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- Heel spur. Question answer. Topic: Questions and Answers
- Heel spur Topic: Encyclopedia of diseases
Title
- Causes of the disease
- Symptoms
- Diagnostics
- Treatment methods for heel spurs
SHOCK WAVE THERAPY is the most effective method of treating HEAL Spurs!
More details
A heel spur is a deposit of calcium on the bottom of the heel bone. On an x-ray, the heel spur may protrude forward by 0.5-1 cm. Although heel spurs are often painless, they can nevertheless cause quite severe pain. Heel spurs are often associated with plantar fasciitis. Plantar fasciitis is the most common cause of pain in the lower heel. Approximately 2 million patients in the United States are treated for plantar fasciitis each year. Plantar fasciitis occurs when the strong band of tissue that supports the arch of the foot (plantar fascia) becomes irritated and inflamed. Heel spurs on the back of the heel are also often associated with inflammation of the Achilles tendon (tendinitis) and can cause tenderness and pain in the back of the heel that worsens with straightening of the foot.
Heel spurs and plantar fasciitis can occur on their own or be caused by the presence of diseases such as arthritis (including Reiter's reactive arthritis), ankylosing spondylitis, diffuse idiopathic hyperostosis. It is important to note that a heel spur may not cause any symptoms at all, and may be discovered incidentally during an x-ray examination.
Dimexide against heel spurs
The main active ingredient is Dimethyl sulfoxide, which has anti-inflammatory and antiseptic properties.
The main feature of Dimexide is the ability of its molecules to penetrate the layers of the epidermis and connective tissue, suppressing the development of pathogenic bacteria and inflammatory mediators.
Dimexide also enhances the effect of non-steroidal pharmaceuticals for internal and external use.
There are the following forms of release of the drug:
- Concentrated solution for preparing compresses.
- Rubbing ointment containing up to 70% dimethyl sulfoxide.
- Gel for application to affected fascia and applications.
Dimexide for heel spurs (we will describe how to use this remedy below) has the following effects:
- relieves inflammatory processes inside the heel fascia;
- improves blood circulation;
- normalizes metabolism in epidermal cells and muscle tissue;
- enhances the anti-inflammatory effect of drugs;
- prevents thrombosis;
- eliminates swelling;
- relieves pain and improves foot mobility;
- promotes tissue regeneration;
- resolves bone growth;
- destroys pathogenic microorganisms.
When choosing which medications to treat heel spurs and considering Dimexide as a therapeutic drug, patients should know about its advantages and disadvantages.
The advantages include:
- quickly eliminates pain and relieves inflammation;
- the solution for compresses is easy to prepare;
- duration of procedures is no more than 30 minutes;
- affordable price.
The most frequently cited disadvantages are:
- short period of action;
- the need to perform procedures regularly for at least 2 months;
- high risk of developing allergies and skin burns;
- unpleasant garlic odor of the solution.
Before making a compress for a heel spur with Dimexide, it is recommended to consult a doctor and test for an allergic reaction. It is also important to properly prepare the solution for lotions, strictly observing the specified proportions.
Dimexide for heel spurs: how to dilute? Top 5 best recipes
To get rid of a thorn on the heel, the drug is used as a solution for lotions and rinses. There are many recipes for treating heel spurs at home, including with Dimexide:
A regular compress or rinsing solution.
Recipe: 50 ml of Dimexide + 1 ampoule of lidocaine + 50 ml of ethyl alcohol (vodka) + 100 ml of furatsilin in the form of a solution.
The resulting mixture has a strong antiseptic and analgesic effect. This recipe is suitable for secondary infection of the heel fascia, as well as for wet calluses around the bone spine.
Pain-relieving compress.
Recipe: 50 ml Dimexide + 2 ampoules of lidocaine or ultracaine + 100 ml distilled water.
A lotion with this composition effectively eliminates pain thanks to painkillers. You can make such a compress no more than once a day to avoid an overdose of painkillers.
Anti-inflammatory and pain-relieving compress No. 1.
Recipe: 50 ml Dimexide + 1 ampoule of novocaine + 3-5 ml Diclofenac + 100 ml distilled water.
The non-steroidal drug Diclofenac stops the inflammatory process inside the fascia due to the enhanced action of Dimexide solution. Novocaine blocks pain receptors, relieving pain caused by the impact of the growth on soft tissue.
Anti-inflammatory and pain-relieving compress No. 2
Recipe: 50 ml Dimexide + 1 ampoule of novocaine + 1 ampoule of analgin + 100 ml of distilled water.
Analgin helps with redness of the heel caused by a secondary infection. This compress relieves pain, relieves inflammation and dissolves the thorn.
A powerful anti-inflammatory compress with steroids.
Recipe: 50 ml Dimexide + 1 ampoule of Hydrocortisone + 1 ampoule of novocaine + 50 ml of distilled water.
This recipe involves the use of the steroid drug Hydrocortisone, which quickly relieves inflammation. In some cases, such a compress can become a complete replacement for a heel spur blockade. You can use a solution with steroids no more than 3 times in a row.
Attention! Concentrated Dimexide cannot be used. Its effect on the epidermis causes chemical burns.
Contraindications
Dimexide for the treatment of heel spurs is not used by people who have a history of the following pathologies:
- Kidney and liver failure.
- Coma.
- Strokes.
- Cataract, glaucoma.
- Vascular atherosclerosis at a late stage.
- Pathologies of the cardiovascular system – hypertension and angina.
It is not recommended to use Dimexide for pregnant and lactating women, as well as children under 12 years of age due to the lack of data on the safety of the drug.
The widespread use of Dimexide in the fight against heel spurs is due to its pronounced anti-inflammatory and antiseptic effect. The undeniable advantage is the ease of use and affordable price of the drug.
Author: Yulia Khaimanova, doctor, especially for Ortopediya.pro
Dimexide: instructions for use for heel spurs
Before applying the lotion, it is recommended to steam your feet in a hot bath with sea salt. After steaming, you can begin preparing the solution according to one of the recipes described above.
Important! Prepare a dose of solution for one use only! The prepared solution cannot be stored, because active ingredients lose their therapeutic effect after contact with air and water. The shelf life of the solution is no more than 1 hour.
To apply the lotion, you need to take a gauze swab or bandage. You cannot use synthetic or colored fabrics, because... the molecules of the substance penetrate into the deep layers of the skin and muscles along with tissue particles and dyes, which can have a detrimental effect on health.
Dimexide, the use of which helps remove the growth for heel spurs, is applied as a lotion to the affected fascia. The gauze swab should be secured with a bandage and left for 20-30 minutes. You cannot leave the tampon on for a longer period to avoid chemical burns.
After removing the lotion, do not wash your feet for 2-3 hours. After this time, the feet should be washed with warm water and a suitable cream from the Pyatkaspor series should be applied to prevent dryness and resorption of the softened growth.
During the treatment process, it is very important to minimize stress on the heels. For this purpose, heel pads are best suited for heel spurs, protecting the fascia of the heels from static and impact loads.
These spur insoles also contribute to optimal load distribution and shock absorption while walking. If you do not use these devices, the treatment will not be effective, because... The heel fascia will be constantly injured, which will lead to the formation of new bone-salt growths.
Dimexide gel for heel spurs
Despite the fact that Dimexide for heel spurs has positive reviews in most cases, some people do not tolerate the effects of the solution well. Adverse reactions are often associated with a strong garlic odor.
In this case, you can use the product in the form of an ointment and gel. Dimexide gel is used to perform applications that have an anti-inflammatory effect.
A recipe for an application using a gel will tell you how to relieve the pain of a heel spur and prevent side effects that occur when using the drug in the form of a solution.
- Apply Dimexide gel with a pharmaceutical spatula onto a gauze napkin.
- Place a napkin on the heel, cover the top with paper for compresses, film, or a bag.
- Wear socks or insulate the applique with cotton wool.
- Wear for 30-50 minutes, then remove.
Simply rubbing Dimexide ointment also has a healing effect. The active ingredient Dimethyl sulfoxide is included in the following anti-inflammatory external agents: Capsicam, Ketorol-gel, Chondroxide, Dolobene, etc.
How to cure a heel spur with Dimexide quickly?
Knowing how to treat heel spurs with Dimexide, patients should not forget that this remedy alone cannot get rid of the growth and stop the inflammation.
Only comprehensive treatment will be effective, including:
- Taking anti-inflammatory drugs.
- The use of non-steroidal ointments.
- Physiotherapy. Treatment of heel spurs with shock wave therapy, laser, and ultrasound gives a good effect.
- Reducing the load on the heel fascia using orthopedic insoles, Strutz instep supports and special heel pads.
To speed up the regeneration of damaged fascia, it is recommended to use a Strasbourg sock at night, which helps keep the connective tissue in a stretched position, in which micro-tears heal.
This comprehensive approach helps prevent painful surgical removal of the heel spur and get rid of the growth.
To prevent the reappearance of spurs, it is necessary to use Pyatkospor Prophylactic cream. The cream contains bile, which prevents the formation of a thorn.
Treatment of achillobursitis (achillodynia)
Achilles bursitis is one of the types of bursitis. It is an inflammation of the lining joint capsule (synovial capsule), which is located at the site of attachment of the Achilles tendon to the heel bone, surrounding the latter. In the above segment, there are two such bags that serve as shock absorbers while walking, running, and in general when moving. In the presence of an inflammatory process in the lining joint capsules, excess fluid (exudate) begins to be released, which is characterized by the appearance of a noticeable formation in the heel area and leads to atrophy and thickening of the walls of the joint capsule, as well as compaction and coarsening of the surrounding tissues. This, in turn, leads to disruption and limitation of the motor function of the joint and the appearance of pain in the affected area. The course of the disease can be acute, subacute, chronic, or recurrent. Risk group
Achilles bursitis can affect absolutely any group of people whose profession involves prolonged walking or standing, or heavy lifting, since the main factor leading to the development of the disease is prolonged physical activity on the heel area - such as walking, running, as well as loads arising due to excess weight or prolonged exposure to mechanical irritants - for example, tight or hard shoes. The joints do not have time to recover from the stress received, and this can cause inflammation. It can also be caused by a simple sprain. In women, it usually occurs due to wearing shoes that are too tight or have high heels. In men, it can occur as a result of prolonged and excessive physical exertion during sports.
The risk group also includes people of the older age group, since in old age the appearance of pathology occurs due to loss of strength and age-related changes in the structure of the tendons, as a result of which scar tissue begins to form in the heel area. Causes of achchylobursitis:
- mechanical injuries (bruises, sprains, dislocations, cuts, abrasions) contributing to direct infection;
- secondary infection with internal pathogens associated with the presence of any primary diseases in the patient’s body, such as joint damage (for example, rheumatoid arthritis, synovitis, arthrosis, etc.), various pathologies of bone structures, vascular diseases and chronic neuralgia, diabetes mellitus , various acute and chronic infections (brucellosis, tuberculosis, gonorrhea, syphilis, etc.);
- primary diseases of an immune nature leading to the development of inflammation;
- abnormalities of metabolic (metabolic) processes;
- deformations of the calcaneus of various etiologies;
- hollow or flat foot;
- axial disorders (clubfoot);
- muscle imbalance.
Classification of Achilles bursitis (according to several parameters)
- With the flow:
- acute – it is characterized by a sharp and painful onset; it occurs, as a rule, as a result of external infection as a result of various types of mechanical injuries;
- subacute;
- chronic – symptoms are muted, unclear; the inflammatory process develops gradually; occurs due to the presence of primary diseases in the body;
- recurrent.
- By pathogen:
- nonspecific, arising due to macro- and microtraumatization and damage by nonspecific pathogens (staphylococcal, streptococcal, pneumococcal, etc.);
- specific, arising due to secondary infection with specific infectious agents (according to the type of primary infection there are: gonorrheal, brucellosis, tuberculosis, syphilitic, etc.).
- By exudate:
- serous;
- purulent;
- hemorrhagic.
- By type of inflammation:
- purulent;
- viral;
- bacterial;
- infectious
- By localization:
- heel;
- heel;
- retroachillary, as well as: Haglund's deformity (posterior bursitis) - inflammation of the synovial sac between the ligament and the skin;
- anterior bursitis - swelling between thick connective tissue and bone;
- Albert's disease - inflammation in the front at the site of attachment of the bone and tendon;
- subcutaneous heel bursa.
infectious;
heel;
Symptoms and signs
- severe throbbing pain in the heel and Achilles tendon when walking, which can spread to the entire ankle and does not stop at rest;
- swelling and redness in the area of the Achilles heel;
- swelling around the affected segment (usually spindle-shaped);
- limited ankle mobility;
- hyperthermia in the heel area (sometimes up to 39-40ºС);
- general hyperthermia of the patient’s body during the acute course of the disease;
- audible crunching sound when walking and running;
- increasing lameness, with the risk of tendon rupture due to continuous stress on the affected joint.
If there is an already developed inflammatory process in the synovial bursa of the heel, the patient experiences severe pain in the affected area when walking or running, and redness and swelling in the ankle joint also occur. In the event of an infection in which suppuration occurs, severe complications may develop - such as purulent bursitis, phlegmon and even sepsis.
Diagnostics
Diagnosis of Achilles bursitis is carried out in stages. The following tests are prescribed:
- blood test for uric acid levels;
- analysis for microscopic examination of synovial fluid.
In order to definitively clarify the diagnosis, the following instrumental research methods may be additionally prescribed:
- radiography;
- Ultrasound – to assess the condition of the tendon, musculo-ligamentous apparatus and the presence of an inflammatory process;
- MRI;
- diagnostic puncture for taking exudate for bacteriological culture for flora and biochemistry in order to identify the type of infection and identify sensitivity to antibiotics.
Treatment
Therapy for achillobursitis (especially infectious or post-traumatic) must be started as early as possible in order to prevent the development of serious complications and the transition of the process to a protracted, chronically recurrent form.
In the first days of the disease, it is necessary to limit physical activity. For this purpose, we recommend using special splints and fixing bandages; in some cases, bed rest is indicated.
Painkillers and anti-inflammatory drugs (analgesics, antibacterial agents, NSAIDs, and compresses with dimexide) are also indicated.
In order to restore cartilage and bone structures, intra-articular injection of hyaluronic acid preparations is carried out; the most effective drug for this pathology is OST TENDON because it blocks pain receptors, inhibits inflammatory mediators and acts as a transport medium with a high content of nutrients.
In some cases, a puncture of the synovial bursa with aspiration of the contents and the introduction of medications (corticosteroids, antibiotics, etc.) into it is indicated. In the presence of purulent contents, the patient undergoes drainage of the synovial bursa of the joint against the background of intensive antibacterial treatment.
Physiotherapeutic treatment: laser therapy, ultrasound with hydrocortisone and shock wave therapy. Shock wave therapy is by far the most effective way to treat achilles bursitis. SWT restores cellular structure, reduces pain, destroys calcifications, improves metabolism and microcirculation, resolves fibrosis and stimulates collagen production. It has virtually no side effects or contraindications. The wave penetrates the tissue and eliminates signs of inflammation without disrupting the functions of the joint. The number of wave therapy sessions is determined by the stage of the pathology. The break between procedures is 3 – 6 days. SWT is a good alternative to surgery.
Also used in the treatment of the disease:
- various reflexology techniques;
- manual therapy, including osteopathic techniques;
- classic therapeutic massage;
- kinesio taping.
If the medication method and physiotherapy do not give a positive result, i.e. and the inflammatory process does not stop, then surgical intervention is indicated.
After completion of treatment, patients are recommended to visit the appropriate specialist from time to time for examination and necessary preventive measures to prevent the recurrence of the disease, especially in cases of a relapsing form of its course.
Contraindications and side effects from the use of Dimexide
Treatment with Dimexide is contraindicated in the following cases:
- the presence of cardiovascular diseases in the acute stage;
- pregnancy period;
- neurological damage to peripheral nerves;
- individual intolerance.
When the solution is prepared correctly, the drug rarely has side effects. If the proportions are not observed, dry skin, allergic swelling, and rash may appear.
Attention! The solution enhances the effect of alcohol and medications. Before use, you must consult your doctor!
Also remember to take pressure off your heel while walking. High-quality orthopedic insoles with a heel shock absorber are perfect for this.
Interaction with other drugs
It is known that Dimexide can enhance the effect of certain medications. This property must be taken into account when using the following tools:
- Aspirin.
- Cardiac glycosides.
- Nitroglycerin.
- Insulin.
- Antibacterial drugs.
When taking the above medications and the need to use Dimexide, the dosage should be adjusted - as a rule, the attending physician reduces the daily dose of the drugs. It is strictly forbidden to combine treatment with Dimexide with alcoholic beverages.