Пяточная шпора или плантарный/подошвенный фасциит – довольно распространенная патология, появление которой невозможно предугадать. Заболевание характеризуется стойкими болевыми ощущениями, значительно ухудшающими качество жизни пациента, поэтому любой заболевший стремится найти универсальное средство от этой болезни. Часто пациенты отдают предпочтение консервативным способам лечения, а именно мазям и кремам. Чтобы выбрать мазь от пяточной шпоры, необходимо знать ее состав и оказываемое действие.
Причины возникновения и симптомы пяточной шпоры
Пяточная шпора – это заболевание, которое обычно является последствием других патологий и функциональных сбоев в организме. В основном плантарный фасциит развивается из-за длительных физических нагрузок, сопряженных с длительным давлением большого веса на подошвы ног.
Механизм развития заболевания предполагает возникновение воспаления в плантарной фасции, затем переход процесса в хроническую форму и последующее травмирование близлежащих тканей костными разрастаниями, образовавшимися в месте крепления подошвенной фасции к пяточной кости. Поэтому, прежде чем мазать шпору на пятке, необходимо выявить стадию развития болезни и делать выбор в пользу лекарств, которые могут оказать эффект именно на этом этапе.
Помимо длительного давления, оказываемого на опорно-двигательный аппарат, причинами пяточной шпоры могут стать:
- Сахарный диабет;
- Артрит;
- Нарушенный обмен веществ;
- Плоскостопие;
- Избыточный вес;
- Механические травмы;
- Болезни опорно-двигательной системы, характеризующиеся воспалительными процессами, которые способны мигрировать между отделами костной системы.
Заболеванию чаще других подвержены женщины раннего и последующих климактерических периодов.
Симптоматика патологии выражается болью, которая становится ярче утром и вечером, а также после нагрузок.
Лечение пяточной шпоры бывает консервативным и радикальным. Лечение мазями пяточных шпор, проведение сеансов физиотерапии и использование других методов местной терапии заболевания более предпочитаемы, чем хирургическое вмешательство, однако существуют ситуации, в которых операция – единственный выход.
Классификация аптечных мазей
Лечение консервативными методами включает использование нестероидных противовоспалительных средств, обезболивающих и гормональных препаратов. Выбор зависит от стадии болезни и степени выраженности болевого симптома. Помимо применения мазей, гелей и других местных препаратов, часто используют дополнительную терапию, которая может помочь: обертывание грязью, лечебную физкультуру, физиотерапевтические процедуры. То, какие мази помогают при пяточной шпоре, и каким процедурам отдать предпочтение, должен обозначать лечащий врач, учитывая особенности течения болезни у каждого конкретного пациента.
Ниже представлена краткая информация о самых популярных и действенных мазях при пяточной шпоре. На основании этих данных, пациент сможет самостоятельно сделать выбор в пользу какого-либо определенного препарата, исходя из личных предпочтений.
Гормональные мази
Самыми распространенными глюкокортикостероидными средствами (синтетическими аналогами гормонов, синтезируемых корой надпочечников) местного применения являются:
Список используемых мазей при пяточной шпоре возглавляет гидрокортизоновая мазь. Это гормональное средство, имеющее ряд противопоказаний. Действие мази – противовоспалительное, но она хорошо снимает сопутствующие симптомы пяточной шпоры – боль, отек, зуд. Ввиду того, что основное вещество препарата (гидрокортизон) сходно по структуре и действию с гормоном, вырабатываемым надпочечниками, при длительном применении, нарушении дозировки возможно появление побочных эффектов со стороны кожных покровов и эндокринной системы.
К основным противопоказаниям относят беременность и период лактации. Длительность терапии не должна превышать 14 дней, а до 12 лет ее применение возможно только под строгим контролем медперсонала.
Используют препарат дважды в день, для терапии в отношении именно пяточной шпоры рекомендуется приобретать 1% гидрокортизоновую мазь. Стоимость составляет в среднем 30 рублей.
Дерматологи рекомендуют использовать эту аптечную мазь против шпор на пятках, так как она обладает противовоспалительным и противоаллергенным свойством. Иногда может вызывать реакцию, сходную с ответом организма на антибиотики – грибковые заболевания.
Безопасная длительность лечения: 8-14 дней. Применяется средство не более 3-х раз в день. Использование в период беременности и грудного вскармливания разрешено, только если польза для матери значительно выше риска для ребенка. Применение детьми возможно с 1 года, однако оно должно проводиться под контролем лечащего врача. Стоимость гормональной мази варьируется в пределах 25-40 рублей.
Синтетическое кортикостероидное средство, похожее на предыдущее ввиду аналогичности действующего вещества. Эта мазь от шпор на пятке и других заболеваний, характеризующихся развитием воспалительного процесса, эффективно нейтрализует симптомы (отек, сухость), действует быстро и направленно.
Продолжительность курса устанавливается индивидуально, но применение дольше 14 дней не рекомендуется. В числе побочных эффектов значатся ожирение и сбои в работе центральной нервной системы. Стоимость препарата примерно 300-350 рублей.
Негормональные мази
Нестероидные мази изготовлены на основе натуральных компонентов. Их применение более безопасно и не нуждается в корректировке врача. Стоит обратить внимание на состав, возможны аллергические реакции при индивидуальной непереносимости компонентов.
Золотой ус – это комнатное лекарственное растение, обладающее широким спектром
целительных свойств: противовоспалительным, обезболивающим, противоотечным.
Помимо использования в рамках лечения пяточной шпоры, мазь Золотой Ус применяется для восстановления других систем органов: дыхательной пищеварительной.
У средства кремовая структура, применение целесообразно на начальной стадии развития пяточной шпоры. Эффект можно усилить, надев хлопковые носки после нанесения. Лечение этим нестероидным препаратом может быть достаточно плодотворным. Среди противопоказаний находятся такие осложнения заболевания, как трещины и грибковые болезни. Стоимость средства находится в пределах 100 рублей.
Ещё одним эффективным нестероидным средством от пяточной шпоры является крем Орто Тигровый Глаз. Благодаря богатому составу, включающему пчелиный воск, экстракты
лимона, сирени и хрена, касторовое масло, мазь быстро и результативно борется не только с симптомами заболевания, но и с причинами, вызвавшими его.
Применение препарата осуществляется 3 раза в сутки. Перед использованием врачи рекомендуют очищать пятку с помощью пемзы и наносить крем, а после – использовать ортопедические стельки. Стоимость крема – порядка 250 рублей.
Этот компонент используется в производстве мазей, используемых для рассасывания кожных новообразований. Согласно отзывам, крем от пяточной шпоры Акулий Жир ускоряет регенеративные процессы и обладает согревающим свойством, что улучшает кровообращение в районе образования патологии.
Применение крема желательно 2 раза в день: утром и вечером. Препарат снижает болезненность и снимает воспаление в пятке, препятствуя дальнейшему развитию болезни. Стоимость в аптеках начинается от 50 рублей.
Полностью натуральное средство, предназначено конкретно для лечения подошвенного фасциита. Мазь от пяточной шпоры содержит желчь, масло чайного дерева, экстракт картофеля и другие компоненты, которые способствуют снятию воспаления. Помимо противовоспалительного, препарат обладает антисептическим свойством и улучшает кровообращение в мягких тканях.
Крок Мед рекомендовано использовать 2-3 раза в день, предварительно распарив ногу. Результат становится заметен уже через несколько дней: боль отступает, уменьшается дискомфорт при ходьбе, но для достижения лучшего эффекта стоит ограничить двигательную активность на время лечения. Стоимость средства зависит от объема и начинается от 40 рублей.
Крем-бальзам ШпорНет активизирует приток питательных веществ к поврежденной ткани, что способствует быстрому снятию воспаления. Улучшение кровообращения тоже немаловажная функция препарата, благодаря которой лечение пяточной шпоры происходит быстро и эффективно.
Для достижения результата необходимо 2 раза в день втирать в кожу пятки мазь ШпорНет, если болезнь находится в прогрессирующей стадии, то количество применений в сутки можно увеличить до 4-х. Рекомендовано перед использованием распарить стопу. Цена крема – 100 рублей.
В состав препарата входят уже описанные акулий жир и золотой ус. Препарат оказывает регенеративное воздействие и рассасывающее, что незаменимо, учитывая механизм развития заболевания. Как и предыдущее средство, мазь для лечения пяточной шпоры Стоп Шпора помогает достигнуть результата в достаточно сжатые сроки.
Длительность лечения зависит от того, как скоро появится эффект. Стоимость начинается от 200 рублей.
Применяется для снятия боли в суставах, оказывает омолаживающее воздействие на мышцы и опорно-двигательный аппарат. В состав входят витамины, поддерживающие эластичность тканей и способствующих рассасыванию солевых наростов. Восстанавливает кальциевый обмен.
При терапии пяточной шпоры, ксикрем наносят на область патологии 2 раза в день в течение 3-х недель. Мазать нужно втирающими круговыми движениями, после чего использовать ортопедические стельки или носки из натуральных тканей. Цена – 160 рублей.
В состав мази входят деготь, ксероформ, касторовое масло, причем массовая доля последнего компонента составляет 94%. Препарат является противовоспалительным и антисептическим свойством, формирует местный иммунитет. Противопоказан людям с почечной недостаточностью и индивидуальной непереносимостью компонентов.
Для избавления от шпор на пятках, следует наносить мазь и накладывать согревающий компресс на несколько часов. Может вызывать аллергические реакции при длительном использовании. Цена – 30-40 рублей.
Улучшает кровоток в тканях, является местным противовоспалительным средством, оказывает согревающее действие. Важно избегать попадания на слизистые. Действие основано на вытесняющем механизме. После применения для лечения пяточной шпоры, на смену боли приходит легкое жжение – результат термической реакции в тканях.
Эффективно обезболивает, помогает улучшить состояние уже через несколько процедур. Стоимость начинается от 20 рублей.
Эта мазь используется против болезней суставов. К противопоказаниям относят период беременности и лактации, детский возраст до 6 лет, а так же повышенная чувствительность к компонентам.
Лечебное действие против шпор на пятках основано на снижении болезненных ощущений и уменьшении отечности. Нежелательно применение дольше 10-ти суток, а также нанесение на травмированные участки кожи. Стоимость в пределах 80 рублей.
Обезболивающие средства
При направленном лечении пяточной шпоры, основные препараты могут не оказывать влияния на болезненность, что значительно ухудшает состояние пациента, в том числе и психическое. Ввиду этого рекомендуется использовать дополнительные обезболивающие лекарственные средства местного использования.
Среди них Диклофенак, Хондроксид, Ортофен, Вольтарен. Все эти препараты объединяет основное свойство – обезболивание. Применяются они не системно, а ситуативно, хотя возможно и систематическое применение в случае сильных болей.
Народные рецепты домашних мазей
Нетрадиционная медицина славится тем, что все предлагаемые ею рецепты основаны на применении только натуральных компонентов. Нужно помнить, что лечение серьезных заболеваний не может строиться исключительно на народных средствах, однако использовать домашнюю терапию в дополнение к традиционному лечению не помешает. Домашние мази при пяточной шпоре представлены следующим списком:
Необходимо смешать 200 г гречишного меда с 20 г йода, добавить соль (10 г). Получившуюся массу перемешать, наносить 1 раз в день. Для усиления эффекта можно оборачивать ногу целлофаном и надевать сверху шерстяной носок. Длительность курса лечения – 10 дней.
Березовый деготь (150 г) смешать с детским кремом (80 г), добавить 30 г меда и перец Чили. Это средство оказывает согревающее действие и улучшает кровообращение в фасции. Применять дважды в день в течение 2-х недель.
Взбить куриное яйцо до однородной консистенции, добавить измельченную в порошок скорлупу, 100 мл яблочного уксуса и настаивать 3 дня в темном месте. Затем добавить сливочное масло или несоленое сало (200 г). Наносить втирающими движениями 2 раза в день в течение недели.
Пяточная шпора – это вторичное заболевание, развивающееся на фоне других сбоев в организме человека. Именно поэтому при лечении необходимо одновременно лечить и заболевание-причину и заболевание-следствие. Консервативное лечение солевых отложений в стопах более приемлемо, чем хирургическое вмешательство, поэтому используемые мази от пяточной шпоры представлены такой обширной палитрой. При своевременно и адекватно подходе к терапии, можно избавиться от болезненного недуга быстро и эффективно. Главное – не заниматься самолечением, а проконсультироваться с лечащим врачом и следовать его рекомендациям.
Проблема пяточной шпоры многим известна не понаслышке. Медицинское название — плантарный фасциит. Оно характеризуется сильными болями при ходьбе, и игнорировать развившуюся патологию невозможно. Снять воспаление в тканях и устранить неприятные ощущения может мазь от пяточной шпоры. Какие линименты применяются в таких случаях они эффективны?
Особенности образования пяточных шпор
Плантарный фасциит или пяточная шпора, представляет собой воспаление с дегенеративным изменением подошвенной фасции, сопровождающейся костным наростом в пяточной зоне. Сухожилие в стопе соединяет пяточный бугор с плюсневыми костями и выполняет функцию поддержки продольного свода ступни.
Вследствие этого, на фасции образуются надрывы, которые в большинстве случаев регенерируются самостоятельно. Иногда микротравмы вызывают воспаление, что и является причиной боли в пятке. Нарост на кости, который называют шпорой, возникает вследствие плантарного фасциита.
Преимущества и недостатки лечения мазями
У любого вида терапии имеются плюсы и минусы. Преимущество применения аптечного препарата в форме мази в том, что метод не является инвазивным, в отличие от оперативного вмешательства. И в доступности и простоте применения кремового состава.
Мази с противовоспалительным и согревающим действием можно приготовить в домашних условиях. Этот вариант подойдет тем, кто больше склоняется к лечению способами нетрадиционной медицины. Существует немало рецептов с применением натуральных компонентов.
Среди недостатков можно выделить необходимость в длительном и непрерывном курсе лечения, наличии противопоказаний, возможности привыкания.
Обзор кремов и мазей
Аптечные
Аптечные линименты в виде мази делятся на: гормональные и негормональные. Препараты, относящиеся к первому классу, могут иметь растительную основу или изготавливаться из синтетических веществ. Гормональная мазь для лечения пяточной шпоры (не путать с натоптышем) характеризуется выраженным быстродействующим эффектом, но имеет ряд противопоказаний и побочных явлений при несоблюдении сроков использования и доз. Лекарства отечественных производителей часто бывают дешевле зарубежных аналогов.
Негормональные мази | |
Золотой ус | В составе крема содержатся натуральные компоненты: |
- экстракт сабельника, подорожника и золотого уса;
- акулий жир;
- эвкалипт;
- кукурузное масло.
Димексид устраняет воспаление, ускоряет обменные процессы в тканях, позволяя действующим компонентам проникать в эпицентр проблемы. Данный препарат усиливает действие некоторых других лекарств. Если его используют в комплексе с аспирином, антибиотиками, нитроглицерином, инсулином, средствами гликозидной структуры, то стоит учитывать это свойство Димексида.
Домашнего приготовления
Мазь от шпоры на пятках можно приготовить самостоятельно. В состав средства могут входить лекарства из аптеки или привычные продукты, которые часто используются в рецептах народными лекарями.
- Для приготовления состава из аптечных препаратов используют:
- гепариновую мазь (1 тубу);
- раствор димексида (1 флакон);
- гидрокартизон 1% (1 тубу);
- анальгин в ампулах (5 штук);
- дистиллированную воду (100 мл).
Все ингредиенты смешиваются до однородной массы. В получившемся растворе смачивают марлю и прикладывают к пятке. На ногу надевают целлофановый пакет и заматывают шерстяным платком. Компресс оставляют на ночь, утром смывают теплой водой. Вечером процедура повторяется. Так поступают до полного выздоровления.
- Мазь «Зорька», применяемая от шпор на пятках – это ветеринарный препарат, но его нередко используют люди для лечения проблем с кожей и суставами. Действующим веществом является Флорализин – уникальное химическое соединение, не имеющее аналогов. Мазь наносится на больную пятку на ночь ежедневно до исчезновения неприятных симптомов.
- Народным средством для лечения шпоры всегда была мазь из яйца, уксуса и масла. Для самодельного эффективного препарата понадобятся:
- уксусная кислота 70% (100 мл);
- сливочное масло (200 гр.);
- яйцо (1 шт.).
Целое яйцо помещают в стакан и заливают уксусной эссенцией до его полного покрытия и оставляют на 3 суток. К этому моменту скорлупа должна раствориться. Пленку, которая останется, необходимо извлечь, а остальное содержимое стакана хорошо перемешать. Затем добавляется растопленное масло, все компоненты доводятся до однородной массы. Из полученного состава делают компрессы. Если лекарство будет причинять сильное жжение, его стоит убрать во избежание получения ожога.
- Еще одним средством от воспаления в пятке является состав из:
- йода (50 мл);
- соли (1 ч. л.);
- меда (1 ст. л.).
Компоненты смешиваются и наносятся на ткань, которую на ночь прикладывают к пятке и фиксируют бинтом. Компресс делают каждый вечер в течение недели.
Как лечить шпору с помощью мазей
Любой препарат имеет особенности в использовании, которые стоит учитывать при каждом случае:
- Гормональную мазь от появившихся шпор следует использовать только по назначению врача. Гидрокортизон оказывает влияние на обмен веществ, в том числе и липидный. При длительном использовании может увеличиться жировой слой в пятке. Не рекомендуется применять лекарственное средство более 10 дней.
- Золотой Ус рекомендуется применять при первых симптомах пяточной шпоры. Линимент снимает воспаление в тканях, утоляет болевой синдром. После нанесения препарата рекомендуется утеплить ногу.
- Диклофенак нельзя наносить на поврежденную кожу. Также не рекомендуется после втирания накладывать повязку, которая не допускает проникновение воздуха к проблемному участку. Нанесение тонкого слоя линимента производят до 4 раз в день легкими втирающими движениями. Не следует использовать гель более 2 недель;
- Ихтиоловая мазь наносится на больную пятку, закрывается повязкой и оставляется на всю ночь. Облегчение чувствуется уже после первого применения. Процедуру следует повторить несколько раз до полного выздоровления.
- Перед применением Крок-Меда необходимо распарить пятку, нанести линимент тонким слоем, закрыть проблемный участок пищевой пленкой или полиэтиленовым пакетом и утеплить стопу. Процедуру нужно проводить дважды в день.
- Гель Ибупрофен наносят на кожу пятки в виде полоски 2-3 см, втирают до полного впитывания 2-4 раза в день на протяжении 14-20 дней до исчезновения неприятных ощущений в стопе.
Противопоказания
Перед тем, как приобрести в аптеке препарат от шпоры, следует проконсультироваться с врачом хирургом или ортопедом. Совет дерматолога может понадобиться при наличии дополнительных проблем с кожей на пятках.
Используя мази, следует придерживаться инструкции и особое внимание уделять пункту с описанием противопоказаний, которыми часто выступают:
- детский возраст;
- беременность;
- период лактации;
- наличие хронических заболеваний.
Чтобы лечить шпору правильно, нужно знать истинную причину ее возникновения. Не следует принимать решение самостоятельно и покупать мазь, игнорируя прохождение диагностики. Часто использование средств для снятия воспаления недостаточно для адекватного лечения от плантарного фасциита.
Пяточная шпора – это очень болезненное заболевание, которое возникает при сильных нагрузках на стопы ног. При этой болезни происходит воспаление в подошвенной фасции стопы.
Способов лечения пяточной шпоры очень много.
В этой статье будут рассмотрены различные способы лечения пяточной шпоры мазями.
Мазь от шпор на пятках — применение
Мази, продающиеся в аптеках
В аптеке продается множество разнообразных средств от пяточных шпор. Чаще всего используются следующие препараты:
Гидрокортизоновая мазь
Применять мазь нужно осторожно – не более двух недель. Втирать ее в больную пятку необходимо по 3-5 раз в сутки ежедневно.
У гидрокортизона есть противопоказания:
- индивидуальная непереносимость,
- наличие раздражений и повреждений кожи в области применения.
Индометациновая мазь
Данный препарат относится к нестероидным противовоспалительным препаратам. Он обладает противовоспалительным, жаропонижающим и обезболивающим действием.
Курс лечения индометациновой мазью составляет 2-3 недели. Наносить ее нужно 2-3 раза в сутки на больную пятку.
- повышенная восприимчивость к активному веществу.
- период вынашивания ребенка и его грудное вскармливание.
- детский возраст младше 6 лет.
- повреждения кожи.
С осторожностью назначают препарат и в таких случаях:
- сбой функции почек;
- нарушение работы печени;
- язвы желудка и эрозивные поражения стенок кишечника;
- недостаточность сердца хронической формы;
- преклонный возраст;
- бронхиальная астма;
- гипокоагуляция.
Ибупрофеновая мазь
Ибупрофеновую мазь надо наносить несколько раз в день в течении двух недель на пяточную шпору.
- аллергия на компоненты лекарства;
- дерматоз;
- экзема;
- беременность, а так же период лактации;
- инфицированные открытые раны и ссадины.
Димексид-гель и Димексид-мазь
Димексид очень эффективно борется с болью в пятке. Этот препарат снимает воспаление и активизирует метаболизм. Также он обладает бактерицидным действием и способен проникать непосредственно к очагу воспаления.
Димексид увеличивает эффективность антибиотиков, инсулина, ацетилсалициловой кислоты, этанола, нитроглицерина. Его можно использовать вместе с нестероидными противовоспалительными препаратами, а также с антибактериальными средствами.
Лечение димексидом запрещено для применения людям со следующими заболеваниями:
- С нарушениями зрения, т.е. с глаукомой и катарактой;
- С сердечно-сосудистыми нарушениями, т.е. с инфарктом миокарда и стенокардией;
- При беременности;
- В период грудного вскармливания;
- При инсульте головного мозга;
- При коматозном состоянии;
- При атеросклерозе.
Народные средства
Народные средства могут быть прекрасным дополнением к стандартным медицинским препаратам.
Мазь из йода с аспирином и анальгином
Такое средство очень эффективно, оно снимает болевые ощущения и обладает противовоспалительным эффектом.
- Надо взять 4 таблетки аспирина и 4 таблетки анальгина и мелко измельчить.
- Полученный порошок засыпать в 5% раствор йода (100 мл).
- Полученную смесь помесить в темное прохладное место и дать постоять в течение суток.
- Препарат надо наносить на больные пятки раз в неделю в течение 4-5 недель.
Мазь из прополиса
- Необходимо подогреть небольшое количество прополиса на водяной бане.
- Размягчить его и приложить к пятке.
- Накрыть тканью и зафиксировать бинтом или пластырем.
- С этой мазью нужно ходить сутки, а на следующий день поменять его.
- Курс лечения мазью из прополиса составляет одну неделю.
Таким образом, при многообразии различных мазей можно подобрать себе такое средство, которая поможет справиться с таким неприятным недугом, как пяточная шпора.
Видео — Лечение пяточной шпоры
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