Heel spur – a bony protrusion, which develops on the plantar (bottom) surface of the calcaneus often in the place of attachment to the bone tendon stretching of the foot (aponeurosis). Developing a disease primarily among people who by nature of their activities have a long time to stand or walk. Most often occurs when the calcaneal spur flat feet.
Spur develops when the strengthened pressure on the heel bone, the periosteum during stimulation of the heel bone friction. First, developing local inflammation of periosteum (periostitis), then the site of inflammation occurs bony protrusion, which can continue to grow. The patient complains of heel pain when standing and walking. If the load is removed at the heel, the pain disappears. In the morning on rising from bed, stepping on the affected leg the patient feels a sharp pain. X-ray images show a bone protrusion on the bottom of the heel bone, but many patients X-rays may be unchanged.
Treatment of heel spurs.
With a sharp pain recommended bed rest for several days, appointed by the non-steroidal anti-inflammatory drugs (diclofenac, indomethacin, ibuprofen, oksiten, etc.), physiotherapy (laser therapy, alternating magnetic field application of paraffin and ozokerite). If the pain does not subside, the introduction in the heel area of solutions of local anesthetics, or adrenal hormones. Under the heel pad is recommended to put a soft, porous rubber gasket with a hole cut in the center.
Disease of the North
Disease of the North or the heel epiphysitis – an inflammation of the posterior edge of the heel bone. There it is in children 8-14 years old. Epiphysis (growth area of bone tissue) on the posterior margin of the calcaneus has a single nucleus of ossification and in children at this age, ossification has not happened yet complete. Between the epiphysis and the calcaneus has a cartilaginous gap. At high loads on the Achilles tendon, which attaches to the pineal gland, is a violation of the blood supply of cartilage zone. In it there are areas of necrosis and areas of bone regeneration. This is manifested by pain in the posterior part of the heel at the site of attachment of the Achilles tendon and below.
Pain increases with running, walking fast. Painful getting up on your toes. X-rays usually do not reveal pathology. The disease usually resolves on its own, with full ossification of the calcaneus with age. If you appoint an exacerbation of pain rest, painkillers, physiotherapy.
Sac or pouch bags are said to surround the tendons of the muscles. Inside the bags is a special synovial fluid that serves as a lubricant. Bursa reduce friction on the tendons surrounding tissue. In the heel area, there are two such bags, between the Achilles tendon and skin, and between the calcaneus and the Achilles tendon. That is, front and rear of the Achilles tendon.
Inflammation of the bursa between the skin and the Achilles tendon is called the posterior heel bursitis. It occurs in women who wear high heels during prolonged walking in high heels or walking in uncomfortable shoes with high heels. Inflamed pouch increases in size, amount of fluid in it increases, stretching the bag. In the heel of Achilles tendon appears swollen, painful to the touch. This Bursitis can become chronic, when the walls of the bag and the skin over them thicken. Pain occurs frequently. Field of the Achilles tendon is thickened.
Treatment of posterior calcaneal bursitis is the appointment of rest, physical treatments during exacerbation. In the future, need to find comfortable shoes. Inflammation of the bag between the Achilles tendon and heel bone called ahillobursitom. It occurs during prolonged stress on the Achilles tendon, trauma and microtrauma tendon and heel bone. Patients complain of pain when moving his foot. When probing the pain is found in front of the Achilles tendon. Treatment ahillobursita. Appointed by the quiet, elevated position of the patient feet, thermal, and physiotherapy. Sometimes it has punctured the bag. The liquid is removed from it, and the bag is administered hydrocortisone.
Achilles tendon tenosynovitis
Achilles tendon tenosynovitis – an inflammation of the membranes tendon. It occurs when excessive loads on the muscles of the calf and Achilles tendon. Susceptible to this disease distance runners. Achilles tendon is thickened, painful foot motion. If you put a hand to the suzhozhiliyu, the motion it is possible to feel a kind of creaking – crepitus.
Treatment of Achilles tendon tenosynovitis is to limit the load on the leg. Sometimes it can help to place under the heel of a soft liner. When expressed pain are assigned non-steroidal anti-inflammatory medications, physical therapy procedures. If the pain goes away, the plaster is applied Sapozhok for 2 weeks. Occasionally have to open the tendon sheath surgically. Athletes who are engaged in sprinting, stretching exercises recommended by the Achilles tendon. After running to the Achilles tendon is applied ice for 5-10 minutes.
Center of Traumatology and ORTHOPAEDICS – Hospital FCS – MOSCOW
Treatment and rehabilitation center for Health Care – Moscow
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