Causes and treatment of achalasia

  Achalasia, also known as heel pain and heel pain, can be seen in a variety of chronic conditions. Common causes include heel fat pad inflammation or atrophy, metatarsal tendinitis, heel bursitis, and heel hypertension. Due to aging of the body, heel nodules degeneration and calcification can also lead to fat pad inflammation and bursitis forming heel pain. Heel pain is caused by chronic aseptic inflammation of the heel pad due to long-term compression or cold stimulation of the heel, which manifests as swelling of the heel pad with potential pressure pain; there is also deep pressure pain when the inflammation affects the heel bone periosteum or bursa. Heel pain is common in middle-aged and elderly people, but it has been reported in the literature to occur in people aged 8 to 80 years, and is more common in women and obese people.  Clinical manifestations and signs Achalasia mostly develops on one side, but also on both sides at the same time. Patients are mostly in middle age or older. The most obvious symptom is pain when getting out of bed in the early morning, which is called “starting pain” and is the characteristic symptom of achalasia. The pain can be relieved to some extent after a period of activity. Nocturnal pain is not present, and if there is nocturnal pain, it should be differentiated from tumor, tuberculosis or other lesions. The duration of achalasia varies, with some patients healing spontaneously, but others may turn into a chronic process. Lateral radiographs of the heel bone show “bone spurs”, but they are not always on the painful side. The importance of the radiograph is not to determine the presence or absence of a “bone spur” but to identify other lesions. In most cases, the diagnosis of achalasia is made on the basis of clinical symptoms.  Although it is not a serious disease, heel pain can still have a significant impact on the patient’s life because the disease is in the foot and the person cannot walk without the foot every day. Heel pain should pay attention to the following points: 1, walk as little as possible, in order to avoid stimulation of the lesion and aggravate the disease.  2, careful use of massage massage, especially the use of cow horn, wooden sticks and other hard objects in the painful parts of the stimulation, which will not make the condition better, but also cause the opposite consequences.  3.When wearing shoes, you should choose wide, soft shoes, such as better textured travel shoes, preferably not leather shoes.  4, every day before bedtime hot water soak feet for 20-30 minutes will be conducive to control the disease or recovery.