Methods for the treatment of spurs on the heel

There are many ways to treat heel spurs. All they have long been tested and effective.

Injections of botulinum toxin A

The results of one study suggest that the injections of drugs can greatly alleviate the pain caused by heel spurs. The study involved fifty people, and they all like three weeks and three months after the injections have noted that they feel better. They do not feel pain when walking and after intensive exercise, and they no longer had to avoid certain types of loads, to ease the discomfort. However, while botuloksin A rarely used in the treatment of spurs on the heel and plantar fasciitis; most physicians still prefer other treatments.

The use of night buses

Most people during sleep Dreams: how to understand our dreams   stops are arranged so that the plantar fascia cut. Night bus hold his feet in a position to stop at a right angle with respect to the tibia. Because of this there is a constant passive stretching of Achilles tendon Achilles tendon - how it is vulnerable?   and plantar fascia. If the patient does not feel stress and discomfort, but such stretching promotes tissue healing. In addition, the use of night buses to avoid plantar fascia microtrauma that a person can receive when making the first steps in the morning.

Night bus - a lightweight device made from plastic, glass or, more rarely, of other materials. Studies show that with their help it is possible to achieve improvements in the majority of cases. However, notice that the maximum effect can be achieved only in those cases when the patient is properly tire which many people do not of the associated discomfort.

Comfortable shoes and special insoles

In many cases, the symptoms of heel spurs is easier if you start to wear comfortable shoes with soles made from soft enough springy material. In fact, it is not always possible both because of the dress code at work, and because of the desire of many people to follow fashion trends. Fortunately, almost any shoe insoles can pick up that can relieve pain and promote healing of the injured plantar fascia. Contact your doctor to help you choose the insole and wear them all the time.

Exercises for the feet

It is not known exactly how exercise helps with heel spurs, but surveys of patients show that in 83% of cases they bring a noticeable improvement. In addition to the usual stretching is recommended to do the following exercises:

• Stretching the foot and ankle. Sit down and place your right foot on the left knee. Grasp on the toes and start to pull them over. Hold the maximum voltage twenty or thirty seconds, then relax. Repeat the exercise five to ten times for each leg;
• Exercise with a towel. This exercise is designed to strengthen the muscles of the foot. Put a towel on the floor and try to grab his toes, on which there was a heel spur. The heel in this exercise is to stand on the floor. Tighten the towel to her toes for a few minutes. When the exercise is to work out easily complicate it by putting towels on the end of some heavy object, such as a book. To strengthen the muscles of the feet, can also be collected from the floor small items toes - marbles, stones, and so on.

Tapping his toes. Put your feet on the floor and lift your toes up. Holding four fingers raised, tapping the floor with his thumb. Then tap on the floor with four toes, holding his thumb raised up.

Transaction

Operation requires 5-10% of patients with plantar fasciitis diagnosed. As a rule, it is prescribed not earlier than after 6-12 months of conservative treatment. The operation is successful in 70-90% of cases.

During the operation, the doctor makes an incision in the plantar fascia, separating it from the calcaneus. This can be done in the ordinary course or endoscopic surgery, but the second is associated with less prolonged period of recovery.

More recently, the treatment of this disorder began to use a method such as cryosurgery. Through a small incision under the skin of the patient is administered a special instrument that destroys tissue of the plantar fascia, acting on its temperature reaches -70 ° C. Two-year follow up of patients who have undergone such treatment, showed that in 77% of cases the operation was successful - after the symptoms of plantar spurs disappeared, and major complications did not occur.

General principles of treatment of diseases of the joints

Joint diseases can have different causes. This infectious agents, are allergic to the body's own tissues, the response to any infectious process, age, metabolic disorders, and so on. In any case, before you start treatment, you must establish the correct diagnosis.

Treatment of any joint disease must depend on the reason he was called. As a rule, it is carried out individually, in a comprehensive and long-term - only if the treatment will be effective. But there are basic principles of treatment are used in the treatment of all types of joint disease. Such treatment should consist of methods and drugs that promote:

• removal of joint pain;
• eliminate the cause of the disease;
• prevent the destruction of the cartilage of the affected joint;
• improve blood circulation and restore the metabolism Metabolism: The basis of life of all living things   in this area;
• maximum removal of the load from the affected joint;
• safeguarding of the function of the affected joint.

Removal of joint pain

To remove the joint pains are appointed by nonsteroidal anti-inflammatory drugs (NSAIDs) that relieve the swelling and pain in the joints Joint pain - how to understand what is going on? . If NSAIDs do not bring relief, appointed by the steroid hormones (eg, prednisone). Hormones are used in extreme cases when all other options have been exhausted.

Locally to the area affected joints impose anti-inflammatory and analgesic creams, ointments, gels, warming prescribed treatments: dry heat, compresses, etc. With the same objective are introduced by electrophoresis and phonophoresis drugs (hydrocortisone, NSAIDs, novocaine, etc..), The courses paraffin, ozokeritotherapy, cryotherapy - exposure to cold.

Eliminating the causes of joint disease

The easiest way to infectious arthritis are treated - usually begin treatment in a hospital (a few days), and then continue treatment on an outpatient basis, combining medical treatment with a course of antibacterial physiotherapy.

It is much harder to cope with infectious and allergic diseases of the joints, such as rheumatoid arthritis. For the treatment of this disease are used as NSAIDs, which reduce inflammation in the joints, and basic drugs which inhibit the immunological processes of cell reproduction and tissue. This prevents the proliferation of granulation tissue in the joints, which destroys the cartilage.

Metabolic arthritis (eg, gout) is treated with a special diet excluding products that contribute to the deposition of salts in the joints.

For a full treatment of diseases of the joints Joint disease - prevention is better than cure   you also need to get rid of bad habits (smoking, alcohol, coffee and so on) that contribute to circulatory disorders.

Preventing the destruction of the cartilage of the affected joint

To this end, prescribers who are able to prevent, slow or reverse the development of subject changes in articular cartilage (chondroprotectors). Hondroprotektory (e.g. rumalon) are able to stimulate the synthesis of cartilage and yet inhibit the production of enzymes degrading cartilage, i.e. they enhance recovery and suppress destructive processes in the cartilage. The appointment of these drugs can reduce joint pain, restore movement in the affected joint.

Improved circulation and restore the metabolism in the joints

To improve blood circulation and restore the metabolism of the joints in the area designated as the medical treatment and physiotherapy.

Removing load from the affected joint

During exacerbation of the disease in the joints impose a tire, fixing the limb in a comfortable position for the patient. As the pain subsided range of motion in the joints increases and the patient begins to move with the help of orthopedic appliances (such as crutches, cane).

Reducing the load on the joints also contribute to weight loss, wearing orthopedic shoes Orthopedic shoes - how to determine what is right for you?   with a soft sole, fixed heel and special arch supports vkladkami-.

Conservation of the affected joint

Once the joint pain reduced, to improve joint mobility necessary to conduct physical therapy sessions. Sessions can be held in a sitting position, or lying in the water (ie no additional load on the body weight), and should not cause an increase in joint pain.

In the future, patients are encouraged to make lifestyle changes, such as change job if it was associated with high physical activity.

Surgical treatment of diseases of the joints

Surgery (total joint replacement) is carried out in cases where compromised joint function dramatically. In such cases, the patient is replaced with an artificial joint. These operations are well developed and widely used in practice.

The effectiveness of the treatment of diseases of the joints depends on how quickly the patient asked for help, so do not this pull and self-medicate.

  Galina Romanenko