Pain in the heel region, people called «heel spurs» meet both young people and the elderly, but are not really an independent illness.
Content
What is heel spurs?
Heel spurs most often just a symptom of some kind of disease, one of its manifestations.
Pain in heels
are not a consequence of growing some spikes («spur»). Pain B
The heel region is a consequence of defeat and inflammation or
Achilov tendon and his bags – And then the pain will arise over
heel on the back surface of the foot, or by the consequence of the lesion of the tendons
plantar muscles – In this case, pains occur in the heel area with
sole side (under the heel).
In this case, part
the affected tendon can be covered with calcium salts, and then
really will look on the radiograph as «spur». but,
oddly enough on x-ray «Spurs» Detected and 3–5% healthy
people, that is, this sign is not always a reflection of the disease.
Sometimes it is just an individual feature of a person, characteristic
it is for his metabolism. Such a person lives normally, not
experiencing discomfort and pain, and detection on x-ray «Spurs» maybe
be a random diagnostic find. And, on the contrary, a person with
strong healing pains may not be any bone
growing and may not be any «spur» on x-ray.
so,
We found out that the causes of pain is some kind of leaning the tendon,
and not notorious «Heel spurs». The main question arises: what to do?
Sure,
In no case do not engage in self-medication – Contact K
specialist who will establish the cause of pain and diagnosis of the disease. IN
This case needs to be referred to as a arthrologist, rheumatologist or
orthopedic.
After a thorough inspection can
Supply additional examinations: X-ray diagnostics, general and
blood chemistry.
Only after that the necessary treatment will be prescribed, taking into account the main disease and its reasons. We list the most important of them:
Overload or tendon injury
This
The most extensive group and is highlighted most often under the generalizing name
«Heel spurs». This includes traumatization of tendon (for example, its
Out or stretching), overload tendon due to walking in shoes
on high heels, overloading tendon during long walking
the presence of a pronounced flatfoot, as well as the injury of the heating bone with
subsequent inflammation of the surrounding tissues (for example, due to the jump
from height on heels).
Patients of this group more often
all complain about burning pains under the heel, defined as a feeling
«Nail», which are strengthened when trying to step on the heel.
Treatment
patients of this group requires compliance with full rest during
two or three weeks, while to remove pain and inflammation you can
Use anti-inflammatory drugs (diclofenac, brufen,
Indomethacin, Flexin and DR.) in tablets or candles. Sometimes very good
Laser therapy helps, as well as special «transverse» Massage S
Anti-inflammatory ointments. If these measures do not give the right effect,
You can first twice the injection of corticosteroid hormones
(Hydrocortisone, Kenaloga) directly into the heel area – sometimes
Such a single-two-time procedure is enough for full removal
acute pain.
In the hardest cases when all
Possible measures did not give results, have to be carried out
X-ray therapy, 
But, fortunately, such a procedure requires a maximum of 2–3
% patients.
Infectious damage (reactive arthritis)
At
Some types of infections, especially sexual (for example, gonor,
Chlamydia and T.D.) flowing sometimes hidden, possibly «reactive»
Inflammation of the heels. And there are some signs that can
specify (or at least «hint») infectious-reactive
Defeats of healing tendons. In this case, pain in the field of heels
There are often not only when walking. In patients with reactive
Arthritis heels can even hurt at night, at night. Moreover, sometimes
It is at night that they hurt the strongest.
Besides,
To inflammation of heels in reactive arthritis, often join
Inflammation of a series of joints and eyes, as well as unpleasant sensations in the field
genital organs. However, all this – and night pains and eye inflammation,
joints, unpleasant sensations in the field of genital organs – may be
a sign of other inflammatory diseases.
Treat
With reactive arthritis, it is primarily a major infection,
using appropriate antibiotics, and you can
Use anti-inflammatory drugs and compresses with Dimeksid.
Inflammatory diseases and gout
How
It has already been said, the inflammation of the heel region is often happening
Consequence of a number of chronic inflammatory diseases of the joints:
Bekhterev's diseases, psoriatic arthritis, or gout – Diseases,
associated with a violation of metabolism that occurs most often
people inclined to eat alcohol or overly fond
Meat food.
In some cases inflammation
Heavded tendons is the first manifestation of the above diseases,
But more often arises in their full swing – After preceding inflammation
joints or spine.
During the examination
patients with inflammatory diseases can almost always be detected in
Blood Analyzes (from Vienna) Specific «Markers inflammation» in case of illness
Bekhtereva or Psoriatic arthritis, and explicit increase in urinary level
Acid – For gout.
In all these cases
Requires long and stubborn «Specific» treatment
Fighting the main disease. And to eliminate the actual heel
pain you can use anti-inflammatory funds, laser therapy,
Introduction of drugs to the heel area by electrophoresis and, in some
Cases, single injections of corticosteroid hormones.
