Protect your heels from heel pain! Older people walk less cobblestone roads and soak their feet for 20 minutes every night before bedtime to protect their heels and avoid heel pain syndrome. Many middle-aged and elderly female patients complain of pain in their heels, and every time they get up, their heels jump up in pain when they step on the ground. However, walking a few steps and better, but walking for a long time the pain will slowly aggravate, even go to the street to buy food are afraid to go too far, most of them think it is rheumatism attack, but after examination found that they suffer from “plantar fasciitis pain”, commonly known as “heel pain”. Foot pain on the ground: the elderly thought it was rheumatic pain. The heel pain, afraid to land, some people think it is rheumatism, some people think it is gout. In fact, this condition is likely to be heel pain. This disease is dominated by heel pain and is a common chronic injury disease in the middle-aged and elderly population. Why is it that older people are prone to heel pain, while younger people who are much more active rarely have it? This is mainly because when people get older, the plantar fascia starts to undergo degenerative changes and the fibrous tissue gradually loses its elasticity. When walking for a long time, the periosteum of the heel bone and the surrounding fibrous tissue damage are easily injured and difficult to recover. In addition, the elderly heel bone osteoporosis, long-distance walking or prolonged standing labor will often trigger the disease. Once the disease develops, the pain at the bottom of the heel is aggravated in the morning when getting up or sitting for a few moments and then starting to walk. The pain is relieved after a few steps, and the patient is relatively comfortable during the day, but the pain gradually increases in the evening. X-ray: exclude stress fractures Aunt Chen is 56 years old, when she was young, she liked to wear high heels, and the soles of her shoes were relatively hard. Now that she is older, although she has changed to flat shoes, she has fallen into a heel pain disorder. Lu Zhenhe said, often wear high-heeled shoes, repeated friction between the back of the shoe and the heel nodes, resulting in chronic sterile inflammation of the bursa at the heel nodes, so that the bursa increases in size, the bursa wall thickening will occur “heel pain”. Aunt Chen had an X-ray and could see that she had bone spurs at the base of her heel bone. In 50% of patients with achalasia, bone spurs can be seen in the base of the heel bone on X-ray. Although the size of the bone spur is not proportional to the pain, most patients will have osteoporosis of the heel bone. The disease is actually easy to diagnose based on symptoms. Since a significant portion of the body’s weight is concentrated on the heel tuberosity, the most common symptom of achalasia is a limited pressure pain below the inner heel tuberosity. A comparison of a painful heel with a healthy heel may reveal slight swelling and redness. However, stress fractures need to be ruled out by radiographs, and in addition, infrared thermography or bone scans can be helpful in diagnosis. Protecting the heel: cobblestone roads are rarely needed for surgery to relieve symptoms. Patients with heel pain should first choose conservative treatment, such as insoles, oral non-steroidal anti-inflammatory drugs, local ozone injections or closed therapy, which can relieve pain in most patients. If the pain is persistent, electro-acupuncture or radiofrequency needle release at the heel tendon adhesions can be used. The key to this disease lies in the health care in daily life. Experts point out that it is important to minimize the weight bearing on the foot, to let the heel fully rest, and to walk less to create conditions for the injury to heal. When you have to walk, it is best to put a thick soft heel pad in the shoe, for one thing, the pressure on the heel when walking can have a certain cushioning effect, and secondly, the shape of the insole fits closely with the shape of the bottom of the heel, which can increase the weight-bearing area of the sole, reduce the pressure on the heel, and reduce the stimulation of the heel. The heel of the shoe should be wide and stable, with a heel height of about 3 cm being the most appropriate. Middle-aged and elderly people should preferably choose to walk on flat soles, not on potholes, like cobblestone pavement fitness paths, which can cause great damage to the soles of the feet, and this should be paid particular attention to. Treatment for achalasia: (1) Hot water foot soak. Elderly people to prevent achalasia, you can soak your feet for about 20 minutes every night before going to bed, or put your feet on a heated electric heater, electric hand stove and other devices, the warming effect can improve local microcirculation, which is very helpful for pain relief. (2) Topical medication. It is a convenient treatment method for middle-aged and elderly people. Commonly used topical rubs with good efficacy include Fotarine emulsion, orthosaffron oil, etc. The use of topical drugs should pay attention to the method of use. Before using the medicine, you should soak your feet in warm water, and then use the rub or cream. The scope of rub application should be larger than the pain area. After using the drug to gently massage for a period of time, one is to facilitate drug penetration, but also to increase local microcirculation. (3) Oral non-steroidal anti-inflammatory and analgesic drugs. Patients with severe painful achalasia can take oral anti-inflammatory and analgesic drugs. The role of such drugs is to inhibit the local inflammatory response, promote tissue healing and relieve pain.