Drug medication for the calcaneal spur
Heel spur is a common disease of the elderly and younger people, suffering from the consequences of excess weight, sports or wearing high-heeled shoes. Sharp pain in the heel when walking is forced to limit activity.
Patients begin to look for an ointment from the calcaneal spur that best removes soreness. Before the start of therapy, it is necessary to abandon uncomfortable shoes, organize low-calorie unloading days. Have to visit an orthopedist. The expert will check and establish the causes of the disease, pick up the necessary insteps, night orthoses.
Medical treatment of calcaneal spur will not be effective if it is not combined with special exercises for stretching the plantar ligament, with physiotherapy methods.
More details about the complex of exercises and physiotherapeutic methods of treatment can be found in the article "Treating the calcaneal spur without medications".
What can I achieve with treatment?
Pains occur when the ligament is considerably densified, can not be stretched, and on the calcaneus there appear "outgrowths" of the periosteum.
All the applied methods of treatment are aimed at:
- normalization of metabolism in tissues, cessation of ligament fibrosis, additional calcium deposition;
- softening and return elasticity and the ability to stretch well;
- removal of inflammation in surrounding tissues;
- healing of microtraumas and ruptures;
- in the case of surgery - direct elongation by partial dissection of the plantar fascia with the removal of bone deposits.
Means from the heel spur to be selected individually, taking into account the existing concomitant diseases, intensity of pain.
Features of treatment with topical preparations
Local medicines are used in the form of creams, ointments, tinctures for rubbing and compresses. When choosing a drug, the following should be considered:
- when comparing cream and ointment, preference should be given to the ointment form, because it has a higher concentration of the drug;
- to strengthen the local action of medications is recommended before the application to make a warm foot bath and slightly steam up the foot, this improves the permeability of the medicine( it is good to use a bath with food or sea salt, needles);
- will be more effective treatment procedure, if after applying ointment apply compressor paper, cellophane with warm wrapping.
To exclude a possible allergic reaction, you must apply the cream on the inner surface of the forearm and observe for 2 hours. If there is no redness, you can safely use the drug.
Ointments and cream from the heel spur
Effective anti-inflammatory effect is provided when using ointments based on hormones of the adrenal cortex and non-steroidal agents.
- Hydrocortisone ointment has a strong anti-inflammatory effect, it is recommended in the morning and at night( in the evening with a compress).Categorical contraindication: warts, foot fungus, psoriasis. Relative contraindication: cracks, ulcers, skin lesions on the heel. Apply only after healing.
- Indomethacin ointment with a 10% concentration is a non-hormonal agent with anti-inflammatory, analgesic effect.
- Ointment Ibuprofen has the same positive effects and side effects as Indomethacin.
The drug is only used for the prescription of a doctor
The medication is not recommended for long-term use because hydrocortisone is able to block the production of its own hormones. Nonsteroidal agents affect the stomach and intestines. They can be safely used for 2 weeks.
More effective simultaneous phonophoresis with these drugs. Physiotherapy increases the penetration of medicinal components.
Less commonly used for calcaneal spurs are such preparations on an ointment basis, as Diclofenac, Voltaren, Butadion. They are less effective, they are more indicated when joints and spine are affected.
- Cream "Golden mustache" contains extracts of plants( saber, golden mustache, eucalyptus, plantain) on shark fat and corn oil.
- The heel sponge cream softens the skin on the heels, warms and strengthens the blood supply. Recommended in the initial stage.
- Similar cream "With heel spur" includes clove oil, garlic, pepper and golden mustache. It warms and relieves inflammation.
Creams for long-term treatmentStill advised: Treatment of plantar fasciitis at home
For long-term therapy, creams and ointments with plant and natural ingredients are suitable. They are recommended to rub in the skin of the heel and arch of the foot 3-4 times a day.
- "Tiger Eye" is based on extracts of horseradish, lilac, burdock, hazel, juniper, bee wax with castor oil.
- "Pjatkashpor" consists of apple cider vinegar, an extract of propolis with oils and medical products.
- The composition of the "Shark Fat", in addition to shark fat, contains honey, propolis, extracts of plantain, eucalyptus, laurel, juniper.
Treatment with blockades
Blockade of calcaneal spur is a surgical procedure. It is performed with strong, pain-free, painful, edema of the foot.
The procedure is painful, despite the additional administration of an anesthetic. The essence of the method: at the most painful point, the surgeon injects one of the strong hormonal anti-inflammatory drugs( Diprospan, Hydrocortisone or Kenalog) with a syringe.
For heel blockades using a special syringe and needle-trocar, the puncture requires effort from the physician
The injection should be repeated after 1.5-2 weeks, since the drug is completely absorbed during this time. Diprospan is administered in one syringe with an anesthetic( Lidocaine).The course requires 2-3 injections. Even after the first procedure, the pain is significantly reduced.
Drugs are not recommended for people with such diseases:
- diabetes mellitus,
- mental changes,
- osteoporosis of bones.
Non-steroidal anti-inflammatory drugs are used in short courses in the form of tablets and capsules( Ibuprofen, Voltaren-retard, Ketoprofen).Contraindications are the same as those listed above.
The scheme of express therapy
This scheme of treatment is recommended for those who have long worn uncomfortable shoes and felt severe pain in the heel. The authors promise a complete disappearance of the symptoms for a period of up to a week, if the prescriptions are strictly followed.
On the first day - every 2 hours rub in the heel and foot on all sides balm "Golden mustache with a saber" alternately with the drug "Kontratubeks."
From the second day of the procedure, three times a day, alternating these drugs.
Kontratubeks is used by official medicine for the treatment of adhesions, scar deformities on the skin, and increased postoperative scars.
Any doctor will advise not to limit the use of medicines, but at the same time to use effective physiotherapy procedures. Only a comprehensive use of all acceptable methods will get rid of the calcaneal spur.
Heel spout - treatment with medicines
Heel spur is an inflammatory-degenerative disease manifested by the formation on the posterior part of the heel bone of growth from calcium salts, which has the form of a wedge or spine. By exerting pressure on soft tissues, overgrowth causes swelling and severe pain, especially during exercise or after a prolonged interruption in movement. In most cases, pathology is diagnosed in women, and its main causes are: overweight, flat feet, wearing uncomfortable shoes, injuries, etc.
Treating the calcaneal spur with
medications There are many methods for treating the heel spur, including surgical operations, physiotherapy procedures, massage, medical gymnastics, drug treatment. Most often, an integrated approach using several techniques is used. Medical therapy for this pathology is aimed at the removal of the inflammatory process and anesthesia, i.e.elimination of symptoms of pathology.
How and how to treat the heel spur, in what form to apply the medication is determined by the attending physician - surgeon or orthopedist, after the necessary examinations( X-ray, biochemical analyzes).As a rule, in many cases it is possible to get rid of unpleasant symptoms due to external drugs of local action. In more severe, neglected cases, doctors resort to an injection method of administering medications to the heel joint. Such injections can only be carried out by qualified specialists who must accurately determine the dosage of the drug, the depth and accuracy of its administration.
Drug treatment for calcaneal spur at home
After carrying out diagnostic measures and receiving doctor's prescriptions, the disease can be treated at home. The main drugs for the treatment of the heel spur are nonsteroidal anti-inflammatory drugs in the form of ointments, creams or gels. These include:
- Indomethacin Ointment;
- to Piroxecam;
- Flexen, etc.
The usual course of treatment with such local drugs is about 14 days. The funds are applied to the affected area 2-3 times a day. In order to achieve a better penetration of the drug, to strengthen its effect, you must before it rubbed into a ten-minute hot foot bath. After that, the skin should be thoroughly dried and massaged by applying the preparation. Then it is advisable to put warm socks on your feet.
Other local drugs that can be prescribed with a calcaneal spur are hormones. Most often, patients are prescribed ointment based on hydrocortisone, which is rubbed into the affected areas twice a day for no more than two weeks. Influencing the blood vessels, hydrocortisone ointment quickly removes swelling and pain.
Also in the home can be used special patches, designed to treat the calcaneal spur. The inner surface of the patches is impregnated with warming substances, plant extracts, which have anti-edema and analgesic effect. The plaster is adhered to the sore spot for a day, after which it is replaced with a new one. The course of treatment is 10-12 days.Recommendations for the treatment of heel spurs
In addition to the use of medications, it is important to adhere to other recommendations for the treatment of the heel spur, which will help to remove discomfort and prevent the further development of the disease. Here are the main ones:
- If there is a problem of excess weight, you need to try to get rid of it.
- Special orthopedic shoes or insoles should be worn.
- It is required to avoid excessive physical exertion on the legs. Heel spurs: treatment with medications, ointments and other methods of struggle.
However, if the disease progresses, more drastic measures, in particular, surgery, may be needed.
Principles of treatment
The question of how to deal with spurs on the heels, arises in those who experience pain in the heel. Actually, this is the main symptom of the disease.
Externally, it does not manifest itself in any way and is usually found during X-ray examination. The spur itself is a proliferation of the calcaneus in the area of attachment of the calcaneal tendon or ligaments of the foot.
Often, bone growth is the result of flat feet or metabolic disorders. Therefore, such procedures as massage and physiotherapy, which help to restore normal blood circulation, are effective.
Means used topically, help fight inflammation and pain. They are easy to use, and they are available in all pharmacies, so many patients choose the drug treatment: the calcaneal spur does not disappear, but ceases to bother.
As the build-up causes edema of nearby soft tissues, thereby making the calcaneal spur appear and its treatment becomes necessary, as the pain in walking can be very strong.
Use of medications to fight the calcaneal spur
When diagnosed as a spur on the heel, medication usually works well in the early stages of the disease. For treatment, use topical topical drugs and as injectable solutions. Tablets with this disease are usually included in complex therapy and serve to remove the pain syndrome.
Ointments and creams
For pain in the heel, many doctors prescribe ointments - heel spur after their application causes less pain. In this disease ointments and non-steroidal or steroidal creams are used. Nonsteroid drugs have anti-inflammatory effect: temporarily relieve inflammation, reduce pain.
This group of drugs is quite extensive:
- flexin( ketoprofen);
- butadion, etc.
Hydrocortisone ointment is often used from hormonal preparations: the heel sphincter gives less anxiety, since the agent has an effect on the state of the vessels in the area of the affected area. The course of treatment - two weeks( apply ointment twice a day).
In the pharmacy you can also purchase creams based on raw materials of plant and animal origin to relieve discomfort when walking. Among them, for example, "Shark Fat", "Golden Hens", "Orto".Cream Orto heel spur includes extracts of horseradish, lilac, hazel, volosushki, burdock, essential oils of lemon and juniper. This is a good tool for fighting leg fatigue, cracks and burrs, but the from spurs cream Orto and the like do not save .
Ointment is applied to a pre-steamed heel, rubbing it intensively into the skin. The duration of the treatment course should be at least two weeks( applied three times a day).At the end of the first week, the pain is already falling.
Sometimes the pain in the heel can be so strong that neither pills nor ointments save. Then the patient is offered to make an injection in the heel joint. The procedure is performed by a surgeon two or three times.
For the success of the procedure, it is necessary to correctly calculate the dose of the drug, and also to ensure that the prick gets to the desired point. Many patients complain that the injection is painful enough. However, as practice shows, with the diagnosis of the heel spine , the heel pin is much more effective than the external means.
For injections use steroid drugs, for example, diprospan. It is a hormone with a long anti-inflammatory effect.
One of the problems in patients with the disease is calcaneal spur: what to treat, if you need to often be on your feet and because of the shoes there is no possibility to use ointments. Many choose a plaster. It's enough just to stick it on the sore spot and leave it for a day.
On the inner side of the patch apply painkillers, antiseptics, natural ingredients. In contact with the skin, these substances favorably influence the active points. However, like any medicine, the patch has contraindications and is not allowed for use in pregnant women, and people with skin allergies and skin lesions.
When choosing a remedy for treatment, of course, you need to focus on the recommendations of specialists. Moreover, it is possible to accurately diagnose and determine the stage of the disease only after a clinical examination.
Getting rid of the heel spur - go without pain
- Folk treatment
There are very few people who know what plantar fasciitis is, because in people this disease has a different name - calcaneal spur. It is the formation of a spine-like protrusion on the hillock of the calcaneus, which causes pain when walking, with loads on the legs. The disease usually affects women over the age of 40.Therefore, it is so important to be informed what a calcaneal spur is: treatment should be timely and complex - to avoid complications. If you do not want to walk with a wand afterwards, limping, pay attention to the causes of this disease and do not allow its development.
The causes of the appearance of calcaneal spurs
Many people want to know how to get rid of the heel spur, but not everyone is looking to the root cause and trying to prevent the development of the disease, eliminating primarily the factors provocateurs. The causes of bone formation on the heel can serve as:
- flat feet( the foot load is not distributed correctly);
- disturbed blood circulation;
- wearing tight, narrow shoes( constant friction irritates the calcaneal periosteum);
- heel injury;
- large weight( increased load on the calcaneus);
- metabolic disorders;
- great physical exertion on the legs( for athletes, for example);
- joint disease.
All these disorders cause an inflammatory process, resulting in thinning of fatty subcutaneous tissue, which helps the heels absorb during walking. So there is a bone outgrowth in the heel of the calcaneus - calcaneal spur: treatment in the home of this disease is possible, but not recommended. At the first signs it is better to seek medical advice. The question is, what exactly are the symptoms to recognize the disease.
Symptoms of the disease
It happens that the calcaneal spur does not immediately manifest itself: the symptoms are detected much later, when apart from as an operational treatment options will no longer be. In order not to bring your feet to such a state, you must be extremely careful with everything that happens to your heels. The main symptom of this disease is pain in the plantar surface of the heel during walking and even standing. It is characterized by the following distinctive features:
- the strongest pains are felt in the morning, when it is necessary to get up on the heel after a long lying during sleep;
- pains burning, acute with support on the heel;
- resemble a nail feel;
- can spread throughout the calcaneal surface, or can be localized only on the inner surface of the heel;
- sudden or acute( chronic);
- a constant desire to remove the heel from the heel.
For the diagnosis of this disease, patient complaints, general examination of the damaged heel and its radiography are sufficient. Only after confirming the diagnosis the doctor can say more definitely how to cure the spurs on the heels, and prescribe procedures and medications.
Drug medication for calcaneal spur
So, the diagnosis is put - plantar fasciitis, or, in other words, spur on the heel: how to treat it in outpatient conditions, the orthopedist or surgeon will tell you in detail. Usually the goal of the therapeutic course in such cases is the unloading of the painful area. To ensure its provision, in each individual case:
- special orthopedic insoles and shoes;
- podpjatochnik with a hole in the center;
Heel spurs: treatment, therapy and folk remedies
Heel spur is a degenerative inflammatory disease of the soft tissues of the foot, bone growth that looks like a wedge or a spine, formed on the sole in the calcaneus, heal the heel spurin a timely manner.
The disease is accompanied by sharp burning pain when walking or just resting on the heel. The causes can be: flat feet( high load on the heel area), age-related bone changes( more often after previous injuries), rheumatism, vascular or neurodystrophic disorders. Often spurs are formed as a result of inflammation of mucous bags( Achilobussis) or inflammation of the muscular tissues of the soles( fasciitis).
When choosing a method for treating a calcaneal spur, all factors, including the cause of the disease, should be taken into account. To determine how to get rid of the heel spur is best, you need to consult a doctor. Many people are afraid to do this, because they think that the disease will have to be treated only surgically. However, there are various methods for treating this ailment. As a rule, to treat the disease, it is more effective conservatively, that is, with the help of massages, physiotherapeutic procedures, reducing the burden on the inflamed area.
A specialist in a paid clinic or your health care provider will talk about how to treat a heel spur with medicines, and folk remedies for the disease are presented below. Also, the expert will recommend a set of procedures aimed at treatment, such as mud applications or mineral baths and the symptoms of the calcaneal spur will go away. Carrying out ultrasound and X-ray will help to establish how to heal the heel spur, so as not to bring to an operational intervention.
The operation - as a method of getting rid of the calcaneal spur - is tried very rarely, since it does not eliminate the cause of the disease and thus can not give full confidence in the complete cure. Even in the absence at this time of the disease should be aware of it all. This knowledge is necessary in order to take quick measures, and how to cure an unpleasant sensation in the heel.
All types of treatment can be conditionally divided into three groups: folk remedies, drug therapy and other types of treatment. It is worth considering each of the groups.
Folk remedies for calcaneal spurs
To treat the calcaneal spur folk remedies use the usual natural products that can be found at home or bought in the store.
One of the folk remedies for the calcaneal spur is the curd. Place three tablespoons of fresh cottage cheese on a bandage wrapped in several layers and apply overnight to a sore spot. The procedure is to spend three nights in a row.
The use of table salt is also one of the folk methods of treatment. To relieve pain, it is recommended that you walk around the scattered salt for 15 minutes with a bare heel.
Another popular remedy is a compress made of grated onions. Grate one small head of onions, place the mass in a cellophane bag and lower the leg into it. From above it is necessary to tie a bag with a bow to the leg with something warm, preferably a downy shawl so that the warming process begins. Compression is done at night, the morning is not washed, but simply wiped off with a handkerchief. The procedure must be done 2-3 times.
The calcaneal spur is also helped by a folk remedy or medicine made from chicken eggs and lard.100 g of lard must be poured with 100 g of acetic essence, then add 1 chicken egg with the shell and mix well. Next, the medicine should be placed in a dark place for 10 days, while periodically it should be stirred. Having unscrewed a sick leg, it is necessary to put a swab moistened in the present medicine, for 5-6 hours on a sore spot. If burning occurs, it is recommended to stop treatment.
The bark bark is an excellent folk remedy for the heel spur. It is necessary to twist the flagellum from the birch bark wrap it with a bandage and place it in the shoes in the form of a pretzel. The heel must precisely fall into the resulting hole, which will significantly reduce the burden on the inflamed area.
In fact, there are a lot of folk methods of treatment and it's simply impossible to tell about everything. The main thing to remember is that treatment with folk remedies is a lengthy process, and the effect is not immediately apparent, but after a few weeks.
Therapy for calcaneal spur
In the field of treatment of spurs on the heel, many conservative methods are used. These include several types of therapy, which we will discuss in more detail.
Shock wave therapy for heel spurs
Shock wave therapy for calcaneal spur( UTV) - helps to reduce pain sensitivity, loosen and reduce ossified areas, and improve blood circulation. Installed on the patient's skin, the device sends pulses to the inflamed area and reduces pain. Treating the heel spur with shock wave therapy gives an amazing result in a short time.
X-ray therapy of the spur on the heel is done out-patient and absolutely painless. This procedure has no contraindications and is aimed at blocking the nerve endings, which leads to a reduction in pain. A low-dosed x-ray is sent to the spur, which is clearly fixed in the place of the heel where the spur is located. The procedure for treating the calcaneal spur with X-ray therapy lasts only ten minutes. The spur itself does not disappear after X-ray therapy, but the pain stops torturing the patient. Usually there are ten sessions.
Treatment of calcaneal spur by ultrasound
Last years the preference was given to the method of treatment of calcaneal spur by ultrasound. During the procedure, the process of heating the most painful areas on the heel, but not more than two degrees from the natural temperature of the body, is going on. This allows you to speed up the metabolic processes and regenerate damaged tissue. Ultrasound improves the process of microcirculation of blood, has an antispasmodic and resolving effect.
Other treatments for spurs
Excellent results are noted when treating the heel spur with medical bile, use a purified product. Medical bile at the heel spur can be used even at home. It is easily available in any pharmacy and is dispensed without a doctor's prescription. The procedure is carried out at night as an application of a lotion on the area of the patient's heel. A piece of cotton cloth or gauze is moistened with bile and superimposed on the heel, then it should be covered with polyethylene and fixed with a tubular bandage of the appropriate size. For better warming, it is recommended to wear a toe on the leg. In the morning, the lotion needs to be removed, and the heel rubed with boric alcohol or lotion, it is better not to wash. Use medical bile for treatment is recommended with at least 20 procedures. It is not advisable to take a break in treatment. The use of medical bile with a calcaneal spur helps to completely get rid of the disease, provided that the full course of treatment is completed.
The main groups of medicines for the treatment of the calcaneal spur are described in detail:
- Non-steroidal anti-inflammatory drugs. The most common drug is Ibufen - improves microcirculation, used in the form of gels and creams. Also apply Fleksen( Ketoprofen) after meals in the form of gelatin capsules and Voltaren( Diclofenac) is applied in the form of tablets once a day.
- Local anti-inflammatory drugs. The treatment of heel spur with Dimexide( Dimethylsulfoxide) is very popular. This drug penetrates deeply into the focus of inflammation through the skin and has analgesic and anti-inflammatory effect. Used in the form of gauze applications, moistened in a solution of Dimexide. Duration of the procedure is 1-2 weeks.
- Hormonal preparations: Hydrocortisone - is used in the form of a cream or gel, reduces the lumen of the capillaries and the permeability of the vessels. The course does not exceed 14 days;Diprospan( Betamethasone) - used in the form of injections at the site of inflammation with a dosage of 0.5ml.
- Local anesthetics: Novocain blocks impulses in nerve endings, removes pain syndrome.
- Wearing insoles with a heel spur reduces the injury of soft tissues in the heel area of the heel, it is convenient to use with any footwear. After the application of correctly and qualitatively manufactured insoles, the need for hormonal preparations, or the use of shock wave therapy with a calcaneal spur, is usually completely lost.
When choosing medicines for treatment, it is necessary to consult a doctor and not to self-medicate.
Video on the treatment of the spur:
Treating the calcaneal spur is medicamentous: how and what is
When preventive methods and physiotherapeutic procedures do not give the desired effect, without the use of medication is indispensable. After all, the treatment of the heel spur in the first place is to relieve the inflammation. For this purpose, various gels, ointments, compresses, and injections to the sites of inflammation are used. Of course, injections from spurs on the heels - this is one of the extreme methods, when other ways to get rid of the problem no longer help.Spur no longer bothers! How to get rid of pain in the heel for 2 weeks at home? Shporam.net
How to numb spur
Before you start medication treatment for the heel spur, you need to contact a specialist doctor: a surgeon or orthopedist. Only the doctor will help you to decide on the necessary medicines, select the appropriate method, and can competently change the tactics of treatment if necessary. Of course, for the beginning it is recommended to use anesthetic ointments and tablets, which have anti-inflammatory properties. So, the main active substance in them can be: indomethacin, ibuprofen, diclofenac, voltaren, butadione, flexene, hydrocortisone.
To achieve maximum effect in some cases it is recommended to combine various painkillers. Apply gels and ointments prescribed by your doctor better on steamed skin, after which it is desirable to wrap your foot or put on warm socks. This will promote a more active absorption of the drug, so there will be more chance that the drugs will start to act faster. Do procedures at least 3 times a day.
But even if you are doing everything possible to accelerate recovery, do not expect an instant result. As a rule, the treatment of the calcaneal spur is medicamentous, which is the use of external means, starts to help the days after 10, but do not expect that the pain will completely disappear in less than 2 weeks. In some cases, you can not get rid of the problem with rubbing and compresses, then the doctor can advise injecting procedures.
Is it worth it to be afraid of injections
Introduction of anti-inflammatory non-steroid drugs is recognized as an effective method of treatment. But there are 2 factors that stop patients: the soreness of the procedure and side effects, among which there are gastrointestinal bleeding, kidney damage and gastritis.
The injections with anesthetic anti-inflammatory drugs are a blockage of the calcaneal spur. The procedure is done by the surgeon himself, because when you hold it, you need to get directly into the inflammatory focus. To achieve the desired effect and complete anesthesia of the foot, 2-3 injections should be done. If one more shot can be sustained, then it will be very difficult for patients to repeat the procedure. For its implementation, tools such as diprospan, kenalog, nimesulide, hydrocortisone are used.
During the injection, the drug enters directly into the affected area and immediately begins to work. Many patients feel significant relief some time after the first injection. But the doctor can recommend this method if long-term treatment does not work, and pains only increase. In other cases, try not to use such radical methods to relieve inflammation.
With the right lifestyle, gentle attitude to the aching leg, regular gymnastics for the feet and massage, the effect of injections can be fixed forever and you no longer remember how a stop with plantar fasciitis can hurt. But, unfortunately, this remedy for spurs on the heels is not a panacea, in some cases, pain can return after a few months.
Next we offer a video about how to cure a spur on the heel with the help of medications.Please share the link to the article using the buttons below
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