Update: October 2018
- How to heal the heel spur at home
- Folk remedies in the treatment of spurs on the heels
Many of you have heard of the “heel spur,” but do you know why
does she appear? What are the risk factors? What are the symptoms and
treatment of heel spurs? All this is described below.
�”Heel spur” or plantar fasciitis – a disease,
characterized by aseptic inflammation of the calcaneus fascia, with
subsequent calcification and the growth of osteophytes.
Plantar fasciitis can develop at any age, but at
in most cases, it is found among older people.
Why the heel spur appears – causes
The heel fascia is a dense formation of connective
tissue, with one end attached to the heel bone, the other – to
heads of metatarsal bones. This fascia plays an important role in
formation and retention of the arch of the foot. This small area
connective tissue withstands tremendous stress for
of life. Over time and under the influence of some provocative
factors, on the fascia microscopic tears, cracks,
most often they heal on their own.
But with a large number of such tears aseptic
(without attachment of microbial flora) inflammation of the calcaneal fascia.
The inflamed fascia compresses, gradually occurs in it
Calcium deposition of calcium salts. Calcaneus, more precisely cells
bone tissue respond to inflammation localized near
the process begins the growth of bone tissue, formed bone
outgrowths – marginal osteophytes. With heel spurs, symptoms and treatment
diseases are aggravated by the presence of additional provoking
Factors that increase the risk of developing plantar fasciitis:
- Wearing high heels
- Wearing very low heels or flat shoes
(optimal heel 2-4 cm)
- Longitudinal flatfoot in history
- The presence of gout
- Deforming osteoarthritis of large joints
- Spinal disorders
- Excessive physical activity (professional athletes,
more often athletes, weightlifters)
- Increased tone in the calf muscles
Symptoms of heel spurs
The main and main symptom of the heel spur is pain. Pain
localized in the calcaneus, appears and increases with
walking, after physical exertion or prolonged standing. Often
there are “starting pains” – these are pains that occur after
how a person rested for a long time or was able to
rest (see other causes of heel pain).
The nature of the pain is sharp, stabbing, it is often described as “like
nail in the heel. The intensity of the pain is medium or high.
Mostly manifested in the morning or afternoon. Often можно определить
a patient with this disease by a forced walk, people suffering
Plantar Fasciitis preserve a sore leg, try not to step on
heel of this leg can be used to relieve pain
X-ray heel spurs
1. Patient questioning and history taking – character is specified
the intensity of the pain, the frequency and time of its occurrence, the factors that
provoke the occurrence or increase of pain. 2
Physical examination – inspecting the arch of the foot, palpable
painful area, measured area of the painful area,
establishes the presence or absence of movement restrictions in
foot 3. Instrumental research methods:
- Radiography of the foot – perfectly visualized in the image
bone growth on the calcaneus. With this diagnostic method
you can exclude other pathological processes in the foot, for example,
arthrosis of adjacent joints or calcaneal fracture
- MRI (Magnetic Resonance Imaging) – method using
which can be visualized not only the foot bones, but also
nearby soft tissues (ligaments, tendons).
- Ultrasound (ultrasound) – visualization while
less clear, but ultrasound helps if other methods
diagnostics are contraindicated in monitoring the effectiveness of treatment,
since it can be performed much more frequently with MRI and radiography.
Heel Spur Treatment Methods
Podpyatochnik to reduce pain
There are several types of treatment for plantar fasciitis:
- Non-drug treatment
The purpose of these methods is to reduce trauma to the fascia.
It can be reached with orthopedic insoles or using
special soft heel liners with a center
- Drug treatment
The main group of drugs is NSAIDs (nonsteroidal
anti-inflammatory drugs). These medicines allow
reduce pain and relieve inflammation in the calcaneal fascia.
As a rule, diclofenac, ibuprofen or their analogues are prescribed. NSAID
can not be used often and for a long time, as they have a lot of side
action (see backache pain shots). Therefore recommended
use and external means. Various gels and ointments with
analgesic effect can be applied continuously throughout
for a long time (see pain relief).
With the ineffectiveness of external funds и NSAID применяют
hormonal drugs. When administered intravenously or orally
they have a general effect on the body and a large
the number of adverse reactions, so apply them topically. AT
the area of the heel bone, where the bone outgrowth is located, is inserted
diprospan or hydrocortisone. The procedure is repeated 2-3 times.
Exercises are aimed at stretching and strengthening the heel
fascia thanks to this it becomes less susceptible
In the absence of effect from all other methods, resort to
surgical treatment. AT ходе операции делается надрез в области
�”Spurs”, removes bone growth and sutured tissue. Usually to
surgical treatment has to resort only to neglected
cases. Therefore, when the first symptoms of this disease appear
should see a doctor, then treatment with conservative methods
will be successful.
Shock wave therapy
– Магнитотерапия – позволяет улучшить кровоток
in the affected area, thereby relieving inflammation and
уменьшается боль (читайте о показаниях магнитотерапии). –
УATЧ – также улучшает кровоток. –
Лазеротерапия – под действием лазера усиливается
blood flow and inflammation is removed (read about indications
laser therapy). – Теплолечение (парафинотерапия и
грязелечение) – улучшают кровообращение в воспаленных тканях. –
Электрофорез – этот метод позволяет с помощью
galvanic current “deliver” to the inflamed fascia medicinal
препараты – новокаин, гидрокортизон и другие (подробнее о
electrophoresis indications). – УATТ – ударно-волновая
терапия, наиболее эффективный физиотерапевтический
метод лечения. With the help of special waves gradually
bone outgrowth, discomfort is destroyed. Contraindicated
pregnant women and people with malignant tumors.
ATажно! When the heel spur treatment folk remedies are not
избавит ATас от нее навсегда, их разрешается использовать только в
combination with drug treatment and only after agreement with
- Salt baths. Sea salt is dissolved in hot water, in
proportions 2 or 3 tablespoons of salt to 1 liter of water. Duration
procedures 30 minutes. After the bath, the feet are wiped dry and put on.
warm socks. ATнимание: метод противопоказан на ранних стадиях
disease, heat can increase inflammation.
- Compress of oatmeal and honey. AT равных пропорциях смешивают
honey and oatmeal. The resulting mass is applied to the heel,
накладывают повязку, сверху надевают warm socks. Compress
done in the evening and left overnight.
- Compress из картофеля. Potato grated on a fine grater
wrapped in gauze, applied to the heel, bandage.
Compress не снимают в течение суток. Repeat these manipulations.
- Compress из медицинской желчи. Sold in pharmacies, gauze
moisten the tissue with bile, apply to the heel, wrap in
parchment paper, put on a plastic bag, tie it at the top
and top wear socks. Compress делается на ночь, утром снимается,
10 days. The effect does not occur immediately, but about a week after
termination of such treatment.
Автор: Ревус Олеся Григорьевна врач-невролог