The heel spur, the treatment of which will be discussed in detail below, is scientifically called plantar fasciitis. This is a common disease that affects predominantly women over forty years of age, sometimes regarded as frivolous and underestimated by patients.
Causes of plantar fasciitis
Plantar plantar fasciitis is an inflammatory and degenerative disease in which the plantar fascia, the connective tissue membrane that connects the calcaneus to the metatarsal heads, is affected. This fascia provides the necessary longitudinal bending, participates in the flexion of the muscles of the foot, and plays the role of a shock absorber. It has muscular-fascial connections with the posterior surface of the lower leg. Damage to this structure occurs due to its constant overstretching, which provokes the transfer of the body load to the place of attachment of the fascia to the calcaneus.
Causal factors may be:
- long walk;
- long stay in a standing position;
- intensive sports;
- flat feet;
- excessively high arch of the foot;
- wearing tight shoes with high heels;
- physical injuries of the foot (fractures, dislocations);
- inflammatory diseases of the joints.
Due to trauma, microfractures appear in the fibers of the plantar fascia, which at the initial stages are able to self-repair, but with further overstrain, the fascia gradually loses its elasticity, thickens, and inflammatory processes begin to develop around it in the soft tissues. Inflammation can also go to the periosteum, and as a compensatory reaction, an accumulation of calcium salts occurs at the site of attachment of the fascia to the calcaneus, forming an outgrowth – the same calcaneal spur. The main symptom is heel pain, aggravated by exertion.
Can a heel spur be cured with medication?
Medical treatment of heel spurs is a standard prescription for the initial stages of pathology, the main goals of which are the elimination of inflammatory reactions and the reduction of pain. In addition, the tasks of therapy include softening, loosening of calcium deposits in the heel area. If a heel spur is diagnosed, medication treatment is necessarily accompanied by methods aimed at getting rid of the causative factors and unloading the affected fascia. In severe cases, physiotherapy and surgical treatment are indicated.
Plantar fasciitis – drug treatment
To overcome plantar fasciitis, home treatment should be carried out after consulting a doctor and performing diagnostic procedures (ultrasound, x-ray) to determine the causes and severity of the process. Heel spur preparations are prescribed both locally and systemically, and their systematic use shows good results.
Therapy of this pathology is carried out:
Heel spur pills
Oral tablets from the group of non-steroidal anti-inflammatory drugs can be prescribed as symptomatic agents for relieving pain with their intense severity. Such a medicine for heel spurs, selected by a doctor, taking into account contraindications and restrictions, of which there are many, is used for a strictly limited time, approximately 7-14 days.
The most effective painkillers in this case are:
Heel spur injection
Injection blockade for plantar fasciitis is a necessary measure, which is applied under the following three conditions:
- the presence of acute pain that worsens the quality of life of the patient;
- no other conservative methods of pain can be eliminated qualitatively for a long time;
- There are no contraindications to drug blockade.
The essence of the procedure is the introduction of a steroid solution into the heel area, in the center of the bone growth. Only an experienced specialist who has repeatedly practiced such techniques can cope with this task. It is desirable that the injection be carried out in a clinic with the possibility of monitoring by means of an ultrasound machine.
Due to the introduction of the drug, the following effects are achieved:
- inhibition of the development of inflammatory mediators;
- decrease in the formation of leukocytes in the affected area;
- decrease in the permeability of blood capillaries;
- relief of pain.
Together with the main drug, anesthetics (for example, Lidocaine) are often added to the solution to reduce the pain of the injection itself. Used medicines:
Heel spur ointment
Plantar fasciitis, the treatment of which with local preparations is the most popular, in most cases, they begin to be treated with ointments, creams, balms. The main functions of these drugs are pain relief, inflammation relief, heating and softening of deep tissues.
In this regard, the following groups of external drugs can be recommended:
- non-steroidal anti-inflammatory drugs (Voltaren, Dolgit, Brufen, Indomethacin ointment, Diclak-gel);
- hormonal drugs (Prednisolone, Hydrocortisone ointment, Betamethasone);
- warming ointments (Viprosal, Kapsikam, Apizatron, Finalgon, Dolobene).
Special attention is paid to local drugs based on dimethyl sulfoxide (Dimexide) or with its inclusion (Dolobene, Kapsikam). This component has powerful anti-inflammatory and analgesic properties, is able to quickly penetrate the skin tissue. In addition, in the fight against this disease, a solution of dimethyl sulfoxide is used, with which therapeutic compresses are made.
Heel spur patch
When choosing local preparations for heel spurs in a pharmacy, you should pay attention to such a form as a patch soaked in active substances. It is distinguished by its ease of use, because by sticking the patch on the affected area, you can do your daily activities while it has its therapeutic effect. The main components that provide the effect are warming substances (for example, pepper tincture), as well as various plant compounds (gentian, aconite root, angelica).
- ZuJia Tang;
- Dr. Pepper;
- Silkoplast pepper;
Heel spur compress
The heel spur, the treatment of which is indicated for all groups of patients, responds well to compresses applied to the sore heel. It has already been noted that a solution of Dimexide from a heel spur is used in the form of a compress, which allows you to quickly eliminate pain and stop inflammatory reactions.
How to make a compress:
- Dilute the Dimexide solution with water in a ratio of 1:1.
- Moisten a piece of bandage rolled up in several layers in the resulting composition, wring out.
- Apply to the sore heel.
- Cover the compress with a layer of waterproof material and put on a warm sock.
- The duration of the procedure is 20-30 minutes.
- The course of treatment is 1-2 times a day for 10-14 days.
Heel spur treatment with medical bile
If a heel spur has formed, its treatment with medicines can be combined with the use of compresses based on medical bile. In a pharmacy, you can buy bear bile in the form of a solution, which will have the following effect on the affected area:
- reduce pain;
- enhance blood circulation and metabolic processes;
- eliminate inflammatory processes;
- will help soften salt deposits.
How is a heel spur treated with bile:
- Soak a piece of cotton cloth or gauze folded several times in bile.
- Attach to the heel.
- Top with waxed paper or plastic wrap.
- Put on a sock.
- Do the procedure at night, in the morning after removing the compress, do not wash the leg, but wipe it with alcohol.
- The course of treatment is 10-20 sessions.
Plantar fasciitis – clinical guidelines
Considering how to cure plantar fasciitis, we must not forget that the disease cannot be defeated if the provoking factors are not eliminated. For example:
- If the cause is excess weight, then you should definitely deal with its normalization.
- If the pathology has developed against the background of sports, it is required to reduce the intensity of the load or abandon this activity.
Plantar fasciitis – treatment regimen
Medical treatment of heel spurs at home, which is only one of the components of the general scheme of conservative therapy, is combined with the following methods:
- wearing special orthopedic shoes or using insoles that reduce pressure on the heel area;
- foot massage;
- performing a set of exercises for stretching the extensor muscles of the foot;
- physiotherapeutic procedures (ultrasound, electrophoresis, mud applications).