Calcaneal spur – the bone growth in the form of a beak, a thorn or a wedge located in the field of a hillock of a calcaneal bone from its plantar party or in the field of an Achilles tendon attachment. The disease is extremely widespread and makes about 10% of total number of diseases of bone and muscular system. Symptoms of a calcaneal spur are caused by a constant travmatization surrounding its fabrics with development of a bursit, periostit and dystrophic changes. In the beginning a clinical demonstration of a calcaneal spur patients complain of periodic pains when walking, then there are sharp starting pains decreasing in the course of walking. For confirmation of the diagnosis the foot X-ray analysis in a side projection is carried out.
Calcaneal spur – the bone growth in the form of a beak, a thorn or a wedge located in the field of a hillock of a calcaneal bone from its plantar party or in the field of an Achilles tendon attachment. The disease is extremely widespread and makes about 10% of total number of diseases of bone and muscular system. Calcaneal spurs develop at women more often 40 years are aged more senior. The contributing factors to formation of calcaneal spurs is flat-footedness (comes to light at 90% of patients), excess weight, diseases of large joints (arthritises) and a backbone, rheumatism, neurodystrophic and vascular frustration, long overloads of foot (for example, at athletes).
As a rule, calcaneal spurs develop owing to age change of exchange processes. According to radiological researches, calcaneal spurs come to light at every fourth person of advanced and senile age. Bone growth in itself can not be shown in any way. The characteristic symptomatology arises at accession of the accompanying frustration: bursita (inflammation of a sinovialny bag), periostita (periosteum inflammation) and degenerate and dystrophic changes in the fabrics adjacent to a calcaneal spur.
The size of a calcaneal spur is not connected with expressiveness of symptoms of this disease in any way. Perhaps total absence of clinical signs at bone growth of the big sizes and disability at full or almost total absence of signs of a calcaneal spur according to a X-ray analysis.
In the beginning pain arises during walking. After a while pain gains striking characteristic features. The patient complains of the burning, sharp pains similar to feeling nailing in a heel, arising at the beginning of walking (after a dream or a long break) – so-called "starting pains". In the course of walking pain decreases, and by the evening gradually amplifies.
Pain can gain resistant character and cause long disability. Sometimes, to unload a leg and to reduce pain, patients with calcaneal spurs are forced to move on crutches. At survey of area of a heel pathological changes, as a rule, do not come to light. Morbidity when squeezing a heel from sides is defined, pressure upon a hillock of a calcaneal bone or area of an attachment of an Achilles tendon. The omozolelost and insignificant hypostasis of calcaneal area is in some cases observed.
treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!
Treatment is mainly conservative. For elimination of the inflammatory phenomena appoint massage, LFK, physiotreatment (ultrasound, an electrophoresis, Ural federal district, magnetotherapy, laser therapy). For unloading of the struck area to the patient recommend to carry special orthopedic insoles. At a persistent pain syndrome and inefficiency of treatment carry out X-ray therapy. Recently for treatment of a calcaneal spur in traumatology and orthopedics even more often use shock and wave therapy. Contraindications to this method of treatment is pregnancy, malignant new growths and violations of coagulability of blood. As the technique is applied not so long ago, the remote results of treatment are up to the end not studied.
If conservative therapy does not give desirable effect, carry out medicinal blockade. The injected drugs have the expressed anti-inflammatory effect, help to eliminate quickly a local inflammation and to completely stop a pain syndrome. When carrying out blockade it is very important to choose precisely the place and depth of introduction of medicine, otherwise complications (a necrosis of fabrics, osteoporosis, an Achilles tendon inflammation etc.) are possible. Therefore the qualified orthopedist has to carry out the procedure. Extremely seldom, at inefficiency of other methods of treatment, surgeries for removal of calcaneal spurs are performed.