Heel spur

A heel spur is a bony expansion in the form of bone shipovidnogo or klyuevidnogo protrusion in the surface of tuber calcaneus.
Heel spur - the reasons of the

- Flat (due to improper load distribution on the foot);
- Increased load on the heel bone (for example, when a large weight);
- Constant irritation periosteum metatarsal bone rubbing (improper wearing close shoes);
- Acute injury calcaneus;
- Metabolic disease;
- Poor circulation;
- Long-term chronic disease of the joints.
Heel spur - symptoms

The main symptom of heel spurs - pain on the plantar surface of the heel. Spohr capable of causing severe pain in his foot while walking and standing. The main reason for the emergence of spurs and the development of pain - Plantar fasciitis. This inflammation of the plantar aponeurosis in patients with a longitudinal flat-footed, flat-valgus foot and the hollow foot. The cause of inflammation is a chronic hyperinflation aponeurosis and microtraumas in attaching fascia to the bone. Inflammation of the calcaneal tuber ends fibrosis and ossification of the ligament.
Painful sensations are more pronounced in the morning. Most patients complain of so-called 'starting pain. Those who suffer from this ailment hardest to give the first steps after sleep, prolonged sitting. Pain in the heel spur may be burning, sharp, while relying on the heel, ill-defined as a feeling of a nail in the heel. The pain may spread throughout the heel area, or localized on the inner surface of the heel. Pain may appear suddenly and be acute or develop slowly, turning into chronic. Patients involuntarily try to relieve the heel.
In most cases, the diagnosis of plantar fasciitis is enough analysis of the patient's complaints, physical examination and radiography, allowing to identify the presence of heel spurs. The absence of heel spurs in conjunction with heel pain require a differential diagnosis, primarily with systemic inflammatory diseases (Bechterew's disease, rheumatoid arthritis, Reiter's syndrome, etc.), which can also debut heel pain.
Heel spur - warning manifestations

In order to prevent manifestations of heel spurs to take preventive measures aimed at preventing wear of osteo-articular apparatus:
- Weight reduction and avoiding a sharp increase in the load
- Avoiding overload stop
- Prevention of the development and progression of flat
- Prompt treatment of diseases of the vertebral joints
- Wearing of orthopedic insoles
- Prevention of infectious diseases (angina, brucellosis, influenza, gonorrhea, etc.)
- Wear comfortable shoes and physiological
- The use of massage products, and gymnastics for the legs to improve circulation
Heel spur - treatment

The most important condition for the effectiveness of treatment - ensuring unloading painful area. To do this with calcaneal spur on the testimony prescribe orthopedic insoles with calculations of internal and external longitudinal arches, deepening and cushioning under the heel. As a temporary measure is recommended to use Heel Straps with depression or hole in the center - the so-called unloading device in the heel spur.
To refine the diagnosis of heel spurs, "it is necessary to consult a surgeon or orthopaedist for examination to exclude other diseases with similar symptoms of heel spurs, manifestations of which can also trigger pain in the heel. First of all, you need to do an X-ray, which will be visible heel spur itself (in the case, if the disease has gone too far and bone formation heel spurs have already been formed). Radiography also help to distinguish from a fracture or heel spurs, heel bone.
The method of treatment of heel spurs depends on the severity of the disease
Conservative treatment of heel spurs
If heel spurs, caused by flat feet, treatment should be wearing orthopedic shoes and orthopedic insoles. Uses Heel Straps of soft material, Silicone Heel Straps, Heel Straps with a hole under the calcaneal tuber, insoles and polustelki insoles. They are designed to reduce pain and discomfort when walking. Polustelka helps to reduce pain, feelings of fatigue and heaviness in the legs. Heel establish a foot in all types of footwear.
In addition to orthopedic treatment applied and anti-inflammatory drugs: the warm baths for feet, paraffin bath, mud therapy, laser, ultrasound therapy, injections of novocaine in the most painful point, injection of anti-inflammatory drugs in combination analgesics.
If persistent pain in the absence of the effect of the treatment resorted to X-ray (4-5 procedures at intervals of 3-4 days) or shock-wave therapy.
Operative treatment of calcaneal spurs
When the ineffectiveness of conservative treatment, conducted drug blockade.
These drugs have a pronounced local anti-inflammatory effect, which leads to a rapid stihaniyu local inflammatory process and the stopping of pain syndrome.
This procedure requires much experience and knowledge, so it should hold only a qualified specialist.
In severe cases, surgery may, however, the indications for it are very limited.
Operate spur - very thankless process since it does not address the causes of its formation, but only a consequence.
That is why the surgery is better to resort to the very last resort when all other methods have failed.
In most cases, the painful heel spurs are cured without surgery.
National treatment of heel spurs
For the relief of pain in the heel spur can use the people's means.
- Rasparte feet in hot water with a small amount of baking soda, and then attach a piece of mushroom tea, or simply soaked it in gauze. After 3-4 hours gauze dries and it is necessary to moisten.
- Dissolve in water bath at 100 g honey, 5 g mumiyo, cool. Rub sore spots for the night.
- Bind to the calcaneal spur fresh leaves of May burdock or plantain leaves, or leaves a mother-and-stepmother, and you can pour in a sock under the heel of peppers go well all day.
- Mix 50 ml of liquid ammonia and 1 tablespoon of sunflower oil. Applying daily for 30 minutes to the patient heel swab soaked in this mixture. Do this procedure every day for several weeks.
- Take 1 tablet analginum, mash it and pour the bottle of penicillin in iodine. Shake to dissolve tablets, iodine while lightening. Cotton sticks lubricate the heel often.
To ease the pain of heel spur you need to walk in shoes with low heels (3-4 cm), and in good weather did not miss the opportunity to walk on the grass, barefoot in the dew.
Pain in any part of the body - a sign of trouble. Pain in the heel is often a signal that the arches of the foot can not handle the load, gradually developing age flatfoot. Feet need additional external support in the form of insoles.