The heel spur is a bony outgrowth, which is formed on the area between the tendons, which causes pain and discomfort in the part of the sole.
Bone overgrowth (osteofit) on the surface of the sole of the foot in the heel area is called a heel spur. It looks like spike and presses on the soft tissue of the foot causing excruciating pain. Heel spurs can be different sizes: from 4 mm to 12 mm, the edge of the "spur" is directed toward the fingers and slightly curved upward.
It is believed that heel spur occurs in the load on the heel area of the foot, which happens with flat feet. There are cases when it occurs due to age factors, rheumatism, circulatory, and neurodystrophic disorders, and injuries. To this list of possible causes of heel spurs can add podpjatochnoj bursitis, fileburst and fasciitis.
Fascia or muscle tissue of the sole during the day under heavy loads. If the damage these tissues may develop inflammation and as a consequence inflammation - occurrence of heel spurs.
In the beginning of the last century, the primary cause of spurs were received injuries, but today more and more often the cause can be called flat feet or overweight. Especially the development of this disease of the foot is exposed women, which is 80% of the total number of patients are women of the cities.
From the emergence of spurs no one is immune. They can occur as one of the heels, or both, regardless of age, with the caveat that in old age the risk of spurs increases. At a young age this disease affects people who are especially vigorous training and exercise, thereby causing the load on the foot.
The indication of the formation of spurs is pain in the heel, at the moment relying on it. The most painful are the first steps after awakening, and after a long standstill. This pain is also called "starting to hurt." During the day it dies down, and then increase again, this time closer to the evening.
This pain occurs on the inner side of the heel region, or it is distributed over the entire surface of the sole of the foot. This pain is often compared to the pain from a nail, stretching up, so it is hot and spicy. Trying to reduce the load on the affected foot, people change their gait, and in the case of spurs on both feet, walking becomes impossible.
93% of people suffering from heel spurs, change gait by transferring the center of gravity from the heel to the forefoot and its outer part. This change leads to incorrect load distribution and causes transverse flatfoot. Visual inspection, as a rule, nothing reveals, and pathological changes go unnoticed. Only when pressed on the tubercle of the bone of the heel-side sole causes pain.
People suffering from excessive weight, are the most vulnerable category, which is likely to develop spurs. This is due to the load on the legs. In addition, those suffering from diseases of the spine, joints of the lower limbs and feet, are also susceptible to this disease, as in all these cases is the uneven distribution of gravity of the body. To the above categories may also include athletes who professionally are engaged in athletics, in particular running, during which the load on the foot is very high.
Pain in the heel spore is also enhanced due to the thinning of the layer of fatty tissue in the heel area. This layer of fat plays the role of a shock absorber during walking.
Pain in the heels does not mean that a person has the disease. In that case, if the symptoms spurs in the presence, then it is better to consult a podiatrist or surgeon in order to confirm or refute a possible diagnosis. There are some diseases, the symptoms are similar to symptoms of heel spurs.
Such diseases are rheumatoid arthritis, ankylosing spondylitis, Reiter syndrome. These diseases can be identified when carrying out the biochemical analysis of blood for the presence of rheumatoid factors.
And incurred by the person heel spur can be seen on x-ray. The pain from spurs depends not only on its size but also how sensitive tissue. Very often a large spur does not cause such pain, which can cause small, sometimes imperceptible in the picture. Therefore, to confirm the diagnosis, in addition to x-ray it is necessary to conduct an ultrasound.
In 25 cases out of 100, this condition leads to decreased mobility of the person. If the pain is particularly strong in this case is assigned to bed rest and gentle. Maintain a normal lifestyle is not by force. Especially hard this fact from perceived by the athletes and people who were active in the image. But in these conditions, when at each step are experiencing severe pain, keep the mode becomes very difficult.
Prevent heel spurs is quite possible. For this, you will need to do all the things that will not allow flat feet, wear heel bone area and inflammation in the soft tissues of the foot.
People who suffer from obesity, must take steps that will help to reduce their weight, thereby reducing the load on the feet. It is advisable to do foot massage and foot exercises, often walking on the grass and the sand barefoot, which will improve the blood circulation in the feet.
With flat feet is better to start early treatment, because it is fraught with the development of heel spurs. It is better to use orthotics, instead of the usual, and in General, if you experience pain in the foot, one should consult a podiatrist.
Comfortable shoes are also important in the prevention of this disease. It should be on a low heel, a maximum of 4 cm, and also not to pinch and not injure the foot. High heel increases the risk of heel spurs. But no heel also has a negative impact on the state of the stop.
Shoes without a heel to wear also is not recommended, as the arch of the foot is in a state of stress. Such shoes can be used for temporary wear, and extended wear everyday should be selected that does not subside with his feet and holding up well on it. Narrow toe shoes also are extremely undesirable.
Today, the treatment of heel spurs is to provide unloading, ultrasound therapy, acceptance mineral baths, the local administration of corticosteroids, radiotherapy. If these methods are ineffective, then resort to surgery, during which removes bone growth.
It should be noted that surgery is resorted to only in extreme cases: the operation could not resolve the cause of the disease, and addresses only its consequence. From recurrence of the disease will help prevention. Treatment folk ways can last up to six weeks.