pain after long walking, running or physical activity;
- occurrence of painful sensations when pressing on the heel area;
- decrease in the feeling of pain as the patient paced.
If the blood tests disprove the presence of other diseases, the diagnosis of "calcaneal spur" will remain to be confirmed by an X-ray study.
Sometimes the bone growth in the image is found out by chance, because it does not disturb the person in any way, and in some cases, it seems, there are all the symptoms of the disease, but on the x-ray no spurs are found.
In the first case, no treatment is prescribed, and in the second case the patient's examination continues to find the cause of the pain in the heel.
Today there is a wide range of methods for treating the calcaneal spur. Let's consider each of them.
The basic hardware method of treatment is shock wave therapy.
Experience accumulated to date shows that the effectiveness of getting rid of heel spurs shock wave therapy is very high.
The method itself is based on the impact of pulses of ultrasonic waves of a certain frequency, which leads to the fact that the deposits of calcium salts in the heel loosen. In the future, these deposits are washed away from the body by blood.
In addition, thanks to shock wave therapy:
- the process of tissue regeneration is activated;
- decreases swelling and inflammation;
- the pain becomes less with each procedure and by the end of the course of treatment disappears completely;
- the affected area of the foot is restored, and at the initial stages of the disease the bone growth completely disappears.
If the process has a long course, then calcium deposits are removed, inflammation is removed - and there is the possibility of normal life without pain during walking.
Video: shockwave therapy
However, the method has a number of contraindications, which include:
- bleeding disorders;
- heart rate;
- disorders of the nervous system;
- low blood pressure;
- malignant formation;
- acute infectious diseases.
Treatment at home with the help of traditional medicine
Among the "grandmother's" recipes is very popular onion tincture from the heel spurs.
For its preparation, onion husk is poured into vinegar in a ratio of 1: 1 and insisted with a tightly closed lid for two weeks.
Constant thus husk, which has turned into mass, is applied to the heel and covered with an oilcloth, after which a sock is put on. This compress should be kept for 8 hours, done daily, but no more than six times in a row.
A similar principle in the treatment of chicken bile.
To prepare a compress, 40 g of bile should be mixed with 20 grams of vodka and 5 grams of shampoo, soak the linen napkin with this mixture, attach it to the sole( pre-steaming your feet in hot water), wrap with cellophane and put on a sock.
Traditional medicine still advises tincture from the roots of the garden iris.
To do this, 300 gr of raw material should be crushed with a meat grinder or blender, pour the same amount of medical alcohol and insist in glassware for 15 days. Use as a compress on the same principle as described above. The course of treatment - 10 procedures.
To eliminate heel spurs used bile, but already medical, sold without a prescription in any pharmacy.
Photo: pharmacy medical bile
A piece of cloth or gauze is wetted in the bile, applied to the heel, covered with cellophane, wrapped in bandage and under the sock at night. In the morning, after removing the compress, the sore spot is wiped off with boric or ammonia.
For a successful result, you must perform at least 20 procedures.
Also, official medicine suggests ways to treat the calcaneal spur with a nonsteroidal anti-inflammatory drug dimexide, hydrocortisone, once - diprospan.
As a topical treatment, ointments, gels, and patches with resorptive and anti-inflammatory properties are sometimes used.
Used in the absence of positive effects from all other methods. In this case, the bone growth is excised together with the altered tissues.
The fact is that the heel is exposed to focused X-rays with a lower radiation dose.
then leads to the blocking of nerve endings, because of what the pain disappears.
The calcaneal spur can not be irradiated only during pregnancy.
A very popular method of therapy is laser treatment.
With this effect, the spur itself does not dissolve, it just improves blood circulation in the tissues around it, which relieves pain.
Photo: laser therapy
Also heel spurs are treated:
- by magnetotherapy;
- by ultraviolet;
- by electrophoresis( sometimes with iodine);
- with warm baths;
- by ultrasound;
- UHF therapy;
- with liquid nitrogen;
- with Vitafon and Danas.
In children ↑
Due to the fact that the ligament of the foot in children is not strong, strong physical activity can adversely affect them, especially if they have a long character.
Until age 18, the pediatric foot is generally easily deformed, hence the frequent development of flat feet, so the overweight child, his rapid growth, lack of nutrients or increased exercise can provoke the formation of heel spurs.
Methods of therapy in children in no way differ from adult treatment, but the positive effect comes much earlier due to the greater ability to regenerate the child's body.
The most important preventive measure in this case is the proper selection of shoes, appropriate to the age of the child and its anatomical features.
Orthopedic insoles should also be used.Can I straighten the scoliosis with a massage? You can find out about the possible results of treatment of the disease in our article about a therapeutic massage in scoliosis.
Why does intercostal neuralgia occur? How can it be identified? Read about this disease here.
Does your child have pain right under the ribs? The possible reasons can be found here.
In pregnancy ↑
Because during pregnancy, the ligaments of the foot are physiologically softened, and the body weight increases, the risk of calcaneal spurs increases substantially in women.
In order for bone growth to not form, you need to pay a lot of attention to prevention - daily foot massage, walk a lot, wear comfortable shoes with a supinator, and eat a variety and full.
Due to the fact that most of the methods for treating heel spurs during pregnancy are prohibited, only gentle therapy can be carried out - therapeutic foot massage, pain relieving procedures and changing the motor regime.
Nutrition and diet ↑
Treatment of the disease should be accompanied by changes in the diet.
These changes should be directed, first of all, to the acceleration of the salt removal process and the reduction of inflammation.
For this you can eat more watermelons and cucumbers.that will be enough to alleviate the general condition.
It is necessary to limit the consumption of all smoked foods and pickles, as well as in principle to reduce the amount of salt in dishes, and also drink plenty of water.
What does not work?↑
Despite all the attractiveness of self-treatment, it practically does not help to cope with heel spurs. And some funds can aggravate the process and make the injuries irreversible.
The same dangerous and "therapeutic" walking on the rocks.
Doctors dealing with this problem say that during their career they have not seen a single patient who has recovered from a calcaneal spur with the help of traditional medicine.
Prevention measures ↑
In order to prevent the development of calcaneal spurs, one must pay attention to the prevention of early wear of the osteoarticular apparatus and avoid injuries.
For this it is necessary:
- to fight excess weight;to live an active lifestyle;undergo a regular medical examination;wear comfortable orthopedic shoes;
- with already existing flat feet, use orthopedic insoles.
- And, of course, with the slightest suspicion of a heel spur to seek the advice of a specialist and begin treatment at the earliest stages of the disease.
Heel spur is an unpleasant disease, but if you start treatment in the early stages, you can get rid of the pain and continue normal life.
Modern medicine has a range of treatments, the surgical being the most extreme measure - most of the spurs are cured conservatively. But a doctor should appoint a therapy appropriate to a particular case.
Video: symptoms and treatment
Removal prices ↑
Operative excision of the heel spur in different clinics is different: the price ranges from 5 to 25 thousand rubles.
One session of laser impact on the spur costs an average of 15 thousand, while it does not actually remove it, but only positively affects adjacent tissues.
The nondoscopic method of removal of the built-up edge( at the minimum cut and rapid rehabilitation) is the most expensive, its cost is above 5 thousand euros.
Lyudmila, 52 years old:I have been suffering from this sore for more than 8 years. Whatever she did, and the tinctures are different, and the bile used medical equipment - it seems to help, but for a while. I was tired of constant pain and went to the orthopedist. Have appointed or nominated nyxes and to pick up leather insoles. Now I live without these torments!
Natalia, 34 years old:I suffer for the second year. From folk methods all the skin on his heel peeled off, so I had to go to the doctor. Has appointed or nominated nyxes, UHF-therapy. It seems that while it helps, at least not to jinx it. ..
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- on 03/22/2014 at 09:44
I am suffering for a long time with a calcaneal spur. I tried everything. Shockwave therapy does not help. Laser and ultrasound did not help either. All this is useless, so is folk medicine. I had to see an orthopedist. After a single injection of the Kenalog with novocaine it became better. It does not hurt anymore.