Heel spur: what kind of a doctor?

To what doctor to address at pains in a heel

Pain in the heel of the morning worried 26% of people after 40 years. The disease is detected in 88% of patients older than 70 years. Most often the cause of the pain is plantar fasciitis or heel spur.

The disease appears from the overload of the tendons with excess weight and flat feet, after a trauma to the heel.

Also, the pain in the foot accompanies gout, diabetes, and certain neurological and systemic diseases.

What kind of doctor should I apply for primary treatment for pain in the heel? What kind of examination is the doctor doing at the initial stage and what kind of foot trouble can he detect? What kind of narrow specialists will need to be involved in the treatment of the calcaneal spur? Let's find out.

Primary appointment with a doctor

If you have a suspicion of the heel spur, it is important to know what kind of doctor you need to contact initially.

For pain in the heel, first, sign up for an appointment with a surgeon.

The doctor finds out the anamnesis of the disease - the nature and duration of the pain, the profession, the concomitant diseases.

After that, he conducts a physical examination - examination and palpation of the foot.

The surgeon, if there is a suspicion of plantar fasciitis, sends the patient to the radiograph of the foot. The presence of a calcaneal spur in the image confirms the diagnosis of plantar fasciitis.

But the absence of bone build-up does not reject the disease, since heel spur is detected only in 10% of patients with plantar fasciitis.

What other doctor is diagnosed with a calcaneal spur?Not every polyclinic has an orthopedic doctor, but if such a specialist is available in the state, it makes sense to initially register with him for admission.

An orthopedic physician is a narrow specialist engaged in the pathology of the musculoskeletal system of a person. The tactics of an orthopedic physician are the same as for a surgeon.

Therefore, he will also send the patient to the X-ray of the foot.

Additional examinations

It is difficult to recognize foot diseases, since many of them manifest similar symptoms. If necessary, the surgeon or an orthopedic doctor directs the patient to an ultrasound (ultrasound) to clarify the diagnosis.

Tomography of the foot

If the diagnosis of plantar fasciitis is in doubt, the doctor sends the patient to magnetic resonance imaging (MRI) of the foot. This method allows you to detect changes not only in bones and joints.

On the tomogram traced abnormalities of muscles, ligaments and soft tissues. MRI reveals the thickness and nature of the fascia changes - the image shows its inflammatory-degenerative changes.

With plantar fasciitis, the MRI image shows fluid accumulation on the anterior medial side of the aponeurosis.

MRI detects other changes in the foot - Baxter's neuroma and latent fatigue fractures of the calcaneus.

For the purpose of differential diagnosis, the doctor gives a direction for a biochemical blood test. Why is this analysis necessary?

1. Biochemical blood testIn the examination of patients with inflammatory joint diseases in the blood, specific markers of the disease of Bechterew disease or psoriatic arthritis are revealed.
2. In the analysis of blood with gout, there is an increase in uric acid.
3. Biochemical blood analysis for rheumatism and rheumatoid arthritis shows an increase in the level of C-reactive protein.
4. For rheumatic joint damage, neutrophilic leukocytosis and an increase in ESR (erythrocyte sedimentation rate) in a general blood test are characteristic.

That is, each disease is characterized by specific markers in the blood.

What diseases can appear at the survey stage?

• Bechterew's disease or ankylosing spondylitis.
• Flat feet.
• Reiter's syndrome.
• Rheumatoid arthritis.
• Baxter's nerve compression.
• Funicular myelosis.
• Diabetic polyneuropathy.
• Pain polyneuropathy in alcoholics.

In the case of diagnosing neurological or systemic diseases, the orthopedist or surgeon directs the patient to the profile doctor.

For example, in the case of rheumatoid arthritis, Bekhterev's disease and Reiter's syndrome, the patient is observed by a rheumatologist.

Patients suffering from these systemic diseases first pass an in-patient examination in profile clinic and only after that they continue specific treatment under the supervision of a rheumatologist polyclinics.

With complaints of pain in the heel and foot, the neurologist can detect pain polyneuropathy, which develops in alcoholics due to vitamin B12 deficiency. Such pains in a foot the neurologist eliminates for 1 week by replenishment in an organism of this vitamin.

With pain in the foot, a neurologist can diagnose a disease - funicular myelosis. The disease is also caused by a deficiency of vitamin B12, but due to a violation of its absorption in the stomach. The reason for the pain in the foot with this disease is a violation of nerve conduction in the spinal cord.

The pathogenetic factor of the disease is chronic autoimmune gastritis with dyspeptic syndrome. Just because of this disease and the absorption of vitamin B12 in the stomach is disturbed. With funikulyarnom myelosis, the neurologist sends the patient for examination to the doctor-gastroenterologist.

Patients with heel pain may experience diabetic polyneuropathy. The disease develops in patients with latent (latent) diabetes mellitus sometimes suddenly.

With diabetic polyneuropathy, pain in the foot appears at the earliest stage of the disease, when blood sugar rises inconstantly. The endocrinologist and neurologist are engaged in research and treatment of patients with diabetes.

To establish the diagnosis, the blood is examined for glycohemoglobin and insulin.

What doctors eventually treat the heel spur

So, which doctor heals the heel spur? An orthopedic doctor or surgeon sets a primary diagnosis based on the survey data.If a calcaneal spur is detected, it is the surgeon or orthopedist who prescribes treatment, during which it will be necessary to visit more narrow specialists.

1. During the treatment of plantar fasciitis, you will need to consult a physician of physiotherapy (LFK). Pain at the calcaneal spur is caused by microfractures of the plantar fascia, which not only become inflamed, but with time they undergo cicatricial (degenerative) changes. Microtrauma continues until the fascia is elongated sufficiently due to scar tissue. To prevent micro-ruptures, to reduce the pain syndrome and to strengthen the foot, stretching of the fascia is prescribed with the help of exercise therapy, therapeutic gymnastics and the use of orthosis for the night. A complex of exercises is prescribed by a physician of physiotherapy exercises. And the instructor on exercise therapy conducts lessons.
2. When treating the heel spur an effective method of treatment is used - massage. And for this you need to see a doctor masseur.
3. Also in the complex of therapeutic measures with calcaneal spurs includes physiotherapy methods - phonophoresis, electrophoresis and laser therapy. Hardware treatment is carried out under the supervision of a physiotherapist.
4. Blockade of calcaneal spur https://www.youtube.com/watc? nUIg_x_6igWhat other methods of treatment, and, consequently, and doctors will need when treating the calcaneal spur? When the possible methods of therapy of fasciitis have been exhausted, and the pains continue to torment the patient, they often prescribe a drug blockade - a heel in the heel.

   The advantage of this method is that drugs are injected directly into the focus of inflammation of the fascia. This increases the therapeutic effect of the drug. For blockade, drugs with different time of deposition in tissues are used.

   The most commonly prescribed steroid preparations are "Kenalog" or "Diprospan". Which doctor does the blockade of the calcaneal spur? Manipulation is performed by a surgeon or orthopedic physician with work experience. Injection is done at the most painful point on the heel.

   To reduce pain during the procedure, the drug is mixed in one syringe with an anesthetic Novocain or Lidocaine. The use of ultrasound for monitoring facilitates the technique of blockade.

   The blockade of the calcaneal spur was not spread due to the short term of therapeutic action and contraindications. The main negative consequence of the blockade is the potential rupture of the fascia. Therefore, blockade is done in case of severe pain, which is not stopped in other ways.

Let's sum up.With pain in the heel, you first need to visit a surgeon or orthopedic surgeon.At the stage of diagnosis, the patient undergoes a series of examinations, including x-rays, ultrasound, MRI and blood tests.

During the examination, the patient may need to consult other doctors, including a neurologist, a rheumatologist and even an endocrinologist, and a gastroenterologist.

If the diagnosis is heel spur, then the treatment is carried out under the supervision of a surgeon or orthopedist, during which the services of an instructor for exercise therapy, a masseur, a physiotherapist will be needed.

A source: http://shporynet.ru/fakty/kakoj-vrach-lechit-pyatochnuyu-shporu.html

Which doctor treats the heel spur: what kind of doctor should I use for treatment?

With constant pain in the heel area, there is a possibility that the heel spur is the cause of unpleasant sensations.

To confirm the diagnosis and begin the necessary treatment, it is necessary to consult a doctor.

This disease is treated long and persistently, with the therapy selected individually, based on examination, analysis and research.

To timely start treatment, it is important to know which doctor heals the heel spur. Since a complex approach is required for a calcaneal spur, it will be necessary to visit several doctors who will determine the necessary method of therapy.

The heel spur is considered a serious disease that develops when there is a metabolic disorder in the body. It can appear in any person, regardless of age. Pathology is a bone growth spine or wedge shaped.

When a calcaneal spur appears, the patient may feel severe pain in the foot. To identify the disease, the doctor prescribes the passage of an X-ray study that allows you to study all the symptoms of the disease and choose the right treatment.

Who to seek treatment for

• The first step is to contact the therapist at the place of residence. After the examination is performed, the doctor prescribes a referral to the surgeon, which is available at any clinic. The surgeon, in turn, can diagnose the disease during a primary examination with the help of palpation of the heel and usual conversation with the patient.
• To clarify the diagnosis, the doctor prescribes the passage of radiography. If the calcaneal spur is present, an obvious bone growth in the heel area will be seen on the radiograph. As an additional method of diagnosis, ultrasound is used.
• In some cases, to exclude the presence of rheumatoid arthritis, Bechterew's disease and other diseases not related to the heel spur, the patient is given a referral to a rheumatologist. This doctor sends a biochemical blood test, then reveals an accurate diagnosis.
• As is known, a rheumatic disease in the patient's blood reveals a marker of illness or inflammation - the reactive protein, ESR, and other indicators increase. Also, a rheumatic factor that indicates the presence of rheumatoid arthritis is often detected.

Complex treatment of the disease

In addition to a surgeon and rheumatologist, the problem of bone diseases is dealt with by an orthopedic doctor or an orthopedic surgeon. You can contact him immediately after a visit to the therapist or in the direction of the surgeon.

The orthopedist is considered to be a narrow specialist who treats diseases of the osteoarticular system.

In particular, it is addressed in scoliosis, clubfoot, articular pathologies, curvature, flat feet.

The orthopedist after the examination selects individually orthopedic heels or orthopedic insoles. These devices help to remove the main symptoms of the disease at any degree of development of the calcaneal spur.

Specially designed insoles and heel pads with heel spurs allow to unload the feet, thereby reducing the load on the heels. Including they relieve inflammation and pain in the area of ​​the heel.

To quickly and effectively get rid of the pain and inflammation, you need to use the services of a massage therapist, who will conduct a course of therapeutic massage. Also it will be necessary to apply to the instructor in medical gymnastics, who will select a set of exercises that positively affect the arches of the feet.

In addition, you should refer to the manual therapist. The doctor will palpate the affected area, determine the place of compaction, identify the main points of impact. Thanks to manual therapy, the patient can:

1. Correct the main center of gravity;
2. Unload the foot from the load;
3. Stop the inflammatory process and accelerate the healing of the affected tissues;
4. Eliminate the squeezing of the nerve roots in the lumbar spine, which are responsible for supporting the arch of the feet.

Treatment with physiotherapy

To consolidate the effect you will need the help of a physiotherapist who will direct to UHF, laser therapy, electrophoresis, magnetotherapy for joints or phonophoresis.

In combination with exercise therapy and therapeutic massage, these procedures relieve the symptoms of the disease, improve blood flow in the lower extremities and stop the inflammatory process in the tissues.

With the help of electric and electromagnetic fields, ultraviolet and infrared radiation stimulates blood circulation. To physioprocedures have had an effect, it is necessary to observe regularity and undergo the entire course of treatment.

The most popular method is the treatment of the calcaneal spur with the help of a laser. The laser beam is directed to the affected area and acts on soft tissues.

This improves blood circulation in the area of ​​formation of bone growths. In general, this method does not remove growths, but it helps relieve pain and inflammation.

To prevent tissue from becoming inflamed again after the treatment is completed, it is necessary not to forget about preventive measures.

With the influence of the magnet, the veins are dilated, which improves blood flow and lymph circulation. Including tissues are saturated with oxygen.

This method not only removes symptoms, relieving inflammation, but also removes excess accumulated fluid from the tissues, so that the patient ceases to feel severe pain.

For better penetration of drugs, electrophoresis is used. As you know, the current helps to penetrate drugs faster into the body.

Thus, two special plates are wrapped in a cloth impregnated with a drug and connected to a source of electricity. With the supply of current, positive and negative particles from the first plate, along with the drug, tend to the second plate.

An equally effective way to improve the absorption of drugs in the tissue is ultrasound. Usually, this method is combined with the use of anti-inflammatory hydrocortisone.

The drug with the help of ultrasonic waves penetrates into soft tissues and is considered an analogue of anti-inflammatory injections. Also, due to specific vibration, ultrasound stops the inflammatory process and helps to quickly repair damaged tissues.

However, it is important to consider that physioprocedures may have contraindications. In particular, ultrasound therapy is not allowed in the presence of any electronic implants in the body.

A source: http://sustav.info/bolezni/pyatka/kakoj-vrach-lechit-pyatochnuyu-shporu.html

What kind of doctor should I go with a heel spur (plantar fasciitis)?

Before you begin to deal with the question of which doctor heals the heel spur, you need to decide what kind of pathology it is. The beginning of the formation of the heel spur can be called plantar fasciitis.

The fascia is a connective tissue that forms the arch of the foot and connects the heel and metatarsal bones. And if there is inflammation of these tissues - plantar fasciitis, then it can end in a complication, called a calcaneal spur.

Thus, it can be concluded that plantar fasciitis is a very dangerous disease requiring immediate treatment by a specialist.

The causes of the appearance of pathology

Plantar fasciitis and then heel spurs do not arise without cause. In order to develop this pathology, a number of conditions in the human body are necessary:

• Metabolic disease.
• Incompatible and inappropriate time treated foot injury or heel.
• Extra weight exceeding the norm before obesity of 2 and 3 degrees.
• Flat feet.
• Rachiocampsis.
• Frequent wearing of shoes with high heels or uncomfortable, tight shoes.

It should be noted that the heel spur grows very slowly, so the patient has plenty of time to consult a doctor.

And if the disease has gone so far as to start contaminating the blood around the inflamed tissues of the soles of the foot, this can only mean a person's frivolous attitude toward his health.

To which doctor to apply

What kind of doctor are people referring to? Hardly having felt a pain in a foot or a heel, it is necessary to address immediately to the expert.

First of all, to your therapist at the place of residence.

He is a specialist in a broad profile, he does not deal with the treatment of legs, but he, having put a preliminary diagnosis, writes a referral to a surgeon or an orthopedic surgeon.

It is the orthopedic surgeon who prescribes an X-ray examination of the foot bones and examines the soft tissues of the foot.

In addition, he will be able to determine the degree of curvature of the spine and the presence in her of intervertebral hernias. He also sends the patient to a blood test.

Only after examining the results of tests, external examination and acquaintance with the patient's medical history, does the doctor diagnose, as a rule, a plantar fasciitis.

The orthopedist prescribes treatment of fasciitis or calcaneal spur, but this is not limited to him, because not only is it necessary to cure a sick leg, it is also necessary to eliminate the cause of this pathology.

Therefore, the orthopedist can refer the patient to a consultation with another specialist, it can be an endocrinologist, he reveals a metabolic disorder. Rheumatologist excludes the disease of blood and bones. A nutritionist will help to eliminate the problem of excess weight.

A doctor specializing in manual therapy will perform spinal treatment and straighten up the posture.

What treatment can appoint a doctor

When considering the treatment of heel spurs, you should carefully read the entire range of treatment activities, as rarely when a doctor is limited to only one method of therapy:

1. Drug treatment includes the use of pain medications and medications that remove inflammation. They can be for internal reception, and in the form of ointments and creams. As a rule, double-acting drugs are prescribed, for example, Diclofenac, Ibuprofen, Indomethacin. Their action is aimed at the removal of pain syndrome and inflammation of soft tissues. The dosage and the scheme of application is prescribed by the doctor, as these drugs are potent and have a number of side effects.
2. Ointments for application to the feet are also prescribed by a specialist, using unchecked funds alone, the patient at risk of causing an allergic reaction.
3. Therapeutic massage allows you to get rid of flat feet, because this it leads to the curvature of the spine, that is, to the development of intervertebral hernias. And when a person starts to put his feet correctly and the arch of the foot absorbs the load, then the posture becomes straight and fatigue in the back and legs is much weaker. The course of massage is usually 10 sessions, then a break takes place in 2 weeks, after which it resumes. And so until the complete cure.
4. Therapeutic gymnastics ensures proper blood circulation, which in turn helps to overcome the inflammation of the soles of the feet. In addition, exercise therapy is very useful for the health of the spine.
5. When treating the calcaneal spur, the orthopedic doctor usually installs a special footbed in the patient's shoes. They are made according to individual indicators, their task is to remove the load from the spine by correct bending the arch of the foot. Patients of different age categories can consult a doctor, and one should know that insoles can relieve flat feet of even an adult, not to mention children.
6. Surgery. This procedure is indicated for patients with a heel spur of a very severe shape. Especially if it is accompanied by extensive inflammation of the soft tissues and bones. During the operation, the keratinized site on the connective tissue of the foot is removed, as is part of the rotted soft tissues. Rehabilitation after such an operation is lengthy and includes the whole complex of medical measures aimed at an early recovery.
7. Treatment with traditional medicine. This method of treatment is not always effective, and in some cases can even do harm, for example, if a person starts to pound his legs in hot tinctures. Such treatment can result in a general infection of the blood and amputation of the legs. Therefore, before using traditional medicine, you should go to the doctor for advice. And only after the diagnosis is carried out and an adequate treatment is prescribed, you can ask for permission to use the baths and rinses. And if the doctor will allow, only after that to proceed to such treatment. Traditional medicine can put on the feet of a patient, only if it is used in conjunction with traditional treatment - it must be understood. In the opposite case, you can lose your legs or life itself.

So, the question to which doctor to address with a calcaneal spur is uncovered. The main thing is to remember that timely application for help is a pledge of complete recovery, while any delay only worsens the situation.

A source: https://OrtoCure.ru/kosti-i-sustavy/pyatochnaya-shpora/kakoj-vrach-lechit-podoshvennyj-fastsiit.html

What kind of a doctor to go with a calcaneal spur

The calcaneal spur is a rather serious disease, which physicians tend to regard as a consequence of various disorders in the body.

And the age limit, when a person may have a calcaneal spur, there are none.

When a person encounters such a problem, the first question is, what kind of problem does he have: what kind of a doctor should he turn to? The spur is a bone growth that is characterized by a spine or wedge shape.

It leads to the appearance of pain in the foot, not only with tension, but also at rest. In this case, it is possible to detect the heel spur and to make the final diagnosis only with the help of X-ray study.

Causes and Symptoms

The list of reasons that cause the origin of the calcaneal spur is quite extensive. It includes:

- flat feet (it is believed that in 90% of cases it is the main source of the problem) age-related disorders (bone tissue is worn and their regeneration) Excessive workloads in sports (failure to comply with the rules and rules of training quickly leads to the appearance of spurs on the heels) weight of general diseases (in most cases these are diseases associated with metabolic disorders: diabetes, cardiovascular diseases and etc.).

The very first symptom that indicates the development of the heel spur is pain in the heel when carrying weight. Usually it is described as a nail in the heel.

There is such a feeling due to the fact that bone formation begins to put pressure on soft tissues, and this feeling is greatly intensified when walking.

The pain is strong enough in the morning, when a person just gets up from bed, during the day they can decrease a little, but by the evening they appear with even greater force. The cone on the leg grows more and more in the course of time.

Treatment of the spur on the heel

Naturally, when it becomes painful to walk, the first thing a person puzzles, to whom and where to go, where to find a good doctor and how to treat.

Alternatively, you can contact the district therapist, who will direct you further - to the necessary studies and determine the specialist to be treated. However, it is often advised to go to the surgeon immediately, because The problem is associated with a bone growth, and this is the area of ​​activity of the surgeon.

He will certainly examine your leg and, most likely, will send you to X-ray, because it is this method of research that most likely can reflect the picture of what is happening. Based on the results of the examination, the doctor will choose the method of treatment.

Treat the heel spur several different methods. One of them is ultrasound therapy. The method is new and not yet fully described and accurate. In addition, it has a large number of contraindications.

Radiation therapy is also one of the methods of struggle. For the treatment of calcaneal blisters, X-rays are directed to the spur. The effectiveness of this method is quite high, and it has virtually no contraindications. Laser treatment is another modern way of getting rid of the heel spur. The beam passes through the tissues and relieves pain, while, however, the build-up itself does not remove.

Therefore, it is required to conduct regular sessions to ensure high-quality prevention. Physiotherapy is an excellent method to reduce discomfort from the calcaneal spur. Gymnastics, massage, various special exercises - all this helps to significantly reduce the pain from the spur and makes life with it not so difficult.

In the most neglected cases, surgical intervention is used.

What is the calcaneal spur (plantar fasciitis).Spur, or plantar fasciitis is the formation of a spine-shaped osteophyte on the calcaneus. Growth presses on soft tissues, which causes painful pain when walking. The size of the osteophyte can reach 3-12 mm. Various medical methods and folk methods are used for treatment.

• - acetic acid;
• - Pork smale;
• - egg;
• - Burdock leaves;
• - leaves of plantain;
• - leaves of mother-and-stepmother;
• - mustard;
• - red hot pepper;
• - bandage;
• - cellophane;
• Socks.

Conservative therapeutic therapy aimed at eliminating the pain syndrome in the heel includes massage and therapeutic gymnastics that improve blood circulation; Physiotherapeutic procedures, namely electrophoresis, magnetotherapy, ultrasound, UV.

In addition, an important factor in successful treatment is the provision of unloading the affected area. Therefore, it is recommended to wear special orthopedic insoles.

It should be noted that the use of this method is prohibited for pregnant women and people with pathology of blood coagulability.

In severe situations, when conservative and drug therapy did not have the desired effect, they resort to surgical intervention.

Such treatment is characterized by removal of dense formations on the bones and excision of modified closely located tissues that support pain in the calcaneal region.

Symptoms of calcaneal spur

There are certain signs that indicate the origin of the calcaneal spur: acute intolerable manifestation of pain during walking and weight transfer on the heel, a noticeable change in gait, the appearance of difficulty in movement.

Preventive measures of the calcaneal spur

Often the prevention of calcaneal spurs is to prevent untimely aging of the osteoarticular apparatus: avoid overloads of feet, fight with excess weight, with flat feet use orthopedic insoles, actively move during the day, wear comfortable shoes, in time to treat diseases of the spine and joints.

The 24-hour "pipeline" of biochemical reactions occurring in the cells of the body ensures its vital activity.

Some compounds are split, others are synthesized, others are removed, and as a result, thanks to the complex metabolism, organs, human systems are supplied with nutrition and energy. If this "conveyor" fails, the functions of the organs are violated, and then the doctor's help is required.

A specialist who treats metabolic disorders is the endocrinologist. To it it is necessary to address, when activity of a thyroid gland, a prostate, ovaries, a hypothalamus, a pituitary body, adrenals changes.

The endocrinologist-gynecologist specializes in problems of the female hormonal sphere, childbirth and infertility. Hormonal disorders in children and adolescents are treated by a child endocrinologist. In fact, appetite, nutrition and metabolism are the main indicators of human health.

If the food is processed slowly, not completely, the uncleaned substances are deposited "in reserve". Not only under the skin, but also - which is much more harmful - around the internal organs, which are fused with fat. Because of this, various severe diseases develop.

Hormonal disorders can be inherited, they are not cured, but controlled by drugs, diet and the appropriate way of life. However, most often the metabolism deteriorates due to gross errors in nutrition.

Harmful as a deficiency of nutrients, and their excess, especially high-calorie, fatty foods. To determine the cause and stage of metabolic disorders, you need to contact the endocrinologist. The lack of iodine in water and food causes severe thyroid disorders.

A man eats a little, but still gets fat, the cold endures the pain. When, on the contrary, there are too many hormones, they poison the body, and thyrotoxicosis is formed, up to the formation of goiter.

At the same time, a person is active, fussy, but quickly gets tired, irritated by trifles, suffers from excessive sweating. The appetite does not complain, but does not get fat. Completely does not tolerate heat, he immediately begins tachycardia.

With poor carbohydrate metabolism, diabetes develops.

If the thirst is constantly dry out in the mouth and the thirst is tormenting, the urge to urinate becomes more frequent, at times the wolf suddenly appears appetite, gums, mucous membranes are becoming more and more inflamed, itchy skin itching, too, should consult an endocrinologist.

Severe metabolic disorders can lead to obesity. It is characterized by a significant excess weight, dyspnea, tachycardia, high blood pressure, frigidity, impotence.

Violation of the balance of mineral substances and vitamins leads to the deposition of salts and damage to bones, muscles, vessels. On this basis, develop osteochondrosis, gout, arthritis, myositis, atherosclerosis.

Consult with an endocrinologist also makes sense with infertility, excessive hair growth in unusual places, decreased sexual desire, frequent urination. These problems can be a consequence of disruption of the pituitary or hypothalamus. A vomiting, pain in the bones, constipation, chills, tachycardia, depression often signal an increased or decreased calcium metabolism. Cure these ailments will also help the endocrinologist.

In addition to mandatory general blood and urine tests, the state of metabolism is established by determining the nitrogen and acid-base balance, the respiratory coefficient. Specific violations allow to identify blood tests for hormones, serum composition, ultrasound, CT, MRI, radionuclide diagnostic methods.

A source: https://www.kakprosto.ru/kak-821058-k-kakomu-vrachu-idti-s-pyatochnoy-shporoy

Heel spur: which doctor heals? Effective methods of treatment

Quite serious and extremely unpleasant pathology is the calcaneal spur. Which doctor treats this problem? First of all - a surgeon. However, about everything in order.

general information

The disease is quite unpleasant, but not all doctors prefer to see the cause in the violations of the work of internal systems and organs.

Some nonprofessionals offer to write off everything for age, but statistics show: a spur can appear in childhood, youth, maturity, and in advanced years.

Investigating the heel spur, the doctor usually diagnoses bone pathology, which is the source of pain.

In fact, the spur is such a growth, the growth of the bone, which takes the form of a wedge, a spike. Nastrost provokes painful sensations.

If at first the pain only hurts when walking, over time the disorder progresses and unpleasant sensations torment at rest.

Carrying out studies of the calcaneal spur, the attending physician prescribes an x-ray examination, since only in this image can one reveal both the build-up itself and its characteristic features.

From where and why?

Before deciding which doctor to go with the heel spur, it is important to understand why the disease develops. The most frequently encountered factors provoking the problem are:

• flat feet;
• active sports;
• overloading;
• age changes;
• excess weight;
• obscheomaticheskie violations.

And if more?

Which doctor treats the heel spur, if it is provoked by the above factors? First of all, they go to the therapist who is treating the doctor, but almost always the specialist redirects to the surgeon. It is known that up to 90% of cases spurs diagnosed in those suffering from flat feet.

With age, bone tissue weakens, which also provokes the development of various disorders. Not the last among them is a growth in the form of a spike, that is, a spur. As the tissues are regenerated slowly, with difficulty, the situation with time deteriorates.

To take care

Often, information about which doctor heals the heel spur is necessary for athletes and those who lead a very active lifestyle.

This is due to an increased probability of spur development with regular overload.

If a person is engaged in sports, but negligently refers to safety rules and restrictions on training, this provokes changes in bone tissue, most often expressed in the appearance of a spur.

Metabolic disturbances in combination with high load indices rapidly provoke wedge formations, and when walking, and then at rest, severe pains in the heel begin to excruciate.

It's sad, but almost all overweight people know exactly which doctor heals the heel spur.

General health problems

Many people who suffer from unpleasant illnesses that adversely affect the state of health in general know how to treat a heel spur with folk recipes. The most typical example is diabetes mellitus.

The disease imposes serious limitations on both lifestyle and nutrition, and is accompanied by regular deterioration of well-being, degenerative processes and pathologies of various organs. Of their number - a spur.

In addition to diabetics, blockage of the heel spur is often required for those who have heart disease, circulatory system. Such violations affect the immunity, the general condition of the body, therefore, the probability of the appearance of a spur increases.

What should I look for?

It's no secret that the disease is easier to treat if you find it at the very beginning. The spur will not be an exception: the earlier the therapy starts, the shorter the course and the higher its effectiveness.

The very first symptom, hinting that it's time to visit a doctor - pain in the heel, accompanying the transfer of weight. The sensation is like this, as if by inaccuracy a person stepped on a nail.

The pain is explained by the influence of the build-up on the bone on the surrounding skeleton of soft tissue. Bone formation squeezes surrounding tissues, affecting nerves. When walking, discomfort becomes more pronounced.

It hurts - it does not hurt

Among ordinary people there is an opinion: the stronger the pain, the more spur. In fact, there is no direct connection between the sensations and the size of the build-up.

As doctors say, tenderness is more connected with the affected point.

After learning which doctor heals the heel spur, it is necessary to visit the therapist or surgeon urgently to reveal the exact position of the spur and the degree of neglect of the pathology.

Usually soreness is pronounced in the morning, but eventually weakens. The peak comes at a time when a person gets up after an overnight rest. However, late in the evening unpleasant sensations again increase. Over time, the cone becomes bigger and bigger.

It hurts to walk: what to do?

It is known that the treatment of the calcaneal spur with shock-wave method gives good results, but You can not write to the session right away, first you need to conduct a full examination and identify features of pathology. And for this it is necessary to look for a really good doctor.

Usually patients visit the district therapist, who prescribes the direction for further treatment of the disease. As a rule, refer to a surgeon. Here, a leg is examined, an X-ray is taken to obtain maximum information about the build-up. This allows you to choose the optimal method of treatment.

Than to treat?

Treatment of calcaneal spur by shock-wave method is widely known, but this is not the only possibility.

The most modern variant is ultrasound, although such technology is not worked out to a sufficient degree. It's really innovative, but it's not too precise yet.

In addition, a lot of contra-indications are known for ultrasound, which limits the possibility of applying the methodology.

An alternative option is radiotherapy. They resort to x-ray radiation directed to bone formation. With high efficacy rates, the technique is good with minimal contraindications.

How else?

A fairly common option is laser therapy. The technology is based on the following: when passing through the tissues of the human body, the laser beam relieves pain without removing the build-up. This technique is considered to be gentle, simple, but requires regular repeated courses of treatment.

Another option to get rid of discomfort is physiotherapy. As a rule, doctors prescribe a special massage and select gymnastic exercises, due to which soreness decreases and quality of life returns.

However, if soft, non-invasive techniques do not work, prescribe an operation.

Features of treatment

Usually the spur grows from three to 12 millimeters. To eliminate the soreness resorted to folk methods. Known for their effectiveness against the spur:

1. plantain;
2. mustard;
3. vinegar;
4. hot hot pepper.

It should be understood: folk recipes help in combination with medical measures to eliminate build-up and in consultation with the attending physician. Otherwise, there is a probability of complicating the situation.

Typically, make compresses on the affected area, applying a bandage with chopped leaves or a liquid soaked with a bandage, then put on warm socks.

Compresses are kept for 15 minutes to several hours (depending on the chosen remedy).

Shock Wave Therapy

This method can be safely called the most famous. It is well established and effective against a variety of bone growths - large and small, localized in different places. In addition to good performance is painless.

The idea of ​​the technology is as follows: the affected part of the foot is affected by an infrasonic wave. Under the influence of the shock-wave method, calcium salts, the crystals of which form a built-up edge (spur), loosen. Over time, bone tissue is restored.

Osteopaths against spurs

Osteopathy is another well-known method of combating the disease. Its idea is to activate the work of internal organs, systems, which positively affects the bone tissue.

At the same time the growths dissolve, the seals go away. Correctly applied techniques of osteopathy can improve the periosteum, including the supply of tissues with blood and nutrients.

It is important to contact a certified osteopath. Combine this treatment with other methods is strictly not recommended. Do not resort to traditional medicine.

A chronic illness is a sentence?

Spur is a chronic disease, provoked by metabolic problems in the body and associated with overstrain of the ligaments in the foot.

Cure the spur once and for all - the task is almost impossible, at least for the time being, so almost all known methods of therapy are reduced to the elimination of pain.

Quite well recommended non-steroidal medications that eliminate inflammation and pain. A specific option is chosen by the doctor, most often assigning one of the means from the following list:

• Ibuprofen;
• "Movalis
• Diclofenac.

All these drugs on sale are presented by tablets, ointments, gels. They relieve pain, block inflammation, that is, they treat not the problem, but its manifestations.

It is necessary to choose a remedy carefully, since each of the listed variants has many contraindications.

It is inadmissible to use these funds for long courses, and treatment is always carried out under the supervision of a doctor.

Hormones against the spur

Another effective approach to fighting spurs is hormonal drugs.

They are good against inflammatory processes, which means they quickly remove painful sensations in the damaged area.

The correct choice of hormonal therapy allows you to block the growth of tumors. The most widely used means:

They are administered topically to avoid side effects. This is due to the high efficiency of the active substance.

A source: http://.ru/article/342878/pyatochnaya-shpora-kakoy-vrach-lechit-effektivnyie-metodyi-lecheniya