What are heel spurs
Heel spur - A fairly common diseasemusculoskeletal system, which is manifested by pain in the heel area. In the modern world suffer from this disease mainly women, about 80% of all cases. Three-quarters of women are urban residents. This is due to wearing shoes with high heels (over 3 cm). It mostly occurs in women 40 years and older.
The causes of this disease may be different. Some researchers have treated this disease as a result of longitudinal flat ported infections as a result of acute or chronic trauma of the calcaneus. Excess weight of the patient can also be considered as a causal factor in the development of heel spurs. However, in practice not always possible to reliably establish the cause of the disease.
Heel spur is a bony prominencea spike or beak coming out of the plantar surface of the tuberosity of the calcaneus; base projection merges with the calcaneal tuber, and the free edge is directed anteriorly.
In 10% of the elderly radiographicallymay experience heel spurs. But they do not make any complaints. Therefore, the presence of anatomical spur itself does not mean disease. Conversely, many patients with severe clinical radiological signs may be absent.
The main and the main symptom of heel spurs - itheel pain. At the same sensation in patients compared to those as if they stepped on a needle or nail. The main cause of pain in the heel spur - chronic plantar fasciitis. It is a chronic inflammation of the plantar fascia. The reason for this is the constant inflammation of acute trauma of his heel spur.
When the feeling the heel you can find the most painful part. As a rule, in the internal process of the calcaneal tuber, ie closer to the inner edge of the heel bone.
The main method of diagnosis of heel spurs - it's X-ray. It is noted the presence of bone protrusion in the plantar surface of the calcaneus.
How to treat heel spur
Treatment of the patient with a heel spur can be conservative and surgical.
Conservative treatment It includes warm foot baths, compressesdifferent liquids, physiotherapy in various forms, pain medication. Sometimes it helps to radiotherapy. Therapeutic measures complement the purpose of orthopedic insoles or shoe podpyatochnyh tabs from soft materials. However, experience treating a large number of patients shows that all these measures rarely achieve a cure or significant relief.
A special role is played by the local applicationcorticosteroids. It is the introduction to heel spurs solution hydrocortisone or Kenalogum. These drugs help to eliminate inflammatory reactions, and hence pain. However, their use is contraindicated in severe hypertension, decompensated diabetes, gastric ulcer in the acute phase, and any inflammatory conditions of the skin.
It is widely used as physical therapy techniques: magnetic therapy, ultrasound, electrophoresis with various drugs (potassium iodide, novocaine) and laser therapy.
Surgical removal of heel spurs It is rare. It can be shown at full failure of conservative treatment when used all means, including topical administration of hormones. Surgical treatment is that in the heel area of the heel incision of soft tissues, released heel spurs and she gets off the bit. Surgical treatment usually ends with the complete cure.