Orthopedics and Traumatology

Heel spur: modern methods of treatment

Unfortunately, so many people have to deal with such a problem, as the emergence of heel spurs, which is nothing else but a sharpened bone outgrowth on the plantar surface of the calcaneus.This problem is much more serious than it may seem at first glance, that is. A. The presence of heel spurs reduces the quality of human life, he is forced to experience a constant severe pain when walking, wear special shoes and using special devices (heel cushions, etc.) That can bevery costly.

This kind of osteophytes occur at the site of attachment of the Achilles tendon or ligament of the foot to the heel bone.Pathology encountered with equal frequency in both men and women.The main triggers - it is flat, spinal disorders and obesity, these diseases contribute to the misallocation and significantly increase the burden on the foot, which leads to the formation of heel spurs.In addition, the appearance of bone spurs can cause constant wearing uncomfortable shoes (especially if a person is forced to walk a lot or sta

nd for a long time), disturbance of mineral metabolism in the body, chronic diseases of the joints, the constant trauma of the ligamentous apparatus of the foot.


  • 1 symptoms of heel spurs
  • 2 Diagnosis and treatment of heel spurs
    • 2.1 drugs for the treatment of heel spurs
    • 2.2 Shock wave therapy for heel spur

main symptom of heel spurs - it's a pain in the heel area, and sometimes it is so strongly expressed that a man can not fully tread on foot.Especially pronounced pain in the morning when the patient gets out of bed or getting up on its feet after a long sitting, after reciprocating heel pain decreases.Osteophytes small size causes a person discomfort more pronounced than large.

redness and roughness of the skin on the heel, increased pain may be indicative of accession of inflammation in the soft tissues that are constantly traumatized bony spine.When running process can change the gait of the patient, there is a limp for fear of stepping on the heel of the patient, sometimes it becomes necessary to use a cane or crutches.

doctor usually no difficulty in diagnosing this disease.To suggest the presence of heel spurs it can, based on the patient's complaints.Palpate bony growths usually not possible, however, on the radiograph heel always clearly visible osteophytes.If the characteristic pain in the heel when walking there, and x-ray changes are absent, the diagnosis requires clarification.

The first step is to remove the pressure on the heel, in severe cases, the patient is assigned to bed rest or time limit stay on their feet in order to ensure peace of the affected area.Treatment is conservative, outdoor therapy does not eliminate the causes of the disease, but will help get rid of the inflammation and pain.Surgical treatment is applied only in the most severe cases.

main agents for the treatment of heel spurs at home are gels, ointments and creams containing non-steroidal anti-inflammatory agents (Diclofenac, Phenylbutazone, indomethacin cream, etc..).These funds are for external use anti-inflammatory and analgesic effects.They need to be rubbed into the affected area 3-4 times a day, a course of treatment is not less than 2 weeks, and it should not be interrupted even if stihanii pain.

For the treatment of heel spurs may use patches containing herbal anti-inflammatory and analgesic components.The patch is pasted on a clean and dry skin heel for 1-2 days, treatment also is 2-3 weeks.It should be noted that these patches are no means recommended by official medicine, however, many patients recognize the positive effect of their use.

In the absence of the effect of the topical treatment of severe symptoms and blockade applies heel spurs - a procedure performed by a doctor.Produced obkalyvanie lesion preparations containing glucocorticoid hormones (diprospan, kenalog, hydrocortisone).The introduction of drugs that have a pronounced anti-inflammatory effect, directly in the inflammation helps quickly enough to get rid of severe pain.Usually performed 2-3 injections.

Elimination of the inflammatory process in the soft tissues may also be in the application of laser and radiation therapy, but it should be remembered that these methods also have no effect on the cause of the disease.

This treatment of heel spurs used relatively recently, but has already proved its effectiveness.Impact directional ultrasonic waves of a certain frequency to the affected region contributes not only relief of inflammation in soft tissues.Shockwave loosen the salt deposits in the osteophyte, and then they are washed away with blood.Heel spurs small size can be completely eliminated in the treatment of this method, which is why you should not put off a visit to the doctor, to endure the pain and try to treat people's methods of the appearance of symptoms of the disease.In severe cases this treatment will help get rid of the pain and stop the progression of the disease.

Like any treatment, shock wave therapy has no contraindications.It can not be used when arrhythmias, hypotension, diseases of the blood coagulation system, thrombophlebitis, acute infectious diseases, cancer pathology and during pregnancy.

After the treatment of heel spurs by any means necessary correction factors that contribute to its formation (weight reduction, treatment of diseases of ligaments, prevention flatfoot wearing good orthopedic shoes).It is also recommended to use special orthopedic insoles and heel cushions of various configurations having a cushioning effect and reduces the load on the heel area (even a special model designed for people suffering from heel spurs).About

reasons and deal with heel spurs (plantar fasciitis) can be found in the "Live healthy!»: