Is heel pain always a thorn in the side?

  Achilles pain is a disease in which the heel bone is subjected to various directional stresses during long-term walking and standing, causing lesions in the bones, joints, bursa and fascia of the heel, which manifests as pain around the heel bone. Chinese medicine generally believes that heel pain is mostly caused by liver and kidney yin deficiency, phlegm-dampness, blood heat and other causes. Liver is the main tendon, kidney is the main bone, liver and kidney deficiency, tendons and bones do not nourish, and the wind, cold and dampness or chronic strain will lead to meridian stagnation, qi and blood flow is blocked, so that the tendons and muscles do not nourish and the onset.  It is generally believed that there are many causes of heel pain, the main ones are: 1, heel bone spurs: mostly seen in elderly patients, when there is heel pain, after taking X-rays, can be found at the nodes of the heel bone spur formation of varying sizes. However, it is clinically found that bone spurs are not the direct cause of pain, but only raised bone spurs, which are more likely to cause friction and strain on local tissues and produce sterile inflammation, and the degree of their heel pain is related to the severity of the local inflammatory response, and not directly related to the size of bone spurs.  2, plantar plantar tendonitis: plantar plantar tendon membrane is the tendon tissue of the foot to maintain the normal arch, cushion shock and strengthen the role of bouncing force. Prolonged walking and excessive weight bearing can cause strain on the plantar tendon membrane, resulting in local sterile inflammation and painful symptoms.  3, plantar fat pad inflammation: heel pain in the elderly is more complex, in addition to the above two possible causes, there is also the atrophy of the plantar fat pad of the elderly itself, its role in cushioning shock and preventing friction is weakened, making the local more vulnerable to injury and pain.  The above shows that heel pain does not necessarily mean that there is a bone spur, and a heel spur is not the only cause of heel pain, while if the heel spur does not cause inflammatory stimulation of the surrounding tissues, the heel may not necessarily produce pain.  Heel pain varies in prevention methods due to different etiologies.  1. Most adolescent heel epiphysitis is caused by trauma to the heel bone and long-term running and jumping, thus in this period patients, the heel epiphysis is developing should avoid running and jumping, especially jumping from high places. This point should be noted in the early stage of symptoms.  2.Geriatric heel pain is mostly caused by strain, metatarsal tendinitis, heel nodule bursitis and fat pad degeneration. This period should avoid long-term standing, long-term walking, elevating the heel can reduce the heel load. Wear soft soles, heel pad a soft and round-shaped pad, round pad central depression, the height of about 2 to 3 cm high, so that the whole body weight forward, reduce the pressure on the heel, weight loss treatment.  3, flatfoot disease caused by heel pain is due to the reduction or disappearance of the arch, the heel bone forward, then the pain appears when walking for a long time, so should be in the plantar central pad a soft cushion, cushion height 2 ~ 3 cm, and make the medial high lateral low, central high front and rear side gradually flattened, slope-like.  4, rheumatoid achondroplasia, should first use drugs to control rheumatoid after, and in the shoe cushion.  5, traumatic heel pain is mostly due to improper fixation of the cast, in the making of the cast the sole of the foot should be force to squeeze the wet cast to the center of the foot, so as not to make a flat bottom due to long time fixed cast, and cause the arch to disappear. At the same time, reduce the time of bed rest as much as possible and walk on the ground as early as possible. Avoid atrophy of the fat pad.  Heel pain is treated differently due to different causes.  1.Treatment by local hot compress of blood-activating and stasis-removing drugs.  2.Treatment by local application of anti-inflammatory and analgesic drugs.  3.Small acupuncture treatment.  4.Radiofrequency treatment.