Heel spur - usually the calluses,find the cause of heel pain, in fact, the pain is a result of plantar fasciitis, an inflammation of the plantar fascia. Spur itself does not hurt, its size, the fact of having little influence on the tactics of treatment and prognosis of the disease. Conservative methods of treatment of heel spurs prevail over the shock-wave therapy and surgery, in general, is rarely used.
Or plantar plantar fascia - a broadligament which one side is attached to the base of the metatarsal bones, and on the other - to the heel bone. This fascia forms the longitudinal arch of the foot and subjected to enormous stress on a daily basis, maintaining body weight, stretching, jumps, punches. Bunch constantly injured and straining, but heals quickly and recovers its functions. Under conditions of excessive stress regeneration is insufficient, on the spot tears develop inflammation called plantar fasciitis. Over time, plantar fasciitis causes the formation of calluses on the heel - a true heel spur.
- Limit exercise on foot means sparing operation, training and exercise.
- Physical therapy and special exercises with heel spur aimed at improving blood circulation in the tissues of the feet.
- Insole with heel spur must be equipped with special arch support.
- Using the heel cushions under the heel spur is not effective as a method of treating fasciitis, but it is justified in terms of the treatment of mixed causes of heel pain.
- Taping or the imposition of a special bandage for immobilizing treatment of plantar fascia injury and load restrictions.
- Using night orthosis (brace) for the night stretching the plantar fascia and prevent its shortening.
- Topical administration of glucocorticoids (eg, block heel spurs or hydrocortisone disprospanom).
- Shock wave therapy.
Therapeutic exercises plantar fasciitis when andheel spur aimed at enhancing the blood circulation in the foot, gradual stretching of the plantar fascia shortened. This shortening of the fascia and the subsequent break, "hastily" healing during a night of rest, is considered the cause of morning heel pain that occurs when the first steps. In conjunction with the use of orthoses, insoles and heel cushions under the heel spur LFK achieves a significant reduction in symptoms.
Physical therapy exercises are performed with the heel spurafter preliminary warm-up and "warm up" the muscles of the foot and lower leg, are aimed at strengthening, improving elasticity and stretching the plantar fascia. Through training reduces the likelihood of microscopic, the conditions for the healing of injuries and remission of inflammation.
After exercise complex atheel spur is shown taping the foot, that is, its fixation in a physiologically advantageous position of bending at a right angle with respect to the tibia. Taping can be carried out with the help of elastic bandage, plaster or special athletic taping. Tensioned tape for taping should be at a time when she goes around the bottom of the foot in front of the heel, then it will take over part of the pressures placed on the plantar fascia. Taping along with orthopedic insoles with heel spur can reduce the risk of injury and subsequent inflammation of the plantar fascia.
Selecting treatments plantar fasciitis, notis limited to the use of such primitive tools such as heel cushions, heel spur useful when night splints. They warn the shortening of the plantar fascia in the night time, useful for those who prefer sleeping on your stomach, when the foot is in plantar flexion position. Overnight immobilizes brace leg in position at right angles to the tibia, keeping thereby tension the plantar fascia. When using this method of treatment can prevent the formation of heel spurs, plantar fascia inflammation remove, while maintaining its physiological length.