Shock wave therapy of the heel spur: prices, mechanism of action. Heel Spur Treatment Methods
or the heel spur, is a chronic microtrauma of the plantar ligament, which connects the bone with the front of the foot. Next, we consider this damage in more detail, and also find out what are the methods of treatment of the heel spur.
The heel spur is presented in the form of a small, but delivering very unpleasant sensations of the peaked growth on the sole of the foot. Bone overgrowth (osteophyte) forms on the surface of the bone. It acts as a thorn. Under load, osteophyte puts pressure on soft tissues. The result is excruciating pain. Very often, especially at the initial stage of pathology, it is difficult to find a heel spur. It is detected in such cases only when conducting x-ray examination.
On the x-ray image, the heel spur is similar in its brightness and density to bone tissue. In this regard, it seems that it is a continuation of the bone, looks like its spike or pointed protrusion. The size of the heel spurs are different. As a rule, its length is 3-12 mm. The tip of the sprout is usually oriented towards the toes and bends slightly upwards.
Among the main reasons for the formation of the heel spur, the experts point out the following:
- High load on the heel area. This may be, for example, with flat feet.
- Age changes. At a young age, heel spurs can form when excessive loads are applied to the feet during sports activities and intense training.
- Complications after injuries.
- Vascular disorders.
- Diseases associated with lesions of the nerves of the legs.
As a rule, the detection of pathology is not particularly difficult. The diagnosis is made according to typical complaints. In particular, patients feel pain in the heel area in the morning, after rest and rest, jogging or long walking. The sensations gradually subside as the person paces.Pressing the heel area also causes pain. Confirmation of the diagnosis is carried out in the course of X-ray examination. Often the pathology is detected during the examination of patients who do not present any complaints about this. In this regard, it is believed that the presence of growth does not indicate pathology. This may well be a feature of the structure of this site in a particular person. If the spur does not cause discomfort and pain, then it does not need to be eliminated. It often happens that if there is severe pain, no overgrowth is detected in the image. In this case, the cause of the condition should be sought in other areas.
Freedom from pathology in children
Decisions related to the choice of shoes are made only after the examination and consultation with a specialist - orthopedic surgeon. In the event that a heel spur is detected in a child, measures to eliminate it should be taken as soon as possible. Otherwise it is fraught with consequences. So, because of the stiffness of the gait, which appears on the background of pain, the child may develop inflammation. Methods of treatment of heel spurs in children are almost the same as in adults. However, at an early age it is often possible to quickly eliminate sprawl.This is due to the fact that the children's body has more opportunities for tissue repair after injury.
Elimination of sprawl: general information
Today, there are quite a few ways to get rid of growth. In particular, a variety of insoles and thrust bearings are used for unloading the foot. This method is especially used in pediatrics. Also in the complex of measures include radiotherapy, local injections of corticosteroids, mineral baths, mud applications. Also applied is shock wave therapy of the heel spur. Physiotherapy treatment is also considered very effective. In the absence of results of a conservative effect, surgical intervention is prescribed. It consists in the elimination of bone growth by surgery, as well as excision of tissues that have undergone changes. However, in most cases, conservative methods are used.
Heel Spur Shock Wave Therapy
Treatment by this method is applied relatively recently. In domestic practice, the impact results are very encouraging. Experts, however, are in no hurry to unequivocally state that the shock-wave therapy of the heel spur will relieve pathology by 100%.This is mainly due to the fact that today it is still not possible to assess the long-term effects of exposure. Nevertheless, the existing experience suggests that this method of action is highly effective. Confirm this and numerous reviews. The shock wave therapy of the heel spur has its own characteristics and contraindications.
The possibilities of the procedure
What is the shock wave therapy of the heel spur? The mechanism of action is based on the pulsed activity of ultrasonic waves with a certain frequency. Under its influence, loosening of calcium deposits occurs in the growth. This contributes to further flushing them out of the body with the bloodstream. The damaged ligament thus gets rid of accumulations of calcium salts. At the same time, the shock wave therapy of the heel spur contributes to the activation of the regenerative processes in the tissues, the reduction of inflammation and the reduction of puffiness. After each procedure, pain decreases. By the end of the course, it is usually eliminated completely. The tissues of the affected area restore their natural structure, returning the ability to endure daily loads without the occurrence of pain.The most effective shock wave therapy of the heel spur is considered in the early stages of pathology. In these cases, the impact eliminates the growth completely. With a long process, the shock wave therapy of the heel spur contributes to the cessation of the deposition of calcium compounds in the bundle and inflammation.
The procedure can not be assigned to all patients. Contraindications include:
- Low pressure.
- The presence of malignant neoplasms.
- Disorders in heart rhythm.
- Thrombophlebitis in the area of growth.
- Disorders of nervous activity of a pronounced nature.
- Violations in blood clotting.
- Intoxication and acute infections.
Exposure is carried out in stationary conditions. This may be a narrowly focused institution (for example, "Center for Shock Wave Therapy") or a multidisciplinary clinic. The impact is carried out by a special sensor. It is applied directly to the spur. The sensor creates vibrations. The duration of the procedure is 10-30 minutes. The course may consist of 3-7 sessions. The break between treatments is from 4 to 14 days.Immediately before exposure, the affected area is treated with a special gel. The depth of the shock wave is about 3-3.5 cm. Experts say that the procedure is painless. However, according to reviews of some patients, the impact is accompanied by the feeling that a nail is being hammered into the heel. Some patients tolerate the procedure well. Sensations depend mainly on the level of sensitivity of the person. Relief, as noted by the patients, comes after the first session.
Usage statistics and average cost
In Europe, UHT began to be used about 17 years ago. Over the past decade, shock wave action has become a very common way to eliminate the heel spur. Some time ago, the pathology was removed mostly by surgery. Today, medicine has gone a long way. As practice shows, a positive effect is observed in 87-93% of patients who were prescribed shock-wave therapy for the heel spur. The price of the procedure on average is from 800 to 1,500 rubles per session. The cost depends on the level of the clinic, the region where it is located, the equipment used in it, the neglect of the case and a number of other factors. The total price of the entire course will be based on the number of sessions.This method of exposure is available today in many clinics. Especially common and widely used in medical institutions of large cities.