heel pain
Introduction
Introduction to heel pain Heel pain is caused by a variety of chronic diseases, which is closely related to strain and degeneration. It is a common amount in middle-aged and elderly people; clinical symptoms. Heel pain is caused by the muscle attached to the base of the calcaneal bone. The ligament is unbalanced with the force, causing the periosteal disease to be caused by the traction of the periosteum. Modern medicine is called osteomyelitis, also known as the calcaneus. The operation is mainly based on non-surgical treatment, and the curative effect is better. If the non-surgical treatment is ineffective, surgery is needed. basic knowledge The proportion of illness: 0.005%-0.008% Susceptible people: no specific population Mode of infection: non-infectious Complications: calcaneal osteomyelitis
Cause
Cause of pain
Disease factor
With the increase of age, degenerative changes occur in human tissues, and long-term strain causes pathological changes in the heel tissue. Such as heel fat fiber pad inflammation, decidual inflammation, heel bursitis, periorbital inflammation, calcaneus High pressure and calcaneus. These diseases, which occur in different tissues around the bone, are an important cause of the formation of heel pain.
Prevention
Pain prevention
Patients with fasciitis should pay attention to proper rest during the acute period, reduce weight and control strenuous exercise. After the symptoms are relieved, the contraction exercise of the foot muscles is gradually performed to enhance the muscle strength of the plantar muscles.
Pay attention to local warmth to avoid cold and irritability.
Complication
Heel pain complications Complications, calcaneal osteomyelitis
If not treated in time, it can be complicated by diseases such as osteomyelitis. Therefore, the disease should be detected early, treated early, and avoid other diseases.
Symptom
Heel pain symptoms common symptoms heel pain heel long bone spur
1, heel fat fiber paditis
The heel fiber fat pad is referred to as the heel pad, which is separated by elastic fibers and is composed of a fat tissue, which absorbs shock and prevents sliding. The heel is stabbed by a hard object or chronically compressed or affected by wind and cold. The patient followed the pain, swelling, and shallow tenderness. The inner side of the heel weight-bearing area is tender, and the old man's pad is atrophied and thinned, which is easy to cause symptoms, and the fiber can be touched locally.
2, decidua
The aponeurosis is derived from the calcaneal nodules and as the humerus, which is a large elastic aponeurosis of the sole. Trauma, strain and cold and damp can cause decidual inflammation, especially in patients with foot eversion. Patients often have pain in the lower or full heart, involving the foot and tension, and tenderness in the calcaneus nodules and the middle decidua.
3, heel bursitis
Trauma or repeated rubbing can cause inflammation of the calcaneus under the calcaneus, posterior or Achilles tendon. The patient has local pain, swelling, and tenderness. Such as combined infection can cause red, swollen, hot, pain and other typical inflammatory manifestations.
4, Achilles tendon inflammation
Achilles tendon swelling and pain caused by inflammation of the tissue around the attachment site of the Achilles tendon due to trauma or strain. The patient's achilles tendon becomes thick, localized with tenderness, and there is a sense of friction. When the inflammation spreads to the tendon sheath, the axle winding sound may appear. Ankle joint extension and distortion can aggravate pain. The inflammation around the Achilles tendon is often caused by wearing hard heels and hard-shoes, and long-term compression.
5, calcaneus hypertension
The calcaneus itself is chronically compressed or degenerative, and the increase in internal pressure of the calcaneus causes pain in the calcaneal. Calcaneal hypertension is more common in middle-aged and elderly people. It can be unilateral or bilateral, and heel pain affects walking. Early lower limb elevation can relieve symptoms, and the internal and external calcaneus: and the temporal side have tenderness and sputum pain. It is effective for decompression of the calcaneus.
6, calcaneus spur
Repeated traction injury of the aponeurosis and toe short flexor or Achilles tendon, degenerative changes of the calcaneus, and the formation of a conical bone at the attachment site of the calcaneus is called spur. The direction of the spurs is consistent with the direction of the Achilles tendon and the fascia. The calcaneus bone can be clearly seen on the lateral fluoroscopy of the calcaneus. However, patients with osteophytes may not have heel pain. In the case of heel pain, it is often treated after the symptoms of inflammation of the soft tissue around the calcaneus disappear, and the calcaneus still exists. Calcaneal spurs are characteristic features of degenerative changes and aging in the elderly.
Examine
Heel pain check
1. Checking one or several items in the inspection box for the outpatient treatment to check the limit "A";
2. For those who need to be hospitalized, the inspection project includes checking all the items limited to "A";
3, if you need to identify with the soft tissue purulent infection, early calcaneal osteomyelitis or tuberculosis, the inspection project may include the inspection box "A", "B" or "C".
Diagnosis
Diagnosis of hemorrhoids
The disease can be diagnosed based on medical history, symptoms and related examinations. However, attention should be paid to the identification of the following diseases:
1, calcaneal osteomyelitis
Although there are symptoms of heel pain in the calcaneus osteomyelitis, there may be obvious signs of acute infection such as redness, swelling and heat pain. In severe cases, there are systemic symptoms such as high fever. Laboratory tests and X-ray examinations can establish a diagnosis.
2. Calcaneal tuberculosis
The disease is mostly caused by adolescents, local symptoms are obvious, the range of swelling and pain is large, the general condition is poor, and there are low heat night sweats, fatigue, loss of appetite, etc., and the test and X-ray examination can identify.
