- Treatment of heel spurs - Only a doctor
- Conservative methods
Calcaneus - is the largest bone of the foot, which takes over most of the punches and the main load. Heel spur - a sprawl of the calcaneus. When the plantar fascia stretched, begins the formation of calcium deposits. This leads to the formation of bone spurs - heel spurs. The plantar fascia - a broad band of fibrous tissue located along the entire sole of the foot, from the heel to the forefoot. Heel spurs can cause severe pain in the back of the foot, especially when a person is standing or moving.
Heel spurs are formed by the abnormal proliferation of tissue heel bone due to the formation of calcium deposits at rupture of the plantar fascia. The plantar fascia is stretched in cases where a person develops flat
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. Also, heel spurs can form in people with very high arches ("hollow foot"). Often suffering from heel spurs women who wear uncomfortable shoes or high heels. Heel spurs may be due to a prior injury, stretching the foot, or the disappearance of fat pad of the foot that occurs in people at an older age.
Heel spurs are also formed in adults who are engaged in jogging, or those whose work is associated with prolonged stay on your feet. But the most prone to the emergence of such problems diabetics, runners, dancers, and overweight people
Symptoms include pain in the front, and the midfoot to heel when walking or long stay on his feet. If you try to bend the knee and pull the foot toward the back of the knee and pain occur. The foot numb, and there is a feeling of weakness and leg.
At the first stage in the treatment of heel spurs needs a short-term rest and inflammation control.
To start the patient should avoid strenuous activities that increase the discomfort in the foot. For example, you need to give a few days of jogging or training in which the patient has to be long standing. Simple relaxation helps to reduce the most severe pain and to stop inflammation in the foot.
Ice helps to remove symptoms that causes heel spurs and reduce pain in the foot. This procedure is particularly effective during exacerbation of symptoms.
And stretching exercises aimed at relaxing the tissue surrounding the heel bone. The simplest of exercises performed in the morning and evening, to help rapidly improve the condition of patients.
Anti-inflammatory drugs help ease pain and reduce inflammation. Usually efficient enough conventional painkillers are sold in pharmacies without a prescription.
Removable insoles allow patients to go about their normal activities at the same time do not feel pain and discomfort.
Night splints are designed to hold the heel that stretched during sleep
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. This prevents the foot from compression, so getting up in the morning is not so painful.
All of these methods are effective in the treatment of heel spurs. But we need to be pre-prepared for the fact that the symptom of the disease will not disappear immediately. In general, recovery takes about three months, and 90% of patients achieve results for up to one year.
In those cases where the pain is not reduced, injections of cortisone, which reduces the inflammation of the plantar fascia. However, cortisone obkalyvanie heel - it's not too common method of pain relief, because the procedure can cause serious complications. It is issues such as atrophy of the fat pad of the foot and plantar fascia rupture. Such complications are only a minority of patients, but they can cause increased symptoms.
Scientists continue to search for the treatment of heel spurs. The method of treatment called "Extracorporeal shock wave therapy" (ESWT) uses pulses of high intensity, which causes microtrauma tissue around the heel spur. It is assumed that such microtrauma stimulate regenerative processes in tissues. Extracorporeal shock wave therapy is recommended for patients who have failed previous treatments listed and are considering the option of surgery.
As after successful treatment to prevent the re-emergence of heel spurs?
To prevent the return of symptoms of heel spurs, it is important to only wear comfortable shoes on foot. Many to reduce the pressure on the feet using removable insoles. If there are problems of mechanical deformation of the foot, you can use a variety of orthopedic devices. It is also necessary to continue doing the exercises and stretching, which help to maintain the flexibility of the foot and help get rid of pain.
What to do if symptoms of heel spurs do not disappear?
In a small number of cases (less than 5%) after all of the recommendations of patients' condition does not improve. Before, consider this treatment option is surgery, should apply traditional therapies for at least a year. Time - this is one of the main factors of pain relief during heel spurs. It is not enough careful treatment prior to surgery, can cause a variety of complications after surgical procedures. If traditional treatments do not help, your doctor may prescribe an operation - the so-called cut the plantar fascia.