Heel spurs wikipedia

Heel spout. Symptoms and causes of spur

What is spur?

Heel spur

The heel spike is a spine-like bone growth. The spiked formation at the attachment site of the ligaments in the foot may have the form of an osteophyte. Spurs, as a rule, begin to appear in the case of metabolic disorders, and also can be formed with flat feet from strong overstrain of the foot.

Externally, the spurs may not show themselves at all, but at the same time there is a lot of pain when walking, especially at the beginning of the day, when the loads on the legs begin, during the day the pain subsides a little, and in the evening it intensifies again. Over time, severe pain begins to hold constantly, spurs can be detected only with the X-ray of the foot.


Symptoms of calcaneal spur

The main symptom of calcaneal spur is severe sharp pain in the area of ​​the heel with a load on the leg, ie, when a person rises to his feet, there is a feeling as if a needle has come on a nail or in the heel. In the initial stage, the pain will subside by the middle of the day, and towards evening will increase again.

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But after the time has passed, the pain will become a constant companion of the patient while walking. People with spurs are forced to walk with crutches, as when walking on crutches the weight of the body goes not on the heel, but on the toe portion of the foot.


Causes of calcaneal spur

The reason for the calcaneal spur of in 90% of people is flat feet, as with flat feet the load on the bones and tendons in the foot area changes. There are especially severe cases when as a result of flat feet the inflammation of the tendon begins, and also the surfaces of bone tissue begin to become inflamed.

The most predisposed to spurs are people with excessive weight, athletes with heavy loads on the feet, people with lower joints, and those with spine diseases.


Spur Prevention

For , the heel spur of should be treated with excess weight, observe the active motor regime, but avoid overstrain of the feet.

It is necessary to treat vertebral and articular diseases in a timely and qualified manner, if any.

If you have flat feet, use orthopedic insoles. Wear comfortable shoes.

If you feel the first signs of a calcaneal spur, begin to conduct preventive courses of treatment using physiotherapy methods.

Author of the article: PhD of medical sciences Volkov Dmitry Sergeevich, surgeon

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Bone spine( heel) - Symptoms and treatment with folk remedies at home

Bone spine( calcaneal)

Sprouts of heel bone in the form of a wedge or spine in placeplantar surface of the thump or in the place where the heel tendon is attached, is called the calcaneal spur.

The cause of the disease can be trauma, as well as flat feet. Sometimes the appearance of a calcaneal spur leads to a sharp increase in weight. Contribute to the appearance of spurs sedentary work, gout, various infectious diseases. Symptoms of spurs.

When attacking the heel, there is a sharp pain. The pain is so strong that many people prefer to walk with a cane or crutches, so as not to step on the heel, or only step on the toe, for fear of painful sensations.

Traditional methods of treating spurs.

In the acute stage, the doctor prescribes analgesic and anti-inflammatory drugs, electrophoresis. After the pain ceases, special insoles with holes in the spur area are recommended. Spurs can be surgically removed.

Non-traditional and folk methods of treating spurs

Home remedies for spurs

  1. Pour 100 g unsalted fresh lard or lard 100 ml of acetic essence, add, breaking, 1 chicken egg together with the shell and insist 21 days in a dark place, occasionally stirring until the mixture turns into a homogeneous mass. Undoing the heel or sole of the foot, apply a cotton swab with a thin layer of ointment applied to the spur. If burning occurs, stop the procedure and wipe the leg with a dry cloth. This procedure should be repeated for 35 days, tying each time the tampon to the leg with a bandage and putting on a sock.

  2. Grate half the head of garlic and tie it for 3-4 hours to the spur. Repeat the procedure until the pain disappears completely. When burning, stop the procedure.

  3. Cut in half 1 head of onions and pour 1 drop of tar into the middle of each halve. After this half attach to the patient spur place.

  4. With spurs on the legs, cover a heated copper basin with a piece of some cloth, so as not to burn the skin, and stand on it until it cools.

  5. Take potatoes, wash, rub together with peel on a fine grater. Lay the mass on gauze and pribintovat to a sore point, from the top bind polyethylene. Do not remove the bandage for 24 hours. Then change. The course of treatment spurs-1 week. The same way you can get rid of corns.

  6. To reduce pain when walking, put a piece of aluminum foil on the spur.

  7. Dissolve 1 tablespoon of baking soda and 8-10 drops of iodine in 3 liters of hot( preferably distilled or thawed) water. The water temperature is 37 ° С.Keep your feet in the basin with this water for 10 minutes. After the foot bath, wipe off and diseased spur of the site with a 5% iodine solution overnight.

  8. Mix 50 ml of ammonia and 1 tablespoon of sunflower oil. To apply daily for 30 minutes to a sick heel a tampon, moistened in this mixture.

  9. Dissolve in a water bath in 100 g honey 5 g mummy and rub overnight sick spur of the seat.

Herbs and fees for the treatment of spurs

  1. Bind to the spur a fresh leaf of May burdock, or a leaf of plantain, or a leaf of mother-and-stepmother.

  2. Drink as often as possible and more infusion of cranberry leaves.

  3. Pour the flowers of white acacia with vodka in the ratio 1: 3.Insist and lubricate the spurs.

  4. Pour the roots of sabelnik marsh vodka in a ratio of 1: 3.Insist and take 2 tablespoons 3 times a day.

  5. Fill a cleanly washed bottle of 3/4 volume with red elderberry berries, top up the alcohol and insist 1 week. Strain and moisten with a tincture a sore spot. You can make warming compresses with the same tincture.

Comments of the doctor to folk remedies for spurs

Treatment of spurs is usually of a conservative nature and depends on the reason that caused this pathological phenomenon. It is necessary to carry out activities that are aimed at removing the inflammatory composition. In an acute period, bed rest is necessary, immobilization with a gypsum langet for about two weeks and antibiotic therapy. One of the most basic and important conditions for a positive result of treatment of this disease will be to ensure maximum unloading of the place in which there are painful sensations. To do this, with a sole heel spur, you need to use personal orthopedic insoles with a special laying of the inner and outer longitudinal arches of the foot, with a deepening and soft lining under the heel bone. As a temporary measure for unloading, you can use a special thrust bearing made of thick foam that will have a recess or hole in the center. The most complete and effective is unloading with special orthopedic shoes with a groove in the place where the heel is located. With the rear spur, the groove in the shoes is made in the back. As a temporary measure, you can recommend patients shoes without a back.

In the complex of conservative treatment it is also necessary to include warm foot baths( preferably using sea salt, soda and soap), therapeutic gymnastics and foot and shin muscles massage, which are aimed at improving blood circulation, but without injuring the painful heel area;Physiotherapeutic procedures( ozokeritoparaffinous applications, hydrocortisone phonophoresis, electrophoresis of potassium iodide or novocaine).If such treatment does not bring relief, then in the treatment complex it is necessary to include repeated courses of laser therapy.

In case of severe pain syndrome and with no effect on the therapy, X-ray therapy is used. It is carried out by the method of small total doses. It must be remembered that the therapeutic effect with conservative therapy of heel spurs usually does not come immediately. The courses should be repeated several times at intervals of two to three months.

If conservative treatment is unsuccessful, surgical treatment can be performed, but the indications for such intervention are very relative. In the operation, remove the heel spur. After surgery, the limb should be fixed with a plaster bandage for about one month. After removing the gypsum, orthopedic insoles with arched vaults are prescribed and restorative treatment is carried out: baths, therapeutic physical training, foot and shin muscles massage, physiotherapy if necessary. With persistent and targeted conservative treatment combined with unloading of painful sites, the prognosis of this disease is satisfactory. And although under the influence of this treatment the bone spur itself does not decrease and does not disappear, the pain syndrome is eliminated.

Prevention of this disease should be aimed at preventing early aging of the bones and joints of the foot: active motor mode, exercise, hardening of the body. It should avoid overloads of feet, prevent the development and progression of flatfoot.

From recipes given in the article you can use those( in addition to the main treatment), the components of which have anti-inflammatory and antimicrobial actions, these are recipes using garlic, onion, burdock, plantain, coltsfoot, white acacia, marshworm,cowberry, elderberry, baths with soda and iodine, heating( not necessarily with a copper basin) are also useful. The rest of the recipes will not bring a positive effect.

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Plantar fasciitis - Wikipedia

Pathogenesis

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 older than 40, 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

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

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 of

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 are 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 heel 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

The heel spike is a deposit of calcium 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 the development of the calcaneal spur include:

  • An abnormal gait, which 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:

  • The elderly. Involutional changes in the tissues lead to a decrease in the elasticity of the plantar fascia and a reduction in adipose tissue in the heel area.
  • . Diabetes
  • . Activities related to long standing on the legs.
  • Active physical activity episodes
  • Flatfoot or vice versa high arch of the foot.
  • Calvation of gastrocnemius muscle 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 calcaneal spurs, 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. Pain decreases after a few minutes of walking.
  • Increased pain after( and not during) exercising 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 rising, 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 ​​tenderness 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.

The conservative treatment methods include:

The medical treatment of 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 the inflammatory process 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.

Use of materials is allowed when specifying an active hyperlink to a permanent article page.

dikul.net

Heel spur: causes and treatment of spur on heel

Heel spurs are bony outgrowths in the form of a spine or hook on the plantar surface of the calcaneus or at the attachment site of ligaments, usually the Achilles tendon. In the people it is also called a "spur on the heels", the main symptoms of which are acute, burning pain while resting on this place, which can appear suddenly or develop gradually.

Most of all, this disease is felt when a person just rises from bed in the morning, and after a long sitting. Painful sensations are sometimes compared to a nail in the heel, but sometimes they spread throughout the calcaneal region. For example, with a back calcaneal spur, pain occurs at the site of attachment of the Achilles tendon during walking, as well as when pressing the back of the shoes. Also, swelling and calluses on the skin are possible.

In normal examination of the foot, the symptoms appear when pressing on the sole in the area of ​​the heel and squeezing it from the sides. More accurately, a spur is diagnosed in an X-ray examination of the foot, when a projection appears in the pictures consisting of calcium salts deposited on the affected tendons. According to doctors, it is he who is considered the cause of injuries to surrounding tissues and the occurrence of pain.

Growth can be of different sizes, but the intensity of pain does not depend on it. However, in some cases, the radiograph may not show any changes, and the cause of pain is changes in soft tissues, such as subclavian bursitis and achillobursitis( inflammation of deep mucous bags).

Causes of calcaneal spur

Most often, this ailment manifests itself in the elderly due to anatomical changes in the foot. In the risk group, mainly women over 40 are located.

Other causes of calcaneal spurs may be various injuries and infections, longitudinal flat feet, rheumatism, vascular and neurodystrophic disorders. The stoop at which the center of gravity shifts, overweight, weak leg muscles, heavy foot loads, spine and large leg joints can all lead to spurs on the heels.

For the prevention of heel spurs, it is necessary, first of all, to monitor posture and excess weight, try not to wear shoes with high heels, do not give overloads to the feet. If you began to worry about pain in the heel and heel area, immediately consult a doctor to determine the cause and make an accurate diagnosis.

Treating the calcaneal spur

Of all the diseases of the musculoskeletal system, 10% falls precisely on the heel spur. Therefore, many methods and methods have been invented for its treatment, both in traditional medicine and in specialized clinics. These measures are aimed at eliminating the inflammatory process and the formation of a capsule from the connective tissue.

Treating the calcaneal spur is a rather lengthy process that depends on the cause of the disease and its stage. These are blockades with analgesics and anti-inflammatory drugs, local gels and ointments, therapeutic massage, ultrasound therapy with hydrocortisone, shock wave methods, laser, cryotherapy procedures.

To remove the inflammation, the home method is widely used with foot baths with Dead Sea salts in accordance with the instructions on the package( usually 1 tablespoon of salt for 1.5 to 2 liters of water with a temperature of 40 degrees, duration is 15-20 minutes).The procedures are performed daily until the pain symptoms completely disappear, usually 10-12 days. Also bring the effect of a bath with ordinary salt, soda and mud masks.

Heel spurs may well pass without special therapy, but this will take you a long time - several months, in which you will be very painful to walk. In any case, whether you will apply any modern or popular methods of treating the spur on the heel, you should unload the painful area.

This can be done if you wear various orthopedic appliances that are guaranteed to ease the pain and allow you to lead a habitual way of life without losing your ability to work. This is orthopedic footwear, special insoles with the laying of longitudinal arches, heel pads with a calcaneal spur with a depression or a hole in the heel area, which gets a sore spot and is not affected when walking.

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Heel spur: treatment of

The heel spur is the proliferation of the calcaneal calcaneus in the form of a wedge in the region of the surface of the sole of the foot.

Clinical picture

With a calcaneal spur, the clinical picture is characterized by sharp burning pains, similar to the sensation of a nail under the heel. Symptomatology is caused by changes occurring in soft tissues: the phenomena of periostitis and inflammation of deep bags. The pain occurs as a result of pressure on the soft inflamed tissue of the bone growth. At the same time, the intensity of pain is not at all dependent on the shape and size of the build-up - often it is the small flat growths that are more painful than the large and sharp ones.

Reasons for formation of calcaneal spur

In the vast majority of cases, the reason for the formation of the calcaneal spur is flatfoot. This is due to the fact that with flatfoot there is a change in the distribution of load on the foot, as a result of which they are retracted and sometimes detached from the bones of the tendon. Because of this, tendons become inflamed and lead to the formation of a calcaneal spur.

Causes of a calcaneal spur can be acute or chronic trauma to the calcaneus, as well as improper circulation in the legs of people with impaired vascular passages. In addition, the causes can be chronic inflammatory joint diseases: arthritis, polyarthritis, Bekhterev's disease. In any case, the heel spur requires prolonged persistent treatment. Self-medication here is unacceptable. Only a doctor can establish the real cause of the origin of the heel spur, put a correct diagnosis and prescribe an adequate treatment. To address it is necessary or to the orthopedist, or to the surgeon.

Treatment of calcaneal spur

Treatment is due to the identified cause of calcaneal spurs and, as a rule, conservative. There is no need to get rid of the spur itself. First of all, you need to get rid of the inflammatory process. This is the aim of the complex of therapeutic measures. The treatment package includes the following.

  • Massage and therapeutic exercises, which are aimed at improving blood circulation.
  • Physiotherapy : magnetotherapy, laser therapy, electrophoresis, ultrasound, ultraviolet.
  • Ensure unloading of the area of ​​inflammation. This is one of the most important conditions. Special orthopedic insoles will help to redistribute the load on the foot.
  • Shock Wave Therapy. This is a new method and is not shown to everyone.
  • In case of ineffectiveness of the treatment, medicinal blockades are prescribed for the rapid abatement of local inflammation and relief of pain. Blockade should only be carried out by a specialist, since the procedure requires precision and professionalism. It is important and the choice of the drug, and the accuracy and depth of its administration. With the right procedure, a person will forget about pain for a long time. If the procedure of blockade improperly, complications may develop, and the pain will continue to torment the patient. That is why only a specialist should be engaged in the treatment of heel spurs.
  • In the most severe cases, with a strong inflammatory process and pain syndrome, with unsuccessful conservative treatment, a surgical operation is prescribed, but the indications to it are severely limited. The fact is that operating a spur is a very complicated process, and the cause of its occurrence is not eliminated. Therefore, the operation is resorted only in the most urgent cases, if all other methods of treatment have already been tried. In the vast majority of cases, the heel spur is cured without surgery.

Prevention

Measures to prevent the formation of the calcaneal spur are to prevent the aging of the joint apparatus. This includes the following activities.

  • Measures to get rid of excess weight.
  • Active way of life with all possible physical activity.
  • Exception of stop overload. Prevention of flatfoot development and progression.
  • Mandatory wearing with flat feet orthopedic insoles.
  • Wear only comfortable shoes.

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