calcaneal spur syndrome
Introduction
Introduction to calcaneal spur syndrome There is or no spur on the X-ray due to the heel pain in the sub-femoral region caused by the plantar fascia on the periosteum. Bone spurs are caused by excessive traction of the periosteum at the attachment of the plantar fascia to the calcaneus. Excessive traction causes pain in the inner edge of the plantar fascia (plantar fasciitis), resulting in a lesion of the tendon fascia with a flat foot and a contracture. basic knowledge The proportion of illness: 0.001% Susceptible people: no specific population Mode of infection: non-infectious Complications: Bone hyperplasia
Cause
Cause of calcaneus bone stasis syndrome
Because the plantar fascia is excessively pulled by the periosteum at the attachment of the calcaneus, excessive traction causes pain in the inner edge of the plantar fascia (plantar fasciitis), resulting in a lesion of the tendon fascia with flat feet and Curled up.
Prevention
Calcaneal spur syndrome prevention
(1) Choosing the right shoes: For young people, wear shoes that are too high or not too high, because the high heels increase the burden on the feet, making the sacrum of the soles tend to be tight and the tension is easy to rise. Inducing or promoting the production of bone spurs, for middle-aged and elderly people should choose soft-soled shoes to reduce the friction between the soles and shoes.
(2) Use of the bone to eliminate / pain paste: attached to the heel muscle table can stimulate nerve endings, dilate blood vessels, promote local blood circulation, improve the surrounding tissue nutrition, to achieve the purpose of swelling, anti-inflammatory and analgesic.
(3) Reducing strenuous exercise based on the foot: strenuous exercise based on the foot, such as jumping and other factors that induce heel pain. Therefore, infrequent athletes and those who engage in more intense activities should be gradual. Often doing the plantar flexion movement, the plantar flexion is the foot that moves the toes to the soles of the feet, making the skin of the foot back tense. The flexion movement is used by ballerinas.
The posture of the toe standing is sufficient to reduce the relaxation tension of the diaphragm, which can alleviate the stimulation and damage of the surrounding tissue by the "bone spur", and is beneficial for the aseptic inflammation to disappear and prevent and alleviate the pain.
Complication
Complications of the calcaneus Complications
Hyperplastic bone spurs oppress the vascular nerves, which can lead to severe pain in the feet, difficulty walking, and even paralysis. Osteoporosis has become one of the intractable diseases affecting the quality of life in the elderly.
Symptom
Symptoms of calcaneal bone stasis syndrome Common symptoms Heel congestion, heel, long bone stab, heel, kyphosis, heel pain
Because of the plantar fascia on the periosteum, the subgingival bone spur can cause pain in the early stage of formation. Although the bone spur is small at this time, even X-ray examination can not be found. As the bone spur increases, the pain often disappears. It is related to the adaptive change of the foot, so the typical bone spur on the X line can be asymptomatic. In turn, after an asymptomatic period, or due to local trauma, the spur can spontaneously produce pain, occasionally forming an exogenous bursa. And cause inflammation (the calcaneus of the calcaneus), causing fever and tenderness at the bottom of the heel.
In the physical examination, pressing the center of the heel with the thumb can aggravate the pain. When the dorsiflexion occurs, the finger presses the inner edge of the fascia hard, and the tenderness proves the presence of fasciitis.
Although bone spurs can be diagnosed on the X-ray, early X-ray examination of the calcaneus can be negative. Uncommonly, the calcaneus is not typical on the X-ray, showing a villus-like new bone formation image. This change should consider the possibility of seronegative or HLA-B27 joint disease (eg ankylosing spondylitis, Reiter's syndrome), rheumatoid arthritis and gout are other causes of heel pain, which are often moderate To severe fever and swelling, this can be distinguished from heel pain caused by local causes.
Examine
Examination of the calcaneus bone syndrome
In the physical examination, pressing the center of the heel with the thumb can aggravate the pain. When the dorsiflexion occurs, the finger presses the inner edge of the fascia hard, and the tenderness proves the presence of fasciitis.
Although bone spurs can be diagnosed on the X-ray, early X-ray examination of the calcaneus can be negative. Uncommonly, the calcaneus is not typical on the X-ray, showing a villus-like new bone formation image.
Diagnosis
Diagnosis and diagnosis of calcaneus bone stasis syndrome
Rheumatoid arthritis and gout are other causes of heel pain. These joint pains often have moderate to severe fever and swelling, which can be distinguished from localized calcaneal spur syndrome.
