Heel spurs

Content

  • What are heel spurs?
  • Overloading or tendon injury
  • Infectious disease (reactive arthritis)
  • Inflammatory diseases and gout


  • What are heel spurs?

    Heel spurs often a symptom of a disease, one of its manifestations.

    Heel spurs
    Pain in heels
    They are not the result of some sprouting spines ( "spurs"). Pain
    heel region are the result of inflammation or injury and
    ahilovogo tendons and bags - and then the pain will occur over
    heel on the back of the leg, or the consequence of the defeat of tendons
    plantar muscles - in this case the pain occur in the heel area with
    side of the sole (under the heel).

    In this part of
    the affected tendon may be covered with calcium salts, and then
    really it will look at the X-ray as a "spur." But,
    oddly enough, in the X-ray "spurs" and found in 3-5% of healthy
    humans, i.e., this feature is not necessarily a reflection of disease.

    Sometimes it's just a characteristic of human characteristic
    namely for its metabolism. Such people live normal, do not
    discomfort and pain, and the discovery of X-rays on the "spur" can
    be a random diagnostic finding. Conversely, an individual with
    strong calcaneal pain may not be all sorts of bone
    sprawl and can not be any "spurs" on the x-ray.

    So,
    we found that the cause of pain is some tendon damage,
    instead of the notorious "heel spurs". There is a fundamental question: What should I do?

    Of course,
    in any case not to self - contact
    a specialist who will establish the cause of pain and disease diagnosis. AT
    this case, you need to consult a doctor-arthrology, rheumatologist or
    orthopedist.

    After a thorough inspection may
    require additional examination: X-ray diagnostics, general and
    blood chemistry.

    Only after that it will be assigned to the necessary treatment, taking into account the underlying disease and its causes. Here are the most important ones:



    Overloading or tendon injury

    this
    the most extensive group and isolated most frequently under an umbrella term
    "Heel spurs". This includes trauma tendon (for example, it
    tear or sprain), overload the tendon due to walk in the shoes
    high heels, overloading the tendon during a long walk at
    the presence of pronounced flatfoot, as well as a bruised heel bone
    followed by inflammation of the surrounding tissue (eg, due to the jump
    from a height on the heel).

    Patients in this group usually
    all complain of burning pain under the heel, defined as feeling
    "Nail", which are enhanced when you try to step on the heel.

    Treatment
    this group of patients requires the observance of complete rest during
    two to three weeks, while for relieving pain and inflammation can
    use of anti-inflammatory drugs (diclofenac, Brufen,
    indomethacin, FLEX, etc.) in tablets or suppositories. Sometimes very good
    It helps the laser, as well as a special "cross" massage
    anti-inflammatory ointments. If these measures do not give the desired effect,
    It can be one-night stand to hold an injection of corticosteroid hormones
    (Hydrocortisone, Kenalog) directly in the heel area - sometimes
    a one-two-fold procedure is sufficient for complete removal
    acute pain.

    In the most severe cases, when all
    possible measures have failed, it is necessary to carry out
    radiotherapy, Heel spursbut fortunately, this procedure requires a maximum of 2-3
    % Of patients.



    Infectious disease (reactive arthritis)

    at
    certain types of infections, especially genital (e.g., gonorrhea,
    chlamydia, etc.) occurring sometimes hidden, perhaps "reactive"
    inflammation of the heel. And there are some signs that may
    point (or at least "hint") at an infectious-reactive
    calcaneal tendon injury. In this case, the pain in the heel
    often occur not only during walking. In patients with jet
    arthritis heel may hurt even alone at night. And sometimes
    night they hurt the most.

    Besides,
    inflammation heels often join in reactive arthritis
    inflammation of the number of joints and eyes, as well as discomfort in the area
    genitals. However, all this - and night pain, and inflammation of the eyes,
    joints, discomfort in the genital area - perhaps
    indicative of other inflammatory diseases.

    treat
    in reactive arthritis must first primary infection
    using the appropriate antibiotics, and to relieve pain can
    use of anti-inflammatory drugs, and compresses Dimexidum.



    Inflammatory diseases and gout

    how
    already mentioned, inflammation of the heel region is often
    result of a number of chronic inflammatory diseases of the joints:
    ankylosing spondylitis, psoriatic arthritis, or gout - diseases
    associated with metabolic disorders, occurring most often in
    people inclined to the use of alcohol or overly fond
    meat food.

    In some cases, inflammation
    calcaneal tendon is the first manifestation of the aforementioned diseases,
    but more often it occurs already in their midst - after previous inflammation
    joints or spine.

    The examination
    Patients with inflammatory diseases can almost always be found in
    blood tests (from a vein) specific "markers of inflammation" in disease
    Spondylitis or psoriatic arthritis, and the apparent increase in the level of uric
    Acid - for gout.

    In all these cases,
    it takes a long and stubborn "specific" treatment aimed at
    the fight against major diseases. And to eliminate the actual heel
    Pain can be used anti-inflammatory drugs, laser therapy,
    administration of drugs to five electrophoresis method, and in some
    cases, a single injection of corticosteroid hormones.

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