The symptoms of heel spur are pressure pain in the heel, heel pain when walking, stone pinching and pins and needles feeling, and the symptoms will be relieved after moving away.
Disease Introduction
The symptoms of heel spur are pressure pain in the heel, fear of exerting force on the heel when walking, the feeling of stone pinch and needle prick, and the reduction of symptoms after activity. There will be the same symptoms of redness and swelling, and there will be pain or numbness in the heel and foot plate, and even the inability to walk on the ground, and this pain is especially obvious when standing up in the morning. However, after walking for a period of time, the pain may decrease.
Bone spurs are a normal physiological degeneration phenomenon, a protective physiological reaction of the human body, which is unavoidable for everyone. Osteogenesis occurs earlier in joints with high activity and heavy load, and the heel and lower limb joints, which are heavily loaded, are often the most frequent sites of osteogenesis.
Bone spur formation
Bone spurs are not exclusive to the elderly. Due to changes in work patterns, many people are sedentary, stand for long periods of time, and have incorrect posture, which can easily lead to early degeneration of the spine at a young age and trigger the occurrence of bone spurs.
Bone spurs, commonly known as osteophytes, are a common and frequent disease of the middle-aged and elderly. According to the ancestral medicine, this disease is mostly caused by liver and kidney deficiencies or chronic physical weakness, resulting in tissue degeneration at the bottom of the foot, or by physical weakness and obesity, causing excessive burden on the skin and subcutaneous fat at the bottom of the foot, resulting in tissue degeneration.
The name of this disease has not been unified at home and abroad. It occurs mostly in middle-aged or elderly people over 45 years of age, more in men than in women, and heavy workers and athletes who often use their lower back for activities are prone to this disease. It is most common in the knee, hip, lumbar spine, cervical spine, elbow, heel and other joints. Most people suffer from pain caused by aseptic inflammation of the bursa due to a long bone spur in the heel.
Pathogenesis
When the heel joint is worn and damaged, the body will repair itself, harden and proliferate, thus forming heel spurs, which is a natural aging phenomenon of the body. The spur is caused by excessive pulling of the plantar fascia at the attachment of the heel bone, which causes pain at the inner edge of the plantar fascia (plantar fasciitis) and leads to flat feet and Achilles tendon contracture.
1, heel epiphysitis.
This disease occurs only during the period from the appearance of the heel epiphysis to its closure. The second ossification center of the heel bone appears from the age of 6 to 7 and gradually closes at the age of 13 to 14, so the disease occurs mostly during the developmental growth period of adolescents.
2, Achilles tendon bursitis.
Mainly due to the friction of shoes, especially women often wear high-heeled shoes, repeated friction between the back of the shoe and the heel nodes, resulting in chronic aseptic inflammation of the bursa at the heel nodes, so that the bursa increases, the bursa wall thickens, and the disease occurs.
3, heel subacromial fat pad inflammation.
Generally patients have a history of trauma, mostly due to careless walking, the heel was uneven pavement or small stones choking, causing damage to the fatty tissue below the negative focus of the heel bone, local congestion, edema, hyperplasia.
Metatarsal fasciitis: This disease is due to long-term occupational relationship standing on hard ground work, or because of flat feet, so that the metatarsal tendon membrane in a long-term tension, at its starting point due to repeated strains of congestion, exudation, over time, the bone hyperplasia, the formation of bone spurs.
4.Kidney deficiency heel pain.
Old age and frailty or prolonged illness in bed, kidney deficiency, the bone atrophy and tendon relaxation, modern medicine that prolonged illness in bed, the heel because of infrequent weight-bearing and degenerative changes, thinning of the skin, partial atrophy of the fat pad under the heel, bone decalcification changes caused by.
Clinical manifestations
The symptoms of heel spurs are related to the size of the spur, the duration of the disease, and the presence or absence of inflammation.
Heel spurs are mainly manifested as follows.
1, heel toe up heel downward force, there is a pins and needles feeling inside, feel with your hands have a numb feeling.
2, long-distance walking causes pain after exertion and will increase, such as walking accidentally stepped on the bricks and tiles or down the stairs, the foot on the ground too hard, will cause severe pain.
3.Redness and swelling of the outer epidermis of the heel, and heat when touched with the hand.
4. There is a pressure point in the center of the heel, and the pain is severe when touched with fingers.
5.In severe cases, it is impossible to walk on the ground.
6, foot root pressure pain, pain on the bottom of the foot, heavy in the morning, light in the afternoon, the first step to get up and get off the ground unbearable pain, sometimes light, sometimes heavy, when walking with the heel dare not use, there are stone pinch, pinprick feeling, activity open symptoms reduced.
Reminder: The symptoms of heel spurs tend to vary from person to person, the above are common symptoms of heel spurs, if you want to determine whether it is a heel spur, it is recommended to go to the hospital to take an X-ray of the heel.
Treatment
If there is pain, anti-inflammatory and analgesic drugs or closed treatment can be used for symptomatic treatment. Hot compresses, physiotherapy, massage and traction can be used to promote blood circulation, relax local muscles and relieve pain, or small needles can be used to reduce the pressure on the nerve.
At present, domestic and international patients with osteophytes are generally recommended to use GZ-IIIC type drug introduction heat therapy instrument in daily home care rehabilitation treatment, which uses low-frequency modulated medium-frequency pulse current and drug introduction to combine medium-frequency electricity and drug introduction together to achieve the therapeutic effect on the disease, and has been clinically proven to have exact curative effect. Very suitable for heel osteophytes to use, easy to understand, safe to use, easy to carry, especially suitable for clinics and family use.
Many elderly people have long bone spurs on their heels, and they suffer from pain when their feet hit the ground when they walk. After the elderly are found to have obvious osteophytes, moderate exercise should still be carried out, but avoid long-term strenuous exercise, because long-term strenuous exercise can make the bones and surrounding soft tissues unevenly stressed and overloaded, aggravating the pain. At the same time, attention should be paid to preventing cold and keeping warm.
Diagnosis and identification
In life, we often see patients with heel pain, especially middle-aged and elderly people, and many of them think that they have bone spurs on the bottom of their feet and are very worried. In fact, this condition is medically known as heel pain, and is characterized by osteophytes and pressure pain near the medial fascia below the heel bone, and lateral X-rays showing heel spurs. Other systemic diseases such as diabetes mellitus and sports injuries can also cause pain in the heel. Although the presence of bone spurs on X-rays can be diagnostic, early X-rays of heel bone spurs can have negative results. Uncommonly, heel spurs are atypical on X-rays and appear as villi-like images of new bone formation.