What are heel spurs?
Heel spurs often a symptom of a disease, one of its manifestations.
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.
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?
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
After a thorough inspection may
require additional examination: X-ray diagnostics, general and
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
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.
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
In the most severe cases, when all
possible measures have failed, it is necessary to carry out
radiotherapy, but fortunately, this procedure requires a maximum of 2-3
% Of patients.
Infectious disease (reactive arthritis)
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.
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.
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
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
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.
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.