September 9, 2016
Heel spur is one of the most common pathologies of the musculoskeletal system. It accounts for about 10% of all orthopedic diseases. Heel spur, or plantar fasciitis, is
inflammatory-dystrophic lesion of the plantar fascia, which occurs against the background of deposition of calcium salts in the area of the heel tubercle.
- Bile
- Dimexide
- Iodine
- Vinegar
- Salt
- Honey
- X-ray therapy
- Blockades
- Injections
- Medicines
general information
The spur develops against the background of chronic inflammation of the plantar (plantar) fascia. This is a thin but very strong piece of connective tissue that connects the toes and heel bone. It is responsible for the formation of the arch of the foot and experiences significant stress during walking.
These loads often cause microdamage to the tissue, which heals on its own during the night's rest. If this process does not happen quickly enough, the trauma is repeated in the morning. When a person gets out of bed, he feels pain of varying intensity. Regular damage to the fascia inevitably leads to the development of an inflammatory process, which gradually increases.
Inflammation begins to involve nearby tissues, in particular bone and tendons. On the surface of the bone tissue, the deposition of calcium salts and the growth of a process (osteophyte), which is called a heel spur, begins. It further damages the fascia, and the pathological circle closes. Without the help of a doctor, walking becomes unbearably painful.
A spur can form on only one heel, or it can affect both feet. It all depends on the individual predisposition of the person.
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Exostoses of the feet and their features
True exostoses or osteochondromas are benign tumors growing on a thin stalk or wide base, but always covered on the outside with cartilage of varying thickness. The exact reasons for their formation are unknown.
Since neoplasms of this kind most often occur in children and are osteochondral growths, it is believed that they are a consequence of displacement of part of the epiphyseal plate. It is a hyaline cartilage, the cells of which in children are constantly dividing, which ensures the growth of bones in length. Gradually, old cartilage cells move away from the epiphyseal plate due to the appearance of new ones and are replaced by osteoblasts, i.e., bone tissue cells. After the end of skeletal growth, the growth plates close and turn into thin epiphyseal lines.
Exostoses can form on any bone of the foot and have different shapes and sizes. They are usually diagnosed between 8 and 15 years of age, as they begin to actively grow along with the child’s skeleton. In adults, such formations are more often discovered by chance.
Exostoses of the feet can be single or solitary, but this is rare. More often they are only one of the manifestations of multiple exostosis disease. In this case, similar osteochondral growths will be found in other bones of the skeleton (usually the femur, tibia, humerus). This disease is transmitted hereditarily and is considered more dangerous than single osteochondromas, since with it the tendency of neoplasms to malignancy is 10 times higher than with solitary ones. Therefore, the detection of exostoses of the bones of the feet always becomes a reason for a comprehensive examination of the body.
Causes
A heel spur, as well as the plantar fasciitis that causes it, is a multifactorial disease. Its occurrence is due to the complex influence of several reasons:
- old age (the risk of the disease increases after 45-50 years of age due to changes in metabolism and decreased blood supply to the lower extremities);
- obesity (excess body weight causes excessive load on the fascia);
- flat feet, incorrect gait (the load on the foot is distributed unevenly, which leads to increased trauma to its individual areas);
- wearing shoes that are incorrect from an orthopedic point of view (excessively tight, high heels, etc.);
- curvature of the spine (scoliosis) and some other diseases of the musculoskeletal system;
- pregnancy (shift in the center of gravity, changes in hormonal levels and metabolism);
- features of the profession due to which a person is on his feet for a long time (salespeople, waiters, promoters, many blue-collar professions) or is often forced to carry heavy loads;
- professional sports;
- hereditary predisposition;
- metabolic disorders associated with increased deposition of salts in tissues (in particular, gout);
- vascular diseases, in particular, atherosclerosis of the vessels of the lower extremities, obliterating endarteritis (increase the risk of developing spurs due to impaired blood supply to tissues and deterioration of regeneration processes);
- injuries of the spine, lower extremities;
- diabetes;
- diseases of the bones and joints of the legs (arthrosis, rheumatoid and psoriatic arthritis, etc.), as well as the use of hormonal agents for their treatment.
Classification
According to the international registry of diseases ICD-10, plantar (plantar) fasciitis refers to pathologies of the musculoskeletal system and connective tissue.
The disease can be unilateral, when osteophytes form on one foot, and bilateral, in which spurs affect the soles of both feet. The path of development of plantar fasciitis can be divided into three stages:
- the first stage, entosopathy, is characterized by initial pathological changes in the plantar fascia under the influence of any traumatic factor;
- the second stage, fasciosis, occurs with aseptic inflammation of the plantar fascia, that is, the process occurs without the participation of foreign pathogens;
- the third stage, calcification, involves excessive accumulation of calcium salts at the site of damage to the fascia and, as a result, the formation of bone growths.
The process of osteophyte formation is quite long and takes from 2 weeks to several months, depending on the nature of the injury and the cause of the pathology.
Symptoms
The symptoms of a heel spur depend not on the cause of the disease, but on the location and size of the bone growth, as well as the degree of neglect of the process.
The first sign of trouble is pain. At the initial stage of development of the disease, it is felt at the level of mild discomfort and only in the morning hours. Many people report a feeling of a nail in the heel while walking, which soon disappears.
As the disease progresses, pain begins to appear after prolonged use of the legs and gradually intensifies. The intensity of sensations depends not so much on the size of the process, but on its location. The closer the osteophyte is to the nerve endings, the more painful the leg is. An acute attack can be provoked by sudden support on the heel (when getting up from a chair or bed) or climbing stairs. In rare cases, the disease is practically asymptomatic, but inflammation is still present, and a bone spike is detected during examination.
If acute inflammation of the plantar fascia joins the process, patients note:
- constant tingling and feeling of heat in the heel area;
- redness of the skin in the affected area;
- roughening of the skin of the feet;
- increased pain when walking.
Over time, the pain syndrome becomes habitual, and the person’s gait changes. He begins to place his foot so as not to touch the affected area and rests mainly on the toe and side of the foot. This often causes the development of transverse flatfoot, which further aggravates the course of the disease.
In severe cases, the ability to walk independently is completely lost due to unbearable pain when supporting the leg.
Haglund's disease
Haglund's disease is a pathological bone growth in the area of the heel tubercle, leading to the development of pain and inflammatory changes in the soft tissues in the heel area. Like many other foot deformities, it is more common among women who like to show off their Louboutins. The heel of a high-heeled shoe forms a pressure zone along the posterior-outer surface of the heel tubercle and leads to compression of the soft tissues and synovial bursa located between the Achilles tendon and the heel bone.
But this disease often develops in men who wear classic boots with a hard back. In fact, Haglund's disease was first described by Patrick Haglund back in 1927 using the example of men playing golf, since traditional golf shoes are made of heavily tanned leather. Any shoes with a hard back, small or tight shoes, especially coupled with heavy physical activity, can lead to the development of Haglund's disease. In addition to hard shoes, high arches of the foot, varus deviation of the calcaneus, and shortening of the Achilles tendon play an important role in the formation of Haglund's disease.
As is often the case in the medical community, the term “Haglund's disease,” although widespread, is not correct. Currently, it is customary to distinguish between Deformity and Haglund Syndrome. Haglund's deformity refers to chronically enlarged posterosuperior and lateral calcaneal areas with periodic exacerbations of pain, and Haglund's syndrome refers to pain caused by inflammation in the retrocalcaneal bursa, Achilles tendon and superficial Achilles tendon bursa, which may not be accompanied by bone growth.
Haglund's syndrome is one of the common causes of pain in the Achilles tendon and heel area. The diagnosis cannot always be made based on the clinical picture, since many other diseases of this localization have similar symptoms, and the bone deformation may not be very pronounced. Thus, isolated retrocalcaneal bursitis, insertional tendinitis of the Achilles tendon, systemic diseases such as Reiter's syndrome and rheumatoid arthritis may be accompanied by the same symptoms. Accordingly, treatment in these cases will require completely different.
- “bump” on the back of the heel.
- pain in the area where the Achilles tendon attaches to the heel tubercle.
-swelling in the lower third of the Achilles tendon and its insertion site.
-redness in the lower third of the Achilles tendon and its insertion.
-all of the above symptoms can be observed on one or both feet.
A high arch, or high arch (pes cavus), may be one of the causes of Haglund's disease. Since the Achilles tendon is attached to the posterior surface of the heel tubercle, a change in the horizontal axis of the heel bone leads to tension and excessive injury during walking.
Due to constant trauma to the heel bone by the Achilles tendon, bone overgrowth can develop, and the retroachilles bursa becomes inflamed.
A second cause of Haglund's disease may be a rigid, tight, shortened Achilles tendon. This can be caused by both anatomical features and tendonitis or tendinosis of the Achilles tendon itself.
Another cause of the development of Haglund's disease is the varus position of the calcaneus. Normally, the human foot is characterized by a slight physiological valgus, that is, the heel tubercle deviates slightly outward from the longitudinal axis of the tibia.
With a varus position of the calcaneus, the outer part of the calcaneal tuber comes into conflict with the Achilles tendon, which is strongly stretched and rubs against it, which ultimately leads to the formation of a bone osteophyte in this area.
Diagnosis of Haglund's disease, in addition to the clinical picture, includes radiography, ultrasound and, in difficult cases, MRI.
Radiography for Haglund's disease. X-rays can reveal characteristic bone growth along the postero-outer surface of the heel tubercle, the disappearance of the Keger triangle due to retroachilles bursitis (clearance behind the Achilles tendon), thickening of the shadow of the Achilles tendon over 9 mm 2 cm above the edge of the heel tubercle due to tendinitis, enlargement the Chauveaux-Liet angle is less than 12°.
Ultrasound (sonography) examination of the Achilles region can reveal signs of retroachilles bursitis, insertional tendinitis of the Achilles tendon and Haglund's deformity itself.
MRI is an auxiliary method used in difficult cases. Allows you to visualize thickening and signal changes in the thickness of the Achilles tendon, retrocalcaneal and retroachilles bursitis, bone marrow edema in the area of the calcaneal tubercle. Allows you to differentiate Haglund's disease from advanced cases of insertional tendinopathy of the Achilles tendon and retroachilles bursitis.
Conservative treatment is aimed at relieving acute inflammation in the retroachilles synovial bursa and preventing its future trauma by wearing orthopedic shoes. To relieve pain and relieve inflammation, long-acting corticosteroids mixed with naropin or marcaine can be administered into the area of the retroachilles bursa. This manipulation can be performed under ultrasound guidance, but in most cases it does not present any difficulties given the subcutaneous location of the Achilles tendon. GCS should not be injected directly into the tendon as this will cause degeneration of its fibers and may subsequently lead to its rupture. After relieving acute pain, it is recommended to wear shoes with 5 cm heels with soft backs or without them at all.
Nonsteroidal anti-inflammatory drugs and local cryotherapy also help reduce pain in acute illness. If all of the above measures are ineffective, short-term plaster immobilization can be used.
Surgical treatment of Haglund's disease in most cases comes down to removal of the part of the calcaneal tuber that conflicts with the Achilles tendon, removal of scar tissue in the area of the retroachilles bursa, synovectomy of the distal portion of the Achilles tendon, and in case of pronounced changes in the tendon itself, removal of degenerative tissue and, if necessary, its plastic surgery.
To perform the operation, medial, lateral paraachillary, transachillary or endoscopic minimally invasive access can be used. When performing an open intervention, resection of the deformity is carried out using an oscillatory saw and Luer cutters. In this case, it is easier to control the completeness of the resection both directly visually and by palpation. However, a 3-4 cm incision looks less cosmetic and recovery time ranges from 6 to 12 weeks.
For open surgical treatment of Haglund's disease, a transahillary or paraachillary approach is used. In clinical studies, there was no significant difference in functional results depending on the approach used.
When performing endoscopic calcaneoplasty, pinpoint incisions are made on the skin on both sides of the Achilles tendon through which a camera and instrument are inserted. The diameter of the trocars is 4.5 mm, the diameter of the chamber and instrument is 3.5 mm. This provides excellent cosmetic results.
First, an arthroscope is installed on the lateral side, then, under visual control, a regular needle is inserted into the retroachilles bursa, after its positioning, a second incision is made along the needle on the medial side of the Achilles tendon. A 4.5 mm trocar is also inserted into the medial port, then the retroachillary bursa is removed using an abblator and shaver to improve visualization.
The periosteal layer covering the Haglund deformity is also treated with an ablator. To determine the location and extent of Achilles tendon impingement, the foot is placed in a position of maximum dorsiflexion.
Next, Haglund's deformity is removed using an arthroscopic drill.
Control of the completeness of deformation removal is performed radiographically.
The positive aspects of endoscopic intervention include excellent cosmetic results and faster rehabilitation. On the negative side, in some cases it is extremely difficult to assess the required extent of deformity resection based only on the endoscopic picture.
Surgical treatment for Haglund's disease is effective in 90% of cases.
Diagnostics
An orthopedic surgeon diagnoses and treats heel spurs. The main way to identify pathology and assess the degree of its development is radiography. The image clearly shows the bone growth, its shape, location and size.
Additional examination techniques include:
- general and biochemical blood test to identify the inflammatory process, assess the level of uric acid (important for diagnosing gout) and some other indicators;
- Analysis of urine;
- Ultrasound of the foot to assess the condition of soft tissues and identify a possible abscess;
- duplex examination of the vessels of the lower extremities (detects possible circulatory disorders);
- MRI of the foot to determine the condition of all anatomical structures of the foot, including nerve fibers.
If there are concomitant diseases, appropriate laboratory and instrumental studies and consultations with specialists are prescribed.
It is important to remember that heel pain does not necessarily indicate the development of a heel spur. Similar symptoms can be caused by:
- gout;
- rheumatoid arthritis;
- osteomyelitis (inflammation of bone tissue);
- Bekhterev's disease;
- bone tuberculosis;
- injuries, etc.
You should not self-medicate or take painkillers uncontrollably. Only a doctor can choose the appropriate regimen.
Surgery
Surgical treatment is indicated if conservative therapy is ineffective within 6 months. Also, an indication for surgical intervention is a decrease in performance due to pain. Surgical treatment of heel spurs is resorted to in 5% of cases.
There are several ways to surgically remove a thorn in the area of the heel tubercle:
- Traditional. It is carried out in any hospital setting. It is considered the most common and traumatic surgical technique. The recovery period after open surgery is up to 2 months.
- Endoscopic. The operation is performed using endoscopic instruments that are inserted into the heel area through a minimal incision. Endoscopic surgery is the technique of choice due to its low morbidity and rapid recovery period in the postoperative period.
- Minimally invasive. The newest method for treating heel spurs. The operation is performed under X-ray control. Through an incision, a thin tube is inserted into the heel area, at the end of which a microscalpel is located. With its help the thorn is cut off. Minimally invasive surgery is the least traumatic of all available techniques.
An integrated approach to the treatment of heel spurs is the key to getting rid of the disease as quickly as possible. The choice of therapy method is determined by the attending physician based on preliminary diagnosis of bone formation.
In order to relieve pain when walking, experts recommend wearing orthopedic insoles or heel pads during the treatment of heel spurs. The purposes of their use are:
- Relieves stress on the heel.
- Prevention and treatment of flat feet.
- Improving blood circulation and trophism in the affected area.
- Strengthening the ligamentous apparatus of the foot.
- Fixation of muscles and ligaments of the foot.
The selection of the necessary orthopedic products is carried out by an orthopedic doctor based on individual characteristics. The weight and stage of development of the heel spur are taken into account.
The Yusupov Hospital treats heel spurs and other diseases of the musculoskeletal system in Moscow. In a clinical setting, it is possible to carry out a complete diagnosis and appropriate treatment of heel spurs. The clinic's highly qualified specialists have many years of experience in treating such diseases. Doctors at the Yusupov Hospital provide conservative treatment and surgical excision of the spine in the area of the heel tubercle.
Drug therapy | Physiotherapy | Surgery | |
Treatment methods | To treat heel spurs, the following groups of medications are used: 1. Non-steroidal anti-inflammatory drugs. Due to their action, they reduce the permeability of the vascular wall, relieving edema, and also blocking inflammatory mediators. In this way, an analgesic and anti-inflammatory effect is achieved. Drugs of the NSAID group improve blood circulation in the pathological focus and accelerate trophic processes. 2.Chondroprotectors. Medicines in this group restore the tissues that make up the vertebrae. This effect improves blood circulation and nutrition in the affected area. Chondroprotectors help restore the plantar ligament, increasing its elasticity and preventing re-injury | The treatment complex for heel spurs includes the following physiotherapeutic procedures: 1. Phonophoresis. The procedure involves introducing hydrocortisone ointment into the body using ultrasound. Thanks to this, there is an anti-inflammatory effect, microcirculation, trophism and lymph outflow in the affected area improves. 2.Laser therapy. A laser beam is used to target the inflammatory focus. The effect of this method of physiotherapeutic treatment is based on improving blood circulation, reducing edema, relieving pain and reducing the inflammatory process. The effect accelerates the healing and restoration of the injured plantar ligament. Laser therapy is a safe and painless treatment method. Contraindications for the procedure are pregnancy, tuberculosis, hematological diseases, acute liver and kidney failure. 3. Shock wave therapy. The procedure involves applying an ultrasonic wave to the area of bone growths. As a result, pieces of osteophytes break off with their subsequent resorption. Ultrasound treatment improves blood circulation and nutrition in the affected area, relieving pain and inflammation. As a result of therapy, the plantar ligament becomes elastic, which reduces the possibility of re-injury. Shock wave therapy is indicated in the presence of diseases of the musculoskeletal system, flat feet, heel spurs. Contraindications for this method of treatment are pregnancy, cancer, bleeding disorders, acute pathologies accompanied by purulent inflammation. 4. X-ray therapy. To relieve pain, nerve endings are blocked using a low dose of radiation. 5.Magnetic resonance therapy. This method of physiotherapeutic treatment is used to reduce pain, relieve inflammation and improve blood circulation in the heel area. | There are several ways to surgically remove a thorn in the area of the heel tubercle: 1. Traditional. It is carried out in any hospital setting. It is considered the most common and traumatic surgical technique. The recovery period after open surgery is up to 2 months. 2.Endoscopic. The operation is performed using endoscopic instruments that are inserted into the heel area through a minimal incision. Endoscopic surgery is the technique of choice due to its low morbidity and rapid recovery period in the postoperative period. 3. Minimally invasive. The newest method for treating heel spurs. The operation is performed under X-ray control. Through an incision, a thin tube is inserted into the heel area, at the end of which a microscalpel is located. With its help the thorn is cut off. Minimally invasive surgery is the least traumatic of all available techniques. |
Indications | Drug therapy is part of the complex treatment of diseases of the musculoskeletal system, accompanied by pain and inflammatory syndrome. | Physiotherapy is indicated for diseases of the musculoskeletal system, flat feet, and heel spurs. | Surgical treatment is indicated if conservative therapy is ineffective within 6 months. Also, an indication for surgical intervention is a decrease in performance due to pain. |
Contraindications | Limitations for drug therapy are acute febrile conditions, gastrointestinal bleeding, and individual intolerance to the components of the drug. | Contraindications for physiotherapeutic procedures are pregnancy, tuberculosis, hematological diseases, acute liver and kidney failure. | Limitations for surgical intervention are: § Acute conditions accompanied by an increase in body temperature. § Purulent inflammation of any localization. § Severe concomitant pathology. |
Heel spur treatment
Treatment for heel spurs largely depends on its causes and symptoms and is prescribed on an individual basis. Doctors use several techniques:
- drug treatment;
- physiotherapy - shock wave exposure; laser treatment;
- X-ray therapy;
- massage;
- physical therapy and gymnastics;
The patient is required to adjust their lifestyle and diet, as well as wear orthopedic shoes.
Drug treatment
Medicines used in the treatment of heel spurs are aimed at relieving inflammation and pain. Most in demand:
- non-steroidal anti-inflammatory drugs (NSAIDs): products based on indomethacin, diclofenac, ibuprofen in the form of tablets, injections and local products (creams, ointments, pain-relieving patches);
- long-acting corticosteroid drugs (diprospan and its analogues) are injected directly into the fascia to stop the inflammatory process;
- antibiotics in the presence of purulent inflammation or in the infectious nature of the disease.
If there are concomitant diseases, drugs are prescribed to treat them, for example, drugs to normalize blood flow, anti-gout drugs, etc. Only a doctor is responsible for selecting specific medications, their dosage and regimen.
Physiotherapy
Physiotherapy is aimed at improving blood supply and tissue regeneration, as well as enhancing the effect of medications. For this we use:
- electrophoresis: introduction of drugs into tissue using electric current;
- sonophoresis: treatment of tissues with ultrasonic waves that improve the penetration of drugs;
- ultrasound therapy: heating tissues and reducing inflammatory reactions using ultrasonic waves;
- mud and mineral baths.
Shock wave therapy
Shock wave therapy is one of the most effective methods for treating heel spurs in the early stages of development. The technique is based on the influence of ultrasonic waves of a certain frequency, which promotes:
- destruction of calcium deposits;
- reducing inflammation and swelling;
- activation of tissue regeneration.
If the size of the heel spur is small, the technique allows you to get rid of it completely, and in advanced cases it slows down or stops its growth.
Laser exposure
Warming up the deep layers of tissue with a laser helps improve blood flow in them. As a result, the quality of supply of oxygen and nutrients to cells improves, metabolic processes and restoration of affected tissues are activated.
X-ray therapy
This method of treating heel spurs is only suitable for people under 40 years of age and is used extremely rarely if other methods do not work. The affected area is exposed to x-rays in a certain dosage. As a result, persistent pain relief and improvement in condition are achieved.
Surgery
All previous techniques are aimed at relieving pain and inflammation, as well as improving the patient’s condition. A correctly selected set of techniques helps to slow down the process of spur growth or even stop it completely, but it does not allow you to get rid of it completely. The exception is shock wave therapy, but it destroys only very small growths.
The only way to get rid of a large heel spur is through surgery. When choosing the classic version of the operation, the surgeon cuts the fascia completely and immediately removes the bony protrusion. With complete tissue transection, the patient's foot anatomy and gait change significantly, which becomes the reason for assigning a disability group.
A more modern and gentle technique is radiofrequency microtenotomy. The essence of the operation is to eliminate damaged tissue using radio frequency waves.
On the Internet and popular literature you can find a large number of home methods for treating heel spurs using herbs and homemade compresses. Using them without prior approval from a doctor is strictly prohibited. At best, the patient’s condition will remain unchanged, at worst, complications will arise, for example, burns.
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Clinical treatments
No matter how effective traditional medicine may seem, limiting yourself to their use is absolutely unreasonable and unacceptable. A full medical examination and the prescription of adequate therapy are absolutely necessary, because plantar fasciitis is a serious disease.
Which doctor should you contact?
If you experience symptoms of a heel spur, you should consult an orthopedic doctor or surgeon. After examination and carrying out the necessary diagnostic tests, the doctor prescribes a treatment regimen, selects suitable orthoses, and, if necessary, gives a referral to see specialists of another profile (physiotherapist, massage therapist, exercise therapy instructor, etc.).
What are the most commonly used clinical treatments for heel spurs?
X-ray therapy
Radiation therapy is used when conservative treatment is ineffective and pain is persistent. Local exposure to x-rays on tissue in the area of bone growth produces a prolonged analgesic effect. Treatment is carried out in several sessions, the duration of one procedure is about 10 minutes. Contraindications to X-ray therapy are pregnancy and breastfeeding.
Blockades
Drug blockades are carried out in cases where conservative therapy for plantar fasciitis does not bring the desired result. Injections of drugs into the area of the pathological focus have an analgesic effect and eliminate inflammation in the tissues.
Injections
For intense pain in the heel area, injections with hormonal drugs of steroid origin (hydrocortisone, diprospan, kenalog) have a good effect. Injections of these drugs into the osteophyte area quickly relieve pain and relieve inflammation.
Medicines
Conservative treatment of heel spurs is carried out in combination with drug therapy. The group of medications used in this case includes:
- analgesic drugs;
- non-steroidal anti-inflammatory drugs (ibuprofen, diclofenac);
- hormonal drugs of steroid origin (hydrocortisone);
- local anti-inflammatory drugs (dimexide, etc.).
Gymnastics for heel spurs
Physical therapy exercises are one of the important factors in the treatment of heel spurs. It helps improve blood circulation in the affected area, which means it stimulates tissue restoration, subject to regular exercise. The minimum complex includes the following exercises:
- squats: the patient bends one leg and puts it forward, takes the other back, feet are on the same line, palms rest on the wall; from this position, squats are performed without lifting the heel off the floor;
- rolling an object: in a sitting position, the patient rolls a small ball or water bottle with his foot for 5 minutes;
- “step”: feet are placed on a threshold, step or stack of books so that the heels hang in the air, bends forward with support on a chair to stretch the muscles of the ankle joint; in the maximum tilt position, you need to freeze for 5-20 seconds, and then return to the starting position;
- collecting objects: using your toes, you need to lift small objects from the floor: peas, beads, beans, etc.; Ideally, the exercise is performed standing, but a sitting position is also allowed;
- stretching: the patient sits on a chair, places the foot of one leg on the knee of the other and with his hands pulls the toes toward himself, while simultaneously turning the foot outward; the exercise stretches the heel fascia well;
- cool-down: the final exercise is performed using a jump rope, a rubber expander, a towel, the patient stretches his legs forward in a sitting position, passes the band under the feet and pulls them towards himself.
The ideal time to practice is in the morning, when the feet are not yet overloaded.
Massage
Massage is another way to improve blood circulation in the feet with heel spurs. The simplest complex can be done independently. The feet are first warmed up by intense rubbing, after which the active effect begins:
- small pinches with gradual movement from the tips of the fingers to the heel;
- rubbing the heel: performed with the pads of the fingers with force in different directions;
- circular rubbing: first the outer radius of the heel is grabbed, then the circles are concentrated on the spike area;
- kneading: the spur area is intensively kneaded with the thumbs;
- light tapping with the edge of the palm.
The exposure cycle is repeated 2-3 times and ends with rubbing and stroking. At the end, if necessary, an anesthetic ointment is used.
It is important to remember that the massage should not be overly painful, but slight pain is a sign that the exercises are being performed correctly. For additional stimulation of the affected area, you can use a massage mitt.
In addition to classic manual massage, the use of special relief mats and electric massagers is allowed.
Diet
Nutrition for heel spurs has several goals:
- reduce body weight and prevent its increase;
- minimize inflammatory processes;
- remove excess salts from the body.
Doctors recommend adhering to the following rules:
- control the daily caloric intake of food, prevent overeating;
- in the absence of contraindications, drink at least 2-3 liters of clean water daily (tea, coffee, juices and other drinks do not count);
- balance the menu in terms of proteins, fats and carbohydrates, provide a sufficient amount of vitamins;
- do fasting days regularly;
- minimize the consumption of spicy, hot, smoked, salty foods, sauces, canned food, as well as products containing artificial flavors;
- exclude strong broths, mushrooms, offal, coffee, alcohol from the diet;
- reduce the amount of salt;
How to treat heel spurs at home with foot baths?
The best option is a bath after therapeutic exercises for heel spurs, containing special exercises.
Foot baths for feet with heel spurs have a positive effect:
- soothe, relieve pain;
- soften growth and rough skin;
- soften calluses and corns;
- disinfect, eliminate unpleasant odors.
The most popular bath recipes are:
Salt + soda.
To prepare, take the hottest water you can tolerate. Pour 3-4 tbsp. spoons of table salt and soda. Lower your feet and hold them until the water cools. It is better to take such a bath in the evening.
After the procedure, carefully dry your feet with a towel and apply cream. The best option is to use a product made specifically for heel spurs.
For example, Pyatkashpor ointments effectively moisturize the skin and help reduce bone spurs.
Iodine + salt.
How to treat heel spurs with iodine and salt? Dissolve 2-3 liters in water at a temperature of +45-50 C. salt and add one ampoule (approximately 50 drops) of iodine. Steam your feet until the water cools completely. After the bath, it is advisable to wear warm socks.
Iodine has a disinfecting effect, and salt softens the growth, eliminating discomfort. To enhance the positive effect, you can take sea salt rather than table salt.
Clay.
Clay baths are indicated for inflammatory conditions. Clay also removes salt deposits well, which cause inflammation of the heel fascia.
It is better to buy clay at the pharmacy, but you can also take regular clay, for example from the garden. The amount of clay is determined “by eye” - the water should become cloudy after adding it.
Prevention
The development of heel spurs can be prevented and significantly slowed down by lifestyle changes. To avoid problems associated with inflammation of the plantar fascia, you must:
- wear comfortable shoes with small, comfortable heels (recommended height 2-4 cm);
- use orthopedic insoles with arch support;
- maintain body weight at a normal level, prevent obesity;
- provide a complete, balanced diet, drink enough clean water;
- engage in recreational sports that bring pleasure;
- minimize overload of the feet (long walking or standing);
- periodically massage the feet (the exercises are similar to the therapeutic effect);
- promptly and fully treat postural disorders and flat feet.
At the first sign of pain in the heel area, you should consult a doctor for examination. Many physiotherapeutic techniques are effective at an early stage and allow you to completely get rid of the spur before it makes life unbearable.
TOP 10 recipes: how to cure heel spurs at home
We offer 10 best recipes for getting rid of inflamed heel fascia at home:
Recipe 1: Onions and garlic.
Regular fresh garlic against heel spurs is effective due to the presence of powerful immune-stimulating substances in its composition. In combination with onions, which are rich in phagocytes, this gives an excellent anti-inflammatory result.
To prepare the compress, you need 1 medium-sized onion and 3-5 cloves of garlic, which are crushed. The resulting paste must be applied to the spur and kept for at least two hours.
Recipe 2: Rubbing alcohol.
The alcohol must be heated to +40 C and the foot should be lowered until it cools completely. You can use regular vodka. This remedy is especially effective in the evening, when pain from heel spurs prevents you from falling asleep.
Recipe 3: Vinegar and raw chicken egg.
Treatment of heel spurs with vinegar and raw egg is based on the ability of these substances to soften the heel spur. It’s very simple to prepare the ointment: break 1 egg, pour in 1/2 tbsp. 9% vinegar and 100 g butter. Stir and melt the mixture over low heat. When heated, the ointment will thicken. Apply to the affected heel at night.
Note: it is recommended to wear special orthopedic heel pads during the day. They will help relieve pain and discomfort when walking and speed up the treatment process.
Recipe 4: Potatoes.
Raw potatoes, especially young ones with a high starch content, help reduce the thorn. The potatoes are grated and the resulting porridge is applied to the heel. It is recommended to repeat every evening.
Recipe 5: Propolis.
This product is an excellent natural antiseptic and has an analgesic effect. Lotions with propolis help to dissolve the heel spike. Before use, propolis must be softened in a water bath. You need to keep the lotion at night.
Recipe 6: Salt compress.
Regular treatment of heel spurs with salt relieves pain well. To prepare, you need to take sea or table salt, add a spoonful of honey and a couple of drops of iodine. Apply the resulting thick mixture to the sore heel and hold for half an hour.
Another recipe with salt that requires stamina: dissolve 500 g of salt in boiling water and dip your heels in it. This method is not recommended in the presence of acute inflammation and wounds on the feet.
Recipe 7: Pharmacy turpentine.
Used to relieve pain in the absence of inflammation and open injuries of the foot. The sore spot is rubbed with turpentine, and a cotton sock is put on top.
The procedure is best done at night and combined with an orthopedic orthosis or Strasbourg sock.
Recipe 8: Burdock.
Burdock leaves are crushed to a porridge consistency. For severe pain, you can crush and add an aspirin tablet to the mixture. Burdock leaves for heel spurs effectively draw out salts and help get rid of the spur.
Recipe 9: Red pepper.
Take a pinch and put it in your socks. Walk for 6-8 hours. Pepper warms the heel and helps reduce spurs.
Helpful advice: wearing high-quality orthopedic insoles with heel shock absorbers will help to properly unload the feet, eliminate pain and discomfort when walking and speed up the treatment process.
Recipe 10: Aluminum foil.
Quite an extravagant recipe for treating fasciitis. The point of treatment is the effect of metal on the active points of the heel, eliminating pain. To remove a heel spur, you need to take foil, wrap it around your heel and secure it with a bandage.
Consequences and complications
When a heel spur develops, the patient must rest on the toes or side of the foot. This can lead to complications:
- swelling and pain in the ankle joint;
- arthritis and arthrosis of the big toe joint;
- development or worsening of flat feet;
- pronounced violations of posture.
Without treatment, the heel spur grows so large that it completely deprives the patient of the ability to put weight on his foot. The quality of life deteriorates significantly.
How to choose an ointment for heel spurs at home?
When talking about how to get rid of heel spurs using folk remedies, you need to remember about daily foot care. The presence of a spur requires particularly strict adherence to hygiene and antiseptics.
Daily care for feet with spurs includes:
- examining the spur for inflammation, development and infection;
- washing feet;
- treatment with special creams or ointments for the feet.
For regular use, you can use ointments from the Pyatkashpor series. This series contains three types of ointments designed specifically for people with heel spurs. "Pyatkashpor" contains natural bile, which effectively removes growths, softens rough skin and moisturizes.
For inflamed heel spurs, Pyatkaspor Reinforced is recommended; after eliminating the pain and reducing the spur, Pyatkaspor Regular can be used. After completion of treatment, Pyatkashpor Prophylactic is applied as a prophylactic agent.
Treatment at the Energy of Health clinic
If you are worried about pain or discomfort in your heel, come for an appointment at the Health Energy clinic. An experienced orthopedic doctor will listen and examine you, and also prescribe the necessary examinations. After making a diagnosis, we will offer modern methods of treating pathology:
- blockades for quick pain relief;
- all types of physiotherapy;
- professional therapeutic massage;
- training in physical therapy exercises and exercises under the supervision of a trainer.
Additionally, we will prescribe drug treatment in accordance with modern standards, and also monitor the effect of therapy.
Advantages of the clinic
“Health Energy” is a modern multidisciplinary medical center that offers its patients comprehensive services for the treatment and prevention of diseases. Here are the benefits of contacting us:
- review and expansion of early disease detection programs;
- modern diagnostic equipment;
- qualified medical staff who regularly improve their skills;
- an integrated approach to diagnosis and treatment.
We do everything to provide each patient with maximum comfort from the first minutes of their stay in the clinic. Adequate prices make quality medicine accessible.
A heel spur is just a small bony growth that can, however, completely change a person's life. Don’t delay in seeing a doctor, make an appointment with an Energy of Health orthopedist.