Heel spur: symptoms and medication

How to treat a heel spur with medicines

In the treatment of the calcaneal spur, three effective methods are used: orthopedic, medication and physiotherapy. At the first reference of the patient, the doctor, prescribing treatment, traditionally prescribes medicines.

Official medicine has developed several schemes for their application. The choice of technique depends on the cause of the disease. Orthopedist or surgeon, taking into account individual characteristics, will recommend how to treat heel spur medications.

What are the drugs used to treat the calcaneal spur? What medicines are used at different stages of the disease? How are they applied? An article is devoted to these questions.

What medicines are used to treat the calcaneal spur

The main complaint of patients with a calcaneal spur is starting pain in the heel in the morning and after any period of rest while resting on the foot.

X-ray examination in this case often, but not always reveals a characteristic osteophyte, the so-called heel spur.

The doctor after the diagnosis is determined by the tactics of treatment, depending on the cause of the plantar fasciitis. In this case, medicinal treatment is prescribed with the aim:

• reduce the inflammation of the plantar fascia;
• to stop pain syndrome;
• to remove the swelling of tissues;
• restore the volume of foot movements.

Medications that are used in the treatment of calcaneal spurs are of different pharmacological groups.

1. Nonsteroidal anti-inflammatory ointments, gels and creams: Indomethacin, Voltaren, Diclofenac, Dexalgin, Ketoprofen, Fastum.
2. Nonsteroidal anti-inflammatory drugs in tablets: Voltaren, Dexalgin, Ibuprofen, Diclofenac.
3. Corticosteroid preparations for injections: "Hydrocortisone "Diprospan "Kenalog".
4. Corticosteroid preparation: ointment "Hydrocortisone".
5. Anti-inflammatory drugs for topical use: Dimexide.
6. Locally irritating preparations: ointment "Capsicum medical bile, various plasters with anesthetic effect.

Medicinal preparations for the treatment of the calcaneal spur are applied separately or in combination in various combinations.

The use of drugs with a calcaneal spur

Drug treatment of the calcaneal spur is carried out in stages.

• Initially, local anti-inflammatory drugs are prescribed for rubbing after the steaming of the foot: ointment "Indomethacin "Voltaren gel "Fastum "Hydrocortisone".
• If the pain syndrome does not stop, the doctor applies another scheme of drug treatment. It consists in the use of non-steroidal anti-inflammatory tablets: Voltaren, Diclofenac, "Dexalgin" in combination with locally irritating agents: "Dimexide medical bile, pepper patch.
• At the next stage of treatment of the calcaneal spur, medications are used during physiotherapy with iontophoresis, electrophoresis.
• Finally, in the absence of the therapeutic effect of treating the calcaneal spur, doctors resort to the last medication - the blockade of the calcaneal spur with hormonal preparations.

Of course, this is just an approximate scheme of drug treatment of plantar fasciitis.

In addition, the treatment of the calcaneal spur is carried out in conjunction with exercise therapy and orthopedic aids.

How will the treatment process, depends not only on the qualification of the doctor, but also on the efforts of the patient.

Ointments, gels and creams

Through this method of treatment, all patients with calcaneal spine inevitably pass in the initial stage of the disease. External drugs from the heel spurs are used as rubbing.

Given that the skin on the sole is thick, ointments are used after steaming the feet in hot water for half an hour.

This accelerates the penetration of the drug into the zone of inflammation of the plantar fascia.

At treatment, take a small amount of ointment, cream or gel in the palm and rub into the skin until the dry palm. Ointments are applied on the day 2 or 3 times, without covering with cellophane. When comparing the dosage form, ointments should be given preference because of the higher concentration of the drug substance.

Nonsteroid tablets for ingestion

In the acute phase to stop the pain from the heel spur the doctor appoints pills. They are a pharmacological group of non-steroidal anti-inflammatory drugs.

1. The drug "Diclofenac" is used to relieve inflammation and pain in the foot. It is also produced under the trade name "Voltaren "Rapten "Naklofen". The daily dose, depending on the dosage, is taken in 2 divided doses. If the drug is prolonged, it is taken once a day.
2. For pain relief, the most popular medications are Ibuprofen-based tablets. They effectively relieve pain in the foot and inflammation of the plantar fascia. The mechanism of action of drugs in this group is due to normalization of microcirculation, a reduction in vascular permeability and a decrease in the release of inflammatory activators. Tablets "Ibuprofen" are also produced under the trade name "Nurofen "Advil" and "MIG-400". They are applied 2-3 times a day for not more than a week.
3. Medications with the active substance - ketoprofen, have a pronounced analgesic effect. Orally apply in the form of tablets or capsules 1 or 2 times a day based on the duration of the drug. These medications are issued under the trade name "Ketonal "Dexalgin "Oki "Artrozilen "Artrum".

External preparations of local irritant effect

The warming ointment "Kasikam" refers to the pharmacological group of locally irritating drugs. This warming ointment is popular with athletes before training. It is also used by patients with a calcaneal spur.

Ointment "Kapsikam" has warming properties due to its complex composition. The main substance of the ointment contains a synthetic analogue of capsaicin, a substance emitted by the bitter chili pepper.

It is this substance, irritating the skin, causes increased blood circulation, which is accompanied by a sensation of heat.

Rubbing 2-3 mg of "Capsicum" is accompanied by such effects:

• pain reliever;
• anti-inflammatory;
• intensifying blood supply;
• relaxing muscles.

Local irritant effects also have therapeutic patches. They contain various combinations of substances, the irritant effect of which increases blood circulation.

As a result of the use of patches relieve pain and eliminate inflammation.

They are glued to the dry surface of the heel in the area of ​​severe pain, where they have a curative effect during the day.

To medicines of irritating action the tinned medical billet concerns also. It is applied in the form of compresses overnight for 10 days. The long-term practice of application has proved the effectiveness of medical bile in inflammatory diseases of the musculoskeletal system.

The result is:

1. increased blood flow at the site of application;
2. resorption of inflammation;
3. anesthesia.

Injection of hormonal drugs

Glucocorticoid drugs "Diprospan "Kenalog" and "Hydrocortisone" are used to block the heel spur.

Apply this method with severe pain and when other medicamentous methods of treatment of plantar fasciitis with the use of non-steroid agents have exhausted their capabilities.

The active substance of these medicines is artificially created hormones of the adrenal cortex. "Hydrocortisone" has a short time of therapeutic and side effects.

"Diprospan" is a glucocorticosteroid, that is, a long-acting steroid hormone. "Kenalog" is a depot form of a glucocorticoid.

Drug treatment with hormonal drugs quickly helps to cope with pain and eliminate inflammation with a calcaneal spur. But the therapeutic effect of their use is as long as after the use of nonsteroid medicines.

But the negative impact causes a malfunction in the endocrine system by oppression of the pituitary gland, which threatens the occurrence of serious complications.

Such, for example, as a disease Itenko-Cushing, characterized by hypercorticism - increased production of hormones of the adrenal cortex.

This is manifested by increased blood sugar and blood pressure, oppression of the thyroid gland, as well as ovaries. Such changes lead to osteoporosis - thinning of bones, which contributes to fractures.

The use of hormonal drugs for the rapid elimination of pain from the heel spurs at the cost of the appearance of a bouquet of chronic diseases is not justified and unreasonable.

Summarizing all of the above, we recall that in the treatment of calcaneal spur an important role is given to drug therapy. In the initial stage of the disease, medications are used in the form of a cream, ointment or gel.

If after the course of treatment pain is not stopped, the doctor uses non-steroidal medications for ingestion in combination with external anti-inflammatory drugs.

The last choice of the use of medicines is the treatment with hormone-containing drugs.In this case it is worth recalling that the plantar fasciitis alone can not be cured with medicines alone.

Medical treatment of calcaneal spurs is used in combination with orthopedic and physiotherapy methods.

A source: http://shporynet.ru/lechenie/pyatochnaya-shpora-lechenie-medikamentami.html

Heel spurs: medication treatment at home

The osteophyte is an unpleasant and pleased painful manifestation of the growth of bone tissue in the form of a spine, caused by the pulling action of the tendon or ligament.

For such a disease, as heel spurs medication treatment is quite possible, if it is not run.

On the causes of origin, the means of help we will talk in today's article.

Why there is a disease

With the diagnosis of heel spur, medication treatment means that the disease has already been detected, for example, by ultrasound or X-ray.

The signs of the calcaneal spur are obvious, and despite the fact that the disease develops gradually, calls to the doctor are actually already at the stage when the growths cause considerable discomfort at walking.

According to the statistics of treatment with fasciitis (inflammation of muscle tissue due to osteophyte), women suffer more often because shoes on high heel, when the foot abruptly moves from the position of the load to one ligament in the rest position and vice versa, are typical for the female sex. Loads on legs when walking, active way of life are not at all an indicator that osteophyte is excluded. The main condition for its prevention is proper nutrition, uniform alternation of loads on the foot with rest and timely diagnosis performed by a specialist.

Asymptomatic course of the disease

Microscopic tears, cracks, which are formed during systematic loads on the foot due to uncomfortable shoes, unusual height heels (or his absence after the foot was constantly on his heel) are amenable treatment.

How to treat a heel spur medically? Ensure the foot rest, lubricate with any soothing and inflammatory remedy, anesthetize and try, with relief, to give time to the foot and not load it.

Quite other measures should be taken if the pain in the heel is tormented by other causes - infections, injuries, obesity, etc.

In this case, identify the root cause of the problem and delete it first, otherwise use means that directly affect the tissues (bone, muscle, tendons) will only help for a short time. Their action is based on anesthesia and the removal of inflammation.

Even worse will be to insist on conservative methods without confirming the genesis of the disease. Therefore, before treating the heel spur with medications, it is worth making sure that your initiative does not hurt: take tests, do an x-ray or an ultrasound of the foot.

Attributes of the calcaneal spur, where you need to see a doctor

Determine the disease is not difficult, if it is already progressing. First signs:

• Discomfort in the heel with a load on the foot, piercing the pain - it's plantar fasciitis.
• Bony growths on the heel from behind, developing and sticking out from under the skin, visually easily diagnosed, deliver no less problems - it is the calcaneal spur.

Drug treatment of the heel spur at home is possible, but self-medication without diagnosis should not be done at least because different stages of the disease have different purposes, and that on one of them will be an effective remedy, in another it can aggravate the course disease.

What are the causes of the disease

One of the main causes of the spur is the impaired metabolism, which is usually associated with the overweight of the patient.

The wrong course of the metabolism of carbohydrates in the body leads to the formation of calcium deposits and inflammation of the calcaneal tuber tissues.

Experiencing the maximum load during walking, running, jumping, internal foot tissues sometimes get microtrauma, which as a result of a constant load is not healed, but aggravated by new loads.

In such cases, do not step foot baths, you can not warm up with compresses: this will help in later stages of the disease, but on the initial can cause swelling and increased pain syndrome. That is why if a suspected "heel spur" is suspected, medication should be prescribed by a specialist, and self-medication is not recommended.

First of all - we treat the source

Other causes of the disease include flat feet, orthopedic diseases and curvature of the spine (due to unevenly distributed weight on both feet), chronic hidden infections (chlamydia, causing Reiter's syndrome), rheumatic diseases (arthritis, Bekhterev's disease, gout). To confirm the diagnosis of "heel spur" (medication can be prescribed only after the establishment), you need to pass some tests. They allow us to determine that the disease is indeed of an osteopathic nature, and not another (joint, vertebral) with similar symptoms. With some of them, the load on the feet may not even be so significant, so the treatment of the heel spur with medicines will no longer give a stable effect. In this case, you need to carefully treat the primary source of problems.

Heel spur: treatment with medicines

Reviews about the drug treatment of patients are often positive, because carefully performed prescriptions of an orthopedist or surgeon at the initial stage of the disease can remove the pain syndrome and get rid of symptoms.

Non-steroidal anti-inflammatory drugs are used in the form of capsules, tablets of creams and ointments, for applications and compresses, hormonal preparations in the form of gel, cream or injections.

Combining with massages, which also need to be performed correctly, treatment with such a means can remove all the pain for a two-week course of use. Effectively help ointments and creams of steroid or non-steroid type.

It is shown and effective for the disease "calcaneal spur" treatment of medicines: saber, bee venom, on the basis of which creams are created to alleviate the symptoms.

Ointments need to be applied not periodically at the most intense pains, but thrice-four times a day, preheating the aching heel. Their action is manifested as softening of the skin, relieving inflammation, anesthesia, improving blood supply in the painful area.

Sabelnik

Sabelnik swamp has long been widely used both internally and externally, and promotes the healing and removal of inflammation of a different nature.

It is taken as alcoholic tinctures, broths and herbal infusions, use topically.

Its leaves contain many valuable substances that have a pronounced anti-inflammatory and analgeziruyuschim action, improve metabolism when ingestion, contribute to strengthening protective forces organism, immunity. In addition, the sabelnik has no contraindications. Unless pregnant and nursing mothers should not resort to a saber.

To treat the calcaneal spur, the saber is recognized as one of the best natural remedies. On the basis of this natural preparation, an alcoholic tincture is made. The course of treatment is three weeks for oral administration.

On the basis of the tincture of the saber make and night compresses on the aching heel with the use of foil or plaster.

From badger, goose fat or glycerin, mummy tablets and a dessert spoon of this tincture make an ointment that is applied to the pre-heated skin and remains as a compress for the whole night.

Methods of conservative medicine for the treatment of calcaneal spurs

Allow to alleviate the symptoms of the disease and such means as:

• Shock wave therapy (UTV), aimed at improving blood circulation. It quickly makes the bone part more loose with impulses.
• X-ray therapy, which has no contraindications, which anesthetizes the site of spur localization.
• Ultrasound, a warming up painful place, and accelerating metabolic processes, which contributes to the regeneration of damaged tissues.
• An excellent way to get rid of such a disease as a heel spur is treatment with medicines: ointments, cream, which presuppose the whole course of treatment, lasting and effective. Suitable are various ointments and creams containing components such as butadion, diclofenac, ibuprofen for the removal of inflammation.
• One of the most extreme methods, which are used as rarely as possible, is surgery, it is necessary only if all other methods have not helped.

Types of treatment of calcaneal spurs

Other methods of conservative treatment include the use of orthopedic insoles, silicone pads under the heel with a depression or a hole in the location of the build-up. Such a method can be combined with a more traditional one, the effect of a cream or ointment combined with gentle heel care will make the healing more rapid and effective.

In addition, such types of care as plasters, warm foot baths, wrapping, heating paraffin (paraffinotherapy), metal therapy with foil, mud therapy, laser therapy and medicinal blockade.

Blockades are a tool that you can not use on your own.

A source: http://.ru/article/203301/pyatochnaya-shpora-lechenie-medikamentami-v-domashnih-usloviyah

Treating the calcaneal spur with medicinal preparations. Overview of effective tools

When a person crosses the 40th anniversary, the body begins to fail. Especially the legs suffer, because they are constantly in action, they are heavily loaded.

Flat feet, arthrosis, varicose veins, thrombosis, gout, hips, heel spurs are diseases that develop not spontaneously, but throughout the life of a person.Many of these diseases, such as heel spurs, can be prevented and cured in time by medication or folk remedies.

Recently, more and more people suffer from this disease and often simply do not know what to treat the heel spur. Medically, this disease is treated quickly enough, but folk methods are applicable to alleviate the symptoms of the disease.

This seal in the common people called "spur in the heel" or "heel spur and in medicine - plantar fasciitis. The first symptoms of this ailment are strong stitching pains in the heel, manifested with the slightest load and exacerbated by extension or flexion of the foot.

The causes of calcaneal spurs

Plantar fasciitis is an ailment of every second person.Especially suffer from this ailment, those who are actively engaged in athletic walking or running for long distances.

The root causes of plantar fasciitis:

• Excess weight.
• Too tattered or inappropriate shoes.
• Broken walking (gait). Since excess weight falls on the heel bone, suffer from a load of ligaments and nerves of this area.
• Various injuries of the lower limbs - from the stretching of the tendons, muscles and ligaments to membrane ruptures.
• Flat foot or high arch of foot.
• Load on your feet for a long time.
• Long running or long walking on a hard surface.
• Too limited bend of the foot.
• Diabetes.
• Age transformation in tissues, which leads to a weakening of the flexibility of the strong part of the foot and a decrease in adipose tissue in the heel.

When should I see a doctor?

On the existence of plantar fasciitis, a significant number of people learn by chance, mainly in the process of X-ray examination. Consequently, plantar fasciitis is not always accompanied by pain, does not bother a person and therefore does not require treatment.

Than to treat a heel spur - by means of national methods, medicamentally or for this surgery will be required, depends on a stage of development of disease

It follows that heel spurs develop, injuring soft tissues. Stitching pain occurs suddenly when the patient rises to his feet, especially in the morning, from a bed or after a long sitting.

Plantar fascia can detect itself episodically- during a long walk or a long run. In this case, there is an inflammatory process in the area of ​​the plantar fascia.

Doctors pay attention!With the appearance of acute pain, it is necessary to treat the heel spur medically.

Drug treatment of calcaneal spur

Before treating the heel spur medicamentously, it is necessary to undergo a survey.

The specialist, having studied the medical history and having listened to the patient about the painful symptoms in the heel area, suggests to be examined bone tissue of this site, in order not to take into account other causes of the formation of pain - arthrosis, stretching or fracture.

Usually appoint:

• X-rays, in which the cause of pain is clearly visible;
• magnetic resonance imaging (MRI) - the ability to examine cartilage tissue, bone tissue of the foot, ligaments and tendons;
• Ultrasound (ultrasound) is the safest test that can be used quite often.

Based on the image given during the examination, the doctor recognizes the stage of development of the plantar spur.It can be:

• subclavian bursitis or plantar fasciitis,when there are inflammatory changes, i.e., the formation of a plantar spur that is not yet visible on the roentgenogram. In this case, reduce the pain medically, remove the inflammatory process and prescribe follow-up therapy;
• plantar fasciitis (calcaneal spur)- already formed bone growth in the form of a spine, which grows in the area of ​​fixation of the plantar aponeurosis.

Important to remember!How to treat the heel spur drug medically solved by the attending physician. In the course of the survey, one should listen to the advice of professionals, and not be treated independently, which can provoke an inflammatory process and lead to subsequent complications.

If the treatment is not started in time, the plantar fasciitis will develop, grow and, accordingly, the pain will only increase.The treatment with the folk method does not give such a result as medication. On the contrary, the disease develops and, as a result, the patient turns to the hospital.

Conservative treatment is:

• Medication based on NSAIDs(non-steroidal anti-inflammatory drugs) -injections, tablets, gels, ointments and compresses with anti-inflammatory and analgesic effects,which brings relief to people suffering from pain, reduce the production of inflammatory activator cells, reduce the permeability of the vascular wall and improve microcirculation.
• ESWT.During the treatment session, powerful pulses of the sound wave crush the calcium build-ups and stimulate the process of restoration in the foot.

• Physiotherapy.With the help of electrophoresis, laser therapy and cryotherapy, the process of inflammation slows down and pain decreases.
• LFK (therapeutic physical culture).Compound with drug therapy is aimed at strengthening the muscles of the foot.
• Orthopedic products- silicone heel pads and other products that reduce the load on the main part of the foot and heel bone.

Than to treat a heel spur medicamentally appoints the attending physician individually for each patient.

Special plasters

At the first stage of the plantar fascia, the simplest methods are applied, which have a significant effect. One of the most common methods - therapy with pepper and Chinese plaster.

Pepper plaster has a healing effect due to natural substances.

All components have a local irritant, analgesic and distracting effect.

The plaster is cut to the size of the heel and placed on a clean, rubbed alcohol solution of the diseased area. It is recommended to put a sock on top.

If the patient does not feel any inconvenience (itching, burning, tingling), the plaster should not be removed for at least 2 days. Pepper patch activates the bloodstream, helps reduce inflammation and reduces pain syndrome.

The price for packing is from 60 rubles.

Chinese patch based on trandermal drugs, is made on the basis of minerals, extracts of plant plants and substances of animal origin.

The Chinese special plaster is an excellent auxiliary method of therapy of plantar fasciitis- Eliminates pain and swelling, promotes the removal of excess calcium, removes inflammation in the affected area and improves blood circulation.The cost of packing is from 250 rubles.

Nonsteroid preparations

The most common NSAID drugs are prescribed at the second stage of the development of the disease:

1. Voltaren emulgel- on the basis of anti-inflammatory and analgesic substance diclofenac sodium. The drug helps to cool the inflammation and sensation of anesthesia in this area.

Apply a thin layer on clean, dry skin up to 3 times a day for 2 weeks. It is not recommended for pregnant women and people with an allergic reaction to analgin.The cost of 250 to 300 rubles.

2.

Ibuprofen -cream (gel) anti-inflammatory and analgesic preparation. It is recommended to apply to the inflamed area up to 4 times a day for 14 days. Ointment is contraindicated in children under 14 years of age, pregnant, during lactation and people with hypersensitivity.

The cost of 34 rubles for 1 tube 25 g.

3. Ketoprofen (flexene)- aerosol or gel with antipyretic and analgesic effect. - Movalis - tablets or solution for injection. One of the most effective anti-inflammatory and analgesic agents.

Dosage is prescribed by a doctor. It is forbidden to take children under 12 years old, pregnant and people with allergies.The cost, depending on the packaging of 300 rubles.

Hormonal (tablets and ointments)

In cases of severe pain in the third stage of the disease, and when other drugs are powerless, hormonal agents are used:kenalog, hydrocortisone, diprospan, betamethasone, flosteron.

The drug is injected directly into the sore spot by injection, so the procedure is painful, but very effective.

Specialists warn!This procedure is carried out only by an experienced doctor who chooses the required dosage and can get to the right place with a prick.

Alsofor the treatment of calcaneal spurs apply hormonal ointments: hydrocardazone, heel-spot-ointment, the purpose of T, ointment of apis.

Ointment has a positive effect on the state of the vessels in the diseased portion of the heel. They are applied by light massage movements 3-4 times a day for 14 days to 3 months.

Anesthetics (painkillers)

Pain in the heel spur can be removed with the help of anesthetics having a strong analgesic effect of local use- analgin, novocaine, ice medicine, droperidol, hydrocortisone. Drugs are injected with injections or as compresses with dimexide.

Anesthetics and dimexide give the most pronounced antiphlogistic and analgesic effect. The course of treatment - once a day for 30-40 minutes for 10-15 days. The drug is contraindicated during pregnancy. The cost of 174 rubles.

Blockade of calcaneal spur

The fastest way to stop pain with plantar fasciitis is the use of a drug blockade based on diprospan or Kenalog.Blockade - a solution of anesthetic and kenalog (depropan), which is injected into the diseased area with the help of a prick.

The blockade quickly relieves pain, but has a number of contraindications: pregnancy, diabetes, drug allergy, bone disease, etc.

Note!Only an experienced doctor does the blockade.

Any action - the place of administration of the solution, the depth of the injection, the correctness of the administration of the drug depend on the experience of the specialist.

If the procedure is performed correctly, it will save the patient for a long time from stitching severe pain in the heel. In certain cases, the procedure is repeated, but not more than three times.

Prevention of calcaneal spurs

The removal of the inflammatory process and painful sensations with the proper treatment of the heel spur is not yet a complete recovery.

After treatment, it is necessary to follow all the doctor's recommendations and stick to them throughout life.

The main direction of anticipation and progression of the heel spur disease:

• control your weight;
• choose only comfortable and fit shoes;
• timely diagnosis of diseases of the musculoskeletal system;
• prevent early aging of the osteoarticular apparatus;
• clearly follow the recommendations of specialists.

A source: https://womane.ru/lechenie-pyatochnoj-shpory-medikamentoznymi-preparatami-obzor-effektivnyx-sredstv.html

What medications are treated for the heel spur

Such a disease as calcaneal spur (or plantar fasciitis), mostly affects women aged 35-40 years. At the initial stages of development, the disease manifests itself in pain in the foot, which only grows with time.

Despite a large number of methods for treating plantar fasciitis, the most effective is the medical method.

Today in pharmacies you can find an impressive line of tools that allow to reduce pain syndrome, restore metabolic processes in the affected tissues and even stop the increase in bone growth.

The causes of the onset of the disease and the main symptoms

Unfortunately, after diagnosing "heel spur" many patients begin to try to remove unpleasant symptoms, They prevent to lead a normal way of life, thus completely forgetting about the need to find and eliminate the root causes disease. Plantar fasciitis can appear as a result of a number of factors, namely:

• because of flat feet;
• suffered heel injuries;
• with prolonged extreme loads on the legs;
• disorders in metabolism and circulation;
• uncomfortable and cramped shoes.

When identifying the calcaneal spur, you need to reconsider your habits - try to observe sleep and wakefulness, orthopedic footwear, give more rest to the footsteps and, of course, start a complex treatment, including the use of medicines.

Drug medications from calcaneal spurs

Drug treatment is prescribed for each patient suffering from plantar fasciitis.

If the disease was diagnosed at the initial stages of development, then with the help of medications it is possible to eliminate not only unpleasant symptoms, but also to influence the causes of the appearance of the heel spur.

In the case when the medicinal way of treatment does not show its effectiveness within 5-6 months, the patient is prescribed an operation.

Consider known drugs that are used to eliminate plantar fasciitis.

Ointments and Creams

Various anti-inflammatory and warming ointments and creams are one of the most popular methods of medicamental treatment of the heel spur. Depending on the physiological characteristics of the patient and a number of contraindications, doctors prescribe the following types of medications:

Hormonal medications

This group of medicines can quickly relieve pain and swelling in the heel spur, normalize blood circulation in the affected tissues. The most popular hormonal ointments are prednisolone, dexamethasone, betamethasone and others.

These medicines are used only under the supervision of a doctor due to the large number of side effects and contraindications.

For example, such medicines can not be used for people suffering from glaucoma, diabetes, Isenko-Cushing's disease, obesity.

Nonsteroid ointments

Anti-inflammatory ointments that do not have steroids in their composition will help to reduce pain in the heel, to stop the inflammatory process.

Such nonhormonal creams and ointments as voltaren, naproxen, diclac-gel, etc., have become very popular. It is necessary to apply such medication daily several times.

The course of treatment with drugs will vary from 3 to 8 weeks, depending on changes in the patient's state of health.

Medicinal remedies

Preparations aimed at stimulating the recovery processes have proved themselves well in the treatment of plantar fasciitis.

For example, ointments chondroxide, arthrin and mucosate for long-term use (from 3 to 6 weeks) are able to restore cartilage, stop the increase in the size of the bone growth, reduce pain in the affected disease tissues.

Homeopathic ointments and medicines, on natural components

Homeopathic ointments and creams based on natural medicinal ingredients are suitable for almost every patient who had a heel spur. With regular use, patients notice a decrease in pain syndrome and edema, increased mobility of the foot.

The positive effect of such drugs is due to the penetration of active substances into damaged tissues, the acceleration of restorative processes in elastic fibers, and the improvement of blood circulation. The most famous drugs of this group are kotraktubeks, ointment of apis, heel spurge-ointment, etc.

Regardless of what type of ointments the patient is prescribed, they should be used with strict dosage.

Most of the above drugs should be applied to the sore spot every day 3-4 times.

The course of drug treatment of calcaneal spurs with ointments and creams usually lasts from 3 weeks to 3 months.

Blockade

If the treatment of plantar fasciitis is ineffective, ointment patients are prescribed a blockade - a series of injections of the drug into the heel joint. The procedure can only be performed by a surgeon.

Taking into account the contraindications and the condition of the patient for blockade, steroid preparations aimed at the removal of inflammation are individually selected - this may be flosteron, diprospan or betamethasone.

Often, one blockage session can eliminate the symptoms of the calcaneal spur for several years, however, if after the first injection of the drug in the joint of relief does not occur, then a month later the injection repeat.

Other methods of drug treatment

The use of medications together with physiotherapy can significantly improve the effectiveness of treatment of plantar fasciitis.

Most often, phonophoresis is used to eliminate this disease.

This method has practically no contraindications, and the results of treatment become visible after several sessions.

When phonophoresis, the affected tissues of the patient's heel are first treated with non-hormonal drug, for example, hydrocortisone ointment, and then subjected to ultrasound using a special apparatus.

During the procedure, medicines penetrate as deeply as possible into the elastic tissues, directly affecting the unpleasant symptoms of the calcaneal spur. Often, patients are prescribed course treatment, consisting of 8-10 sessions.

In medical practice, there have been cases when phonophoresis bone growth has markedly decreased in size.

Conclusion

In conclusion, it should be noted that the treatment of calcaneal spur medication should be carried out after complete diagnosis and exclusively under the supervision of doctors.

Only with a comprehensive approach can we not only reduce the manifestations of the disease, but also prevent its progression.

In order for the medicinal treatment of plantar fasciitis to be more effective, massage should also be used, compresses, physiotherapy (shock wave, ultrasound and laser therapy), folk remedies and biologically active additives.

A source: http://pyatkamed.ru/lechenie-pyatochnoj-shpory-medikamentozno.html

Treating the calcaneal spur

1: 8, December 15, 2015 Laik 0 2374

The heel spur is the spine-like growth of the calcaneus. This formation may have the form of an osteophyte at the site of attachment of the ligaments in the foot.

During this disease, soft tissues, periostitis and mucous feet bags become inflamed.

The problem of this disease is a severe pain that prevents walking. Very often, pain is the first reason to call a doctor.

Treating the calcaneal spur is a long process. To it it is necessary to approach very carefully and responsibly. For effective treatment it is important to know the causes and symptoms of the disease.

Why does the spur appear?

The main causes of occurrence:

1. Flat-footedness.
2. Diseases of the joints and the musculoskeletal system.
3. Sprains and injuries of ligaments.
4. Strong physical activity of the legs.
5. Infectious diseases of bones.
6. Poor metabolism.
7. Edema, diseases of veins.
8. Poor circulation in the legs.

Also, the appearance of the heel spur is affected by uncomfortable shoes with high heels or on flat soles. It is necessary to choose suitable shoes, so that it does not cause any inconvenience.

Symptoms and Diagnosis of the heel spur

Symptoms include:

• Sharp pain while walking.
• Tingling in the heel region in the morning.
• Pain in the heel during exercise.
• The feeling of "needles" in the heel.

It is very difficult to recognize this disease independently, because the appearance of pain in the heel can be a consequence of various diseases.

Be sure to see the doctor when you have the first pain in the calcaneal region. It is impossible to engage in self-medication, it can lead to bad consequences!

Diagnosis is carried out in three stages:

1. Specialist examination. During the appointment, the doctor must listen to all the patient's complaints. Learn from him whether there were injuries, diseases of the legs, ligaments. This is necessary in order to make the correct diagnosis.
2. Examination of the foot. Diagnosis involves the palpation of areas with pain, tightness and damage.
3. X-ray of the footmust be done necessarily. He can accurately show the presence of spurs.

After a complete examination, the doctor must prescribe the necessary treatment.

Basic principles of treatment

• Clarification of the cause of the disease.This principle is based on the identification of the causes of the calcaneal spur. Perhaps this disease caused strong physical activity, overweight, uncomfortable shoes. Therefore, it will be reasonable to reduce the burden on the legs, lose excess pounds, pick up comfortable shoes. Sometimes it happens that the process of the disease takes place in an acute form. In this case it is necessary to provide complete rest for the sick leg.
• Reduce loadpainful area of ​​the soles of the feet. For this it is necessary to wear special orthopedic insoles, with the laying of the inner and outer longitudinal arches, with a recess and a soft lining under the heel. Along with the insole, you should also temporarily wear a heel with a recess or hole in the center. In addition, it is recommended to wear shoes without a back.
• Removal of the inflammatory processwith the help of conservative treatment. During this method, drugs (ointments and gels) are used that have anti-inflammatory and resolving properties.
• Warming bathswith sea salt, soda.
• Gymnasticsmuscles of the foot. This principle consists of exercises and massage, which have a therapeutic effect on the muscles of the feet and improve blood supply in the tissues.
• The use of chondroprotectorswith analgesic and anti-inflammatory effect. Only the effect from them appears on the sixth week of use. In addition, this treatment has a temporary effect, the disease may reappear after 2-3 months.
• Surgery.
• Treatment of the disease by physiotherapeutic effects.

Principles of treatment of the calcaneal spur, should perform the following tasks:

1. Removal of inflammation, swelling in the soft tissues of the feet.
2. Maximum relaxation of the joints.
3. Softening the spur.
4. Restoration of tissues.
5. Stop the dystrophic process.
6. Stretching of the hardened and shortened connective tissue in the tendon.
7. Improve blood circulation.
8. Getting rid of concomitant diseases - arthritis, flat feet.

Combating the calcaneal spur should be comprehensive. Sometimes the removal of pain does not relieve the disease itself. It is important to remove the very source of the disease and inflammation.

Methods of treatment

Heel spurs are a fairly common disease and must be treated responsibly. If you do not follow all the doctor's recommendations during treatment, you can seriously damage your health.

There are so many methods of counteracting this disease. The main thing is to choose the right and effective way to treat this ailment.

Medication

With this method, medicinal preparations in the form of ointments and gels are used. These drugs have an anti-inflammatory effect on the damaged foot tissues, in addition, they relieve pain. In more serious cases, treatment is carried out with injections.

The most effective preparations in the form of ointments and gels:

• Butadione.
• Indometacin ointment.
• Diclofenac.
• Voltaren.
• Piroxicam.
• Ibuprofen.
• Fleksen.

Also, ointments can be prescribed on the basis of hormonal preparations. Especially often based onHydrocortisone.

Local funds

With this method of treatment, medicines are prescribed for local or external use. Very often, non-steroidal and steroid ointments are used. Particularly effectivehydrocortisoneandindomethacinointments.

The most effective hormonal drugs for topical application:

1. Hydrocortisone.It well removes swelling, inflammation, pain. Lubrication with this ointment should be done every day at least two times a day.
2. Indomethacin.It removes inflammation, relieves swelling, relieves pain syndrome, has antipyretic effect. To treat the calcaneal spur, a 10% solution should be used. It is not desirable to use a long time, because it cancause diseasestomach and intestines.
3. Ibuprofen.It removes inflammation, anesthetizes, relieves fever. Caution, with prolonged use of this drug may appear stomach diseases - ulcers, gastritis and so on.

Very often at the initial stage of the disease, the following cosmetics are prescribed:

• Golden mustache. It contains a large number of natural components - shark fat, saber extract, golden mustache, plantain, corn oil, eucalyptus. This tool relieves of the corns, also effective in the healing of wounds in the calcaneal region. Golden mustache is applied twice a day. After applying the foot, it is necessary to cover with a warm blanket for two hours.
• Heel spur. This remedy cleans up the inflammation and moisturizes the skin. Usually it is used at the initial stage, when with the help of increased blood circulation it is possible to stop the development of the disease. Carnation oil and golden mustache, which are part of this remedy, dissolve bone growth in the calcaneal region.

Medicinal injections

In cases of severe inflammation,blockades- Injection in the heel. This method of treatment will be effective if you accurately get into the area of ​​inflammation. Such injections are introduced into the soft tissues that are located above the spinal outgrowth of the spur.

This procedure should be done by a highly qualified specialist, because it is very important that the injection is made precisely in the center of inflammation.

If the hit is inaccurate, the medicine will be distributed all over the foot and will not have any effect on the disease.

On the contrary, the drug can cause negative consequences - inflammation of the tendons, suppuration, necrosis. Therefore, this procedure is best done with acute pain.

The following preparations are used for injections:

1. Diprospan.
2. Kenalog.
3. Hydrocortisone.

Drug injections are very unpleasant, because the pain when injected into the site of treatment is similar to the removal of the tooth without anesthetic. The injection is made at the most irritated point of the heel.

In connection with the thick skin of the skin, the needle is injected very slowly, and the pain becomes even stronger. To reduce intolerable sensations, such injections are made with lidocaine.

It is important to know that after two weeks the drug is completelyresolvesfrom the place of accumulation.

Patch

Very often the heel spur is treated with a special plaster.

The surface of such a sticky preparation consists of warming substances that have an anti-inflammatory effect and relieve pain.

The plaster is adhered to the sore spot for a day, after which it is replaced with a new one. The treatment period is 8-12 days.

Physiotherapy

Physiotherapy in the treatment of calcaneal spurs consists of the following procedures:

• UHF-therapy.During this therapy, a current with high frequency and low voltage is used. Under the influence of current there is an expansion of the capillaries of the tissue, the level of blood circulation rises, the pain sensations disappear, and inflammation passes. The time of one procedure is 10-15 minutes. The course of treatment consists of 10-12 procedures.
• Laser treatment.This procedure uses a laser that increases blood circulation in the area of ​​inflammation, relieves pain.
• Magnetotherapyconsists in the treatment of the heel spur by means of magnetic fields. In this procedure, a temporary magnetic field is mainly used. By its action, this procedure is similar to UHF therapy.
• Electrophoresis.With this method, the drug enters the site of the disease with the help of an electric current and plates. The leg is placed on special electrodes. A sore spot with a plate is wrapped with a cloth previously moistened with the medicine.
• Phonophoresisthis is ultrasound treatment. It provides a deep penetration of the drug into the affected tissue. With this therapy, anti-inflammatory ointments are used. Phonophoresis well removes inflammation, anesthetizes, removes puffiness.

Surgical intervention

Surgical intervention is performed when other methods of treatment do not help. The operation is done onlyas a last resort.

However, it does not guarantee that the disease will not appear again.

The doctor removes the bone growth in the heel, but not the cause of the disease, so after a while the spur may reappear.

Types of operations:

1. Remove the spur by an open incision. This is an old method, such interventions are very rare.
2. Endoscopic dissection of the fascia of the sole.
3. Removing the calcaneal spur using X-ray control with a mini-invasive dissection of the fascia of the sole.

Complications after surgery:

• Infection of the wound.
• Feeling of the arch of the foot.
• Thrombosis.
• Poor healing.
• Suppuration of the wound.

Folk remedies

1. Treatment by walking barefoot.This is a very old method. It consists in walking barefoot on sand or grass. It is advisable to do this procedure in the morning. When you move, you need to relax, it should bring pleasure. You can not use violent actions - run, jump. This procedure is done in the summer every day for 40 minutes.
2. Warming with sand.Very good hot sand. To do this, it needs to be dialed and heated at home in the oven. Then immerse the diseased leg in it and keep it until completely warmed.
3. Propolis treatment.Propolis has an anti-inflammatory, analgesic, absorbable effect. It needs to be softened on a steam bath and make a small cake. Then attach it to a sore spot and bandage. It is desirable to leave propolis for the whole night.
4. Salt treatment.Dissolve 1 kilogram of salt in 5 liters of water. Boil this solution and cool it down to the opportunity to lower the hand there. Place the patient's leg there and warm until the solution cools.
5. Treatment with plantain.Attach a plantain leaf to a sore spot. It is very important that he is unwashed. Within 2-3 days there will be severe pain. In two weeks the spurs will disappear.
6. Treatment with bischofite.Bischofite is rich in minerals and nutrients. Use it to treat spurs should be strictly according to the rules. We must wash our feet with warm water and attach gauze moistened in bischofite to the heel. Then wrap in cellophane and put on a sock. This compress should be left overnight. This procedure should be done every other day. The course of treatment is 15 procedures.

Preventive measures

It is better to eliminate the causes of the disease in advance.

To prevent heel spur disease, you need to do the following:

• Fight weight.
• Exclude large loads on the legs. Everything should be in moderation.
• Combat flat feet with orthopedic insoles.
• Do not start the disease of the joints, spine.

Heel spur is a very unpleasant disease. It can appear in every person.

In order to prevent this disease in time, you need in the early stagesconsult a doctor.

Always be responsible for all the recommendations of the doctor, and protect your legs from injuries, heavy loads.

A source: http://SpineDoc.ru/other/lechenie-shpory.html