Heel is a very important part of human body, and heel is also a place where problems often occur, and it often hurts. How is heel pain? What c
Heel is a very important part of human body, and heel is also a place where problems often occur, and it often hurts. How is heel pain? What causes heel pain? What about heel pain? The following is the cause and treatment of heel pain I sorted out for you. I hope you like it.
Five causes of heel pain 1. plantar fasciitis
The most common cause of heel pain is pathological changes caused by long-term, chronic and slight trauma accumulation, which is manifested in the fracture of fascia fibers and its repair process. There may be bone hyperplasia near the medial fascia below the calcaneus, forming a bone ridge. On the lateral X-ray photograph, it shows a bone spur.
The latter is often regarded as the cause of heel pain, but clinical studies have proved that the causal relationship between it and heel pain is difficult to determine. Plantar fasciitis is not necessarily accompanied by bone spurs, and people with calcaneal bone spurs do not necessarily have heel pain.
Heel pain caused by plantar fasciitis can be cured naturally. Cushioning the heel, reducing the tension of achilles tendon on calcaneus, plantar flexion of forefoot and reducing the tension of plantar fascia can all relieve symptoms. Medication can be injected once a week at the tender point of the inner part of the foot root, and most patients can recover within two weeks after injection.
Reason 2: Heel pad hurts.
It often happens to the elderly. Heel pad is an elastic pad formed by adipose tissue and elastic fibers, separated by fibrous tissue under the calcaneus. In youth, the heel pad is elastic and can absorb shock. In old age, the elasticity of heel pad decreases, and the calcaneus bears the weight without pad. In severe cases, scars and calcium deposits will be formed, causing heel pain.
Unlike foot pain and plantar fasciitis, there is tenderness under the whole heel. The treatment is to use sponge heel pad or regional drug injection.
Cause 3: Bursitis of heel bone.
The synovial sac that most easily occurs between the achilles tendon and the panel is caused by the improper high heels. The wall of synovial capsule can be thickened, the capsule is filled with synovial fluid, and it is swollen and tender locally. The treatment should be to improve the shoe shape. If the swelling of bursa of fabricius does not disappear, puncture and aspiration can be performed and hydrocortisone can be injected.
Reason 4: Calcaneal neuritis.
It is common in boys aged 8 ~ 12. The pathological changes are similar to the osteosclerosis of the lower leg and tibial tubercle. It is a symptom that the unhealed epiphysis is pulled by tendon during development. Pain is below the achilles tendon attachment point and can occur on both sides at the same time.
Running and tiptoeing can aggravate symptoms. Symptoms disappeared naturally after epiphysis healed. General symptomatic treatment can reduce children's activities, and heel pad can also be used to reduce the tension of achilles tendon on calcaneus.
The fifth reason is subtalar arthritis.
It mostly occurs after calcaneal fracture and belongs to a kind of traumatic arthritis. On the X-ray photograph, the pain in the anterior tarsal sinus is aggravated when carrying weight. If conservative treatment fails, calcaneal arthrodesis should be performed.
Old calcaneal fractures or rare calcaneal tumors or tuberculosis are also the causes of heel pain. Diseases other than heel cause heel pain, such as rheumatoid spondylitis, lumbar disc herniation compressing sacral nerve root, calf tibial nerve compression, etc.
How to distinguish the causes of heel pain in clinic? Generally speaking, in addition to X-ray and other corresponding auxiliary examinations, after clinical physical examination, it can basically be diagnosed by professional podiatrists.
It can also be distinguished by treatment, such as heel pain caused by atrophy of plantar fat pad in the elderly, and the application of regional sealing treatment is ineffective.
Solutions to heel pain 1. Rest and reduce weight-bearing exercise.
Heel pain is a sign of fatigue and physical silence. In that case, let your feet have a rest.
Do not stand or walk for a long time. Exercise 1 hour. Suggested rest 10 minute. Only by relieving fatigue in time can the pain be strangled in the cradle.
2. Change a pair of suitable shoes or insoles
Don't be fooled by the beautiful appearance. You won't know until you put it on.
Heel pain, it is recommended to wear sports shoes or wedge shoes. The heel height is about 1.5 ~ 2 cm, but it is not high heels. Say goodbye to flats and canvas shoes, they really don't suit you.
I have many favorite flat shoes. What should I do if I have to wear them?
Then buy a pair of special heel pads to raise the heel, relax the surrounding muscles and ligaments and relieve the pain.
3. Use cold compress and hot compress skillfully
Have you ever seen a photo of a professional athlete soaking his legs in ice water immediately after the game?
Cold compress in time after strenuous exercise or sports injury can reduce the release of inflammatory factors. Generally speaking, it is to reduce the occurrence of aseptic inflammation and protect the body from or less suffering.
Appropriate hot compress in the recovery period of 48 hours after injury can effectively relieve fatigue, promote inflammation absorption and reduce the degree of pain.
It is suggested that the time of each cold compress and hot compress is 15 ~ 20 minutes, 2 ~ 3 times a day. It is best to put a towel between layers to avoid frostbite or burn the panel.
4. Stretching training
Comprises stretching training of achilles tendon and plantar fascia, and the specific method is as follows:
1 towel training
Sit down, straighten your legs, wrap a towel on the affected sole, and hold the towel with both hands for ankle traction training.
2-step pull training
The forefoot steps on the edge of the step, and the heel of the affected side slowly descends until the traction of the sole and achilles tendon is felt.
3 *** Traction training
Find a seat and put the affected foot above the opposite knee joint. First relax the calf muscles, then hold the palm of your toes with your hands and pull back.
Note: the number of training is not much, but the movements should be standardized to achieve the therapeutic effect.
It is suggested to practice 3 groups every day, and each group should do 10 times. Persistence is the key to training. Never "get fat every day"!
5. Anti-inflammatory and analgesic drugs
As mentioned above, heel pain is a kind of aseptic inflammation, and the treatment needs "anti-inflammation", which is different from using antibiotics to treat inflammation caused by bacterial infection.
The anti-inflammatory and analgesic drugs mentioned here generally refer to non-steroidal drugs, such as celecoxib and fenbid, but these drugs have certain side effects. It is recommended to consult a doctor before taking them.
If your heel pain is not relieved or even aggravated through the above treatment, then find a doctor quickly.
Let the doctor decide whether physical therapy, area closure or surgery is needed.
Methods to prevent heel pain 1. Develop good foot hygiene habits. Soak your feet with hot water every day, keep your feet clean and have good blood circulation, reduce local inflammation, and contribute to the health of your feet.
2. Choose shoes scientifically. Watch your shoes. Shoes should be the right size, soft and loose in texture, so that all toes can lie flat and move slightly. The sole should have a certain thickness, hard outside and soft inside, especially the heel should be elastic inside. It is best to have a thin insole in your shoes, so that your weight can be evenly distributed. Too thin and soft soles can easily damage feet.
3. When walking for a long distance or standing for a long time, you should have a scientific gait and posture, learn to walk, pay attention to intermittent rest, avoid continuous load on your feet, and prevent excessive fatigue of your feet.
4. Choose appropriate sports according to your actual situation, such as walking, swimming, playing Tai Ji Chuan, etc. Perseverance can promote the metabolism of the body, increase the toughness of bones and help prevent heel pain. For patients with mobility difficulties, you can do foot muscle contraction exercise every day at home to enhance the muscle strength of plantar muscles and slow down the process of ligament degeneration and relaxation.
5. A balanced high-calcium diet can improve the condition of calcaneus osteoporosis. Foods containing calcium can be ingested from food, such as shrimp skin, kelp, laver, crisp fish, laver, sesame sauce and so on. Animal bone soup is also rich in calcium. Eating more foods rich in vitamin C, such as fresh vegetables and fruits, can promote the absorption of calcium and is beneficial to the formation of bone matrix.
6. Keep your weight within the normal range and try not to be overweight to reduce the pressure on your feet.
In short, you don't have to worry about heel pain. You can go to the foot and ankle surgery or orthopedics in a regular hospital for diagnosis and treatment.