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The calcaneal spur (plantar fasciitis) is a bone growth in the form of a wedge or a thorn (osteophyte) which appears on a bottom surface of a hillock of a calcaneus.
In most cases (on medical statistics – approximately in 90%) the calcaneal spur appears at the person against flat-footedness. At the person having flat-footedness, load of feet is distributed in a different way, than at a normality that is noticeable even on a photo. At the same time the retension of sinews takes place, and tendinous fibers can sometimes come off the subject stones. As a result, both sinews, and a bone tissue under them inflame. Besides, symptoms of a calcaneal spur can be shown at the person as an effect of an acute or chronic injury of a calcaneus, and also owing to the illness connected with the broken metabolism (in particular, at gout).
One more reason of this disease — strong disturbance of a blood-groove of legs at those who suffer from bad passability of vessels. At chronic diseases of joints (arthritis, polyarthritis, Bekhterev's illness) the calcaneal spur also often develops, and its treatment needs to be carried out in parallel with therapy of basic diseases. Also age changes can become the reason of emergence of a calcaneal spur. People with an excess weight owing to big loading have a favor to this disease.
Also often calcaneal spurs are diagnosed for athletes-athletes. But, despite the fact that what reason provoked emergence of a calcaneal spur, methods of treatment of this unpleasant illness only the specialist after establishment of the diagnosis has to select. As a rule, having learned about a problem, patients try to involve various folk remedies. However it is important to understand that treatment by folk remedies not always brings due effect. Therefore it is the best of all how to treat a calcaneal spur, to consult with the orthopedic surgeon or the surgeon.
When the person has a spur on a heel, the typical clinical picture is observed. Disturbs the patient acute and the thermalgia, at the same time feelings are similar to the fact that at a heel there is a foreign body, for example, a nail. Such symptoms are shown as a result of changes in soft tissues. At calcaneal spurs the inflammation of deep mucous bags develops and the periostitis is observed. Pain develops as a result of pressure of a bone outgrowth upon soft tissues in which the inflammation develops. As a rule, the size and a form of such outgrowth does not influence intensity of pain. Often it happens so that does not feel big and acute spurs of people, and small and flat bring notable discomfort and morbidity.
The calcaneal spur can have the different sizes – from 3 to 12 mm. As a rule, the acute end of a spur goes towards fingers and is a little bent up. It is interesting that the calcaneal spur occurred hundred flyings ago at people much less often and developed generally because of injuries. Now this illness is eurysynusic, and, 80% of patients - it are women, mainly residents of the cities. The illness can develop at any age. But if at elderly people the calcaneal spur is a result of age changes, then at young people the illness often develops owing to big loadings (sport, obesity, etc.).
Spurs can appear also on one heel, and on both at once. The first symptom of this illness – emergence of pain in a heel at the time of a support on it. The most intensive pain happens at the first steps in the morning or at a support on a heel after a long break in the movement. It is accepted to call this symptom "starting pain ". For day during walking pain becomes less intensive, but by the evening it amplifies again. Sometimes pain is shown only from within a heel, but can extend to all surface of a heel also. At the same time the person involuntarily when walking puts a heel so that to reduce pain. Because of it it changes gait. It is especially difficult to go to those people who have spurs on both legs. Besides, pain becomes even more severe if the layer of a hypodermic fatty tissue in a heel becomes thinner. Approximately in a quarter of all cases the spur on a heel leads to partial loss of mobility that complicates usual way of life and breaks working capacity.
If at visual survey it is impossible to define changes in area of a heel, then when pressing there is severe pain. But nevertheless existence of pain in a heel not always testifies to a calcaneal spur. Similar pain can be observed at a syndrome of Reuters, a pseudorheumatism, Bekhterev's illness. To exclude these diseases, in the course of diagnosis the biochemical blood analysis regarding existence in it of rhematoid factors is conducted. In general diagnosis of a calcaneal spur is carried out without difficulties.
To the specialist rather carefully to feel the patient's foot, and also to study complaints to characteristic pain, to them shown. To confirm the diagnosis, the X-ray analysis is conducted, if necessary ultrasonography practices. Specialists in the course of diagnosis consider also the fact that data of a X-ray analysis confirm existence of calcaneal spurs at many patients. At the same time they do not show any complaints. Therefore in certain cases the spur in a heel can just be specific anatomic feature of the person. At the same time with severe pain in a heel at a X-ray of a spur can not be found in people.
Treatment of spurs on heels is carried out by conservative methods. Its tactics depends on what reasons provoked emergence of spurs standing. Treatment of a calcaneal spur does not assume direct disposal of it. Therapy goes first of all to suspending inflammatory process in heel tissues. As methods of treatment massage, and also special remedial gymnastics practices. It allows to improve blood circulation in fabrics. Physical therapy methods are applied (treatment by the laser, Ural federal district, an electrophoresis, a magnetotherapy). Also mineral bathtubs, a roentgenotherapy practice. In the course of treatment it is very important to reduce load of a morbidity zone. For this purpose the patient is recommended to carry orthopedic insoles.
Also the method of shock and wave therapy practices in modern medicine. However it is applied only after individual appointment. There are contraindications: UVT cannot be carried out by the patient with disturbance of coagulability of blood, to pregnant women, people with oncological diseases.
Except the specified methods practices as well treatment of a calcaneal spur folk remedies. Sometimes therapy by folk remedies is carried out in parallel with the main treatment. But if all these ways of treatment do not bring due result, then the patient carries out medicinal blockade with use of drugs which possess antiinflammatory local action. Their use allows to stop quickly pain and to eliminate an inflammation. However only very experienced expert as she demands knowledge and the perfected ability has to carry out such procedure. In the course of carrying out blockade very important role is played by a number of factors: drug, quantity, depth of its introduction. At the correct performance of procedure of the patient can get rid for several years of a problem. But at the wrong carrying out an injection not only there will be no recovery, but also complications can develop. So, there can be suppuration or a necrosis of fabrics in that place where the injection was made. Besides, at the patient osteoporosis, an inflammation of a sural sinew can be shown. If blockade is applied very often, the sheaf or a fascia can collapse.
If spurs on heels lead to a serious condition of the patient, and at the same time conservative therapy does not bring due result, then treatment of spurs on heels can be carried out also by an operative measure. But indications to such method are limited. At operation the etiology is not removed, and later the spur can be shown again. Therefore, deciding how to cure this illness, the doctor resorts to surgical intervention in the last turn. As a rule, defining how to treat spurs on heels, the attending physician nevertheless resorts to methods of conservative therapy.
Treatment by national methods
Therapy by folk remedies at a calcaneal spur gives effect only after prolonged use. Sometimes procedures are required to be carried out regularly for six weeks. The simplest method offered by traditional medicine, this periodic repeated percussion by a heel on a floor. It allows to activate blood circulation, and also a calcium exchange. Also for strengthening of blood circulation it is recommended to rub a heel about fabric of which do valenoks. If at calcaneal spurs severe pain is observed, it is possible to practice compresses from potatoes. For this purpose potatoes need to be washed up and grated with a peel. Mix needs to be imposed on bandage and to put on a heel, having fixed by polyethylene. The compress needs to be changed once a day and to do it for 8 days. It is similarly possible to make a compress from the black radish grated. But it is necessary to put this gruel only for the night. In the morning it washes away.
It is also possible to put sheets of a plantain to a heel, changing them on new as soon as they begin to dry. It is done within two weeks. One more method of traditional medicine – a compress from iodine and aspirin. For this purpose the ampoule of 3% of iodine mixes up with previously pounded two tablets of aspirin. Mix mixes quickly up and imposed on a heel. It needs to be wrapped up warmly and to put from above polyethylene. Such procedure repeats three times.
For treatment of spurs on a heel prepare tincture from an iris root. For this purpose one root (its weight has to be about 250 g) it is necessary to wash and pass via the meat grinder. The received mix should be filled in with 250 ml of alcohol and to insist in the dark place of 15 days. At the same time it is necessary to shake up mix each two days. In tincture it is necessary to moisten bandage and to impose it on a heel, having previously a little wrung out. Further on a heel the polyethylene film is imposed, and the compress is left for the night. The next night the compress with vaseline becomes already. For twenty days of procedure alternate.
One more mix, effective for treatment of a calcaneal spur, prepares from one bottle of triple cologne, two bottles of iodine, two bottles of Tinctura Valerianae, five pods of bitter pepper. All ingredients mix up and drawn on an extent of one days in a dark bottle. The heel needs to be greased with mix for the night and heat to wrap up. It is possible to prepare means from one tablespoon of honey, 50 ml of iodine, one teaspoon of Extra salt. Means is imposed on a heel, hardly bandaged, upward it is necessary to impose a polyethylene film. In total it is necessary to impose means five nights in a row. On a heel it is also possible to impose the leaf of fresh cabbage greased with honey.
To prevent emergence of a calcaneal spur, it is necessary not to allow premature wear of the bone and joint device. For this purpose it is necessary to fight against excess weight, to lead active lifestyle, but at the same time not to allow an overload of feet. At suspicion on development of diseases of joints and a backbone it is necessary to diagnose timely them and to treat. It is important to take all measures not to allow development of flat-footedness. If this disease was already shown, then surely it is necessary to carry special orthopedic insoles.
It is very carefully necessary to choose footwear: it has to be convenient and qualitative. High heels should be carried seldom. Optimum height of a heel in daily footwear for women should not exceed 3-4 cm. However total absence of a heel on footwear can also become the reason of development of a calcaneal spur in the future. You should not wear constantly shoes without back – in such sandals of stop constantly stays in tension. The tight sock of footwear is also undesirable. If at the person the smallest signs of a calcaneal spur are shown, it is necessary to see at once a doctor and to carry out preventive treatment. It is also useful to do periodically special gymnastics for legs and massage of feet. Specialists recommend whenever possible to a thicket to go on a grass, sand barefoot. It promotes blood circulation improvement.
Section: Orthopedics and traumatology