Ступни человека подвергаются самым большим нагрузкам при ходьбе. Поэтому любые патологии в этой области вызывают серьезный дискомфорт, часто приводящий к невозможности передвигаться. Особенно сильные боли вызывает шпора на ступне. Каждый шаг приводит к страданиям, поэтому человек начинает хромать.
Многие пациенты стараются самостоятельно снять болевые ощущения, не обращаясь к врачу. Но на самом деле только специалист может определить, как лечить шпору на ступне, ведь особенности терапии зависят от причины патологии, места появления нароста и наличия сопутствующих заболеваний.
Общая характеристика
Шпорами называют костные разрастания на подошвенной части стопы. Из-за неудобной обуви, повышенных нагрузок или различных патологий возникают микротравмы в мягких тканях стопы. Они провоцируют развитие воспаления. Особенно часто страдает подошвенная фасция, которая при повышенных нагрузках не успевает восстанавливаться. Это может вызвать патологическое разрастание костной ткани. Но шпора на стопе иногда образуется и как осложнение эндокринных или сосудистых заболеваний. В результате нарушения обменных процессов на кости происходит отложение солей кальция.
Появляется эта патология чаще всего на пятке или на подушечке около пальцев. Именно эти места подвергаются самым большим нагрузкам при ходьбе, так как сильнее всего соприкасаются с землей. По этой причине у человека со шпорой меняется походка, он старается ставить ногу так, чтобы не раздражать пораженное место.
Костный нарост может быть размером от 2 мм до сантиметра. А интенсивность боли от шпоры на ступне зависит от места ее появления. Иногда маленький нарост вызывает больше дискомфорта, чем большое образование.
Причины
Шпоры на ступне появляются чаще всего из-за возрастных изменений в костной ткани. Поэтому заболеванию больше всего подвержены пожилые люди, по статистике – в основном женщины. Связано это, скорее всего, с тем, что они чаще носят неудобную обувь, которая усиливает нагрузку на стопы. Кроме того, патология может появиться у спортсменов, людей с лишним весом или тех, кто длительное время проводит на ногах.
В последнее время многие патологии опорно-двигательного аппарата «помолодели». Так и шпора – все чаще она встречается у людей младше 40 лет. Такое состояние сильно ограничивает подвижность человека, лишая его привычного образа жизни. Чтобы этого избежать, важно знать, от чего бывает шпора, как избежать ее появления.
Есть несколько факторов, вызывающих развитие этой патологии:
- травматические поражения костей или мягких тканей стопы;
- плоскостопие;
- воспалительные заболевания суставов;
- нарушения осанки;
- патологии обменных процессов, вызывающие накопление солей;
- длительное ношение неудобной обуви или высоких каблуков;
- лишний вес и другие повышенные нагрузки на стопы;
- заболевания сосудов.
Симптомы
Каждый человек, которому пришлось на себе испытать, что такое шпора, знает, какие сильные боли причиняет эта патология. Их сравнивают с ощущением раскаленного гвоздя. Особенно болезненными оказываются разрастания на пяточной кости. Ведь в этом месте проходит большое количество нервных волокон, которые раздражаются при сдавливании.
Болевые ощущения при шпоре могут быть двух видов. Обычно сначала появляется стартовая боль. Она возникает по утрам, когда человек встает с постели. Потом немного уменьшается. Болевые симптомы могут стихать, а потом опять усиливаться в течение дня. Но чаще всего дискомфорт возникает вечером. С развитием воспаления боли становятся такими сильными, что отдают в икру, бедро и даже крестец. В других случаях болевые ощущения менее выражены, появляются только при повышенной физической нагрузке.
Кроме того, определить, что развивается шпора, можно по внешним признакам. Мягкие ткани вокруг нароста воспаляются, может возникнуть покраснение и отек. Часто на этом месте появляется мозоль. Иногда при ощупывании ступни можно ощутить под пальцами бугорок. Из-за постоянного раздражения костным наростом кожи, она грубеет. Часто на подошве образуется твердая мозоль, которую в народе называют куриной шпорой.
Диагностика
Некоторые пациенты считают, что знают, как выглядит шпора внешне. Они ставят сами себе диагноз и лечатся самостоятельно. Но делать этого нельзя. Даже если обнаруживаются все признаки шпоры, как на фото в интернете, все равно необходимо пройти обследование. Ведь похожие симптомы могут быть у других заболеваний.
Поэтому при появлении болей в стопе нужно обратиться к хирургу или к ортопеду. После осмотра и беседы с пациентом он назначит рентген, УЗИ и анализы крови. Это поможет исключить другие патологии. На рентгеновском снимке хорошо просматривается новообразование на ступне. Оно может быть разной формы, например, в виде головки коралла или бородавки. Но чаще всего нарост представляет собой шип или крючок.
Особенности лечения
Считается, что полностью избавиться от шпоры можно только хирургическим путем. Но вполне возможно остановить разрастание костной ткани и убрать дискомфорт. Хотя для этого необходимо устранить причины, вызвавшие патологию. Поэтому, прежде всего, рекомендуется уменьшить нагрузку на стопу. Если есть лишний вес, нужно от него избавляться, обувь лучше заменить на удобную, на низком плоском каблуке. Желательно использовать ортопедические стельки или специальные подпяточники, которые уменьшают давление на кость. Благодаря этому мягкие ткани не раздражаются наростом, и боль проходит.
При сильных болях врач назначает новокаиновую блокаду или инъекции «Гидрокортизона» прямо в стопу. Можно также принимать обезболивающие препараты внутрь. Но такое лечение пяточной шпоры неэффективно, так как только снимает боль, не устраняя ее причины. Поэтому необходимо применять комплекс мер, включающий диету, массаж, ЛФК, физиопроцедуры. А при неэффективности такой терапии рекомендуется удалить шпору хирургически.
Лечение с помощью мазей
Эффективнее всего снимать боль и воспаление при шпоре медикаментозно. Существует много препаратов, которые могут значительно облегчить жизнь пациенту. Но применять их стоит только по назначению врача. Особенно это относится к гормональным или нестероидным противовоспалительным средствам. Такие препараты, как «Гидрокортизон» или «Преднизолон», снимают боли почти сразу после нанесения, но пользоваться ими можно не более 10 дней, так как они часто вызывают серьезные побочные эффекты. Более безопасными являются мази на основе НПВП. Это «Индометацин», «Бутадион», «Найз», «Пироксикам».
Но в последнее время появилось большое количество мазей, содержащих натуральные компоненты. Они не только снимают боль и воспаление, но способны воздействовать на причину шпоры, растворяя отложения кальция и ускоряя обменные процессы.
Самыми эффективными считаются такие лекарства:
- крем «Пяточная шпора» на начальном этапе быстро устраняет воспаление, кроме того, он хорошо смягчает огрубевшую кожу стоп;
- крем «При пяточной шпоре» с экстрактом золотого уса, чесноком и маслом гвоздики способен растворять солевые отложения на костях;
- мазь «Стоп шпора» содержит акулий жир, обладающий рассасывающим эффектом и экстракт золотого уса, который заживляет ранки и ускоряет кровообращение;
- мазь Вишневского обладает противовоспалительным, антисептическим действием и ускоряет кровообращение;
- хорошим препаратом является крем от компании «КрокМед» на основе медицинской желчи и вытяжки из черной редьки, который, кроме снятия болей, ускоряет регенерацию тканей;
- мазь «Тигровыйглаз» тоже предназначена для лечения шпоры, так как эффективно снимает боли, активирует кровообращение и обменные процессы.
Физиотерапия
Для лечения шпоры в современной медицине широко применяются физиотерапевтические процедуры. Они способны улучшить кровообращение и обменные процессы в пораженных тканях, ускорить заживление и вывод солей. Многие процедуры также хорошо снимают болевые ощущения. Например, эффективными являются электрофорез или сонофорез.
В последнее время для избавления от шпоры с успехом применяется ударно-волновая терапия. Это излучение совершенно безболезненно для мягких тканей, но эффективно разрушает соли кальция, уменьшая костный нарост. УВТ при правильном применении поможет убрать шпору без операции.
Часто в комплексной терапии шпоры применяется также грязелечение. Лечебные грязи обладают противовоспалительными свойствами, снимают боль и рассасывают отложения солей.
Лечебная физкультура
Хорошо помогают предотвратить развитие шпоры, а также вывести ее, когда она уже появилась, различные упражнения. Они должны быть направлены на укрепление и растяжение сухожилий стопы и мышц голени. Можно приседать, не отрывая пяток от пола, наклоняться вниз, стоя на подставке, зацепить за пальцы ноги резиновую ленту и натягивать ее на себя. Полезно катать стопами теннисный мячик или скалку.
Диета
Полностью вылечить шпору невозможно без правильной диеты. Ведь во многих случаях появление таких наростов вызвано нарушением обменных процессов и отложением солей. Поэтому необходимо ограничить употребление соленых, копченых продуктов, консервов и маринадов. Отказаться от крепкого чая, кофе, колбас, газированных напитков.
Для очищения организма от отложения солей полезно больше употреблять огурцов, арбузов и других продуктов с мочегонным эффектом. В день очень важно выпивать не менее 3 литров чистой воды.
Народные методы
Кроме терапии, назначенной врачом, пациент может проводить лечение в домашних условиях с помощью простых доступных рецептов. Но делать это можно только после постановки диагноза и в комплексе с медицинскими средствами. Такое лечение может быстрее снять боль, отек и воспаление, но не поможет избавиться от шпоры. И все равно домашние рецепты очень популярны, так как значительно облегчают жизнь пациенту.
Народная медицина предлагает множество простых способов лечения шпоры. Некоторые из них вызывают недоумение, например, совет постукивать пяткой по земле. Но есть и действительно эффективные, которые проверены многими людьми. Чаще всего это компрессы, ванночки, мази, которые снимают воспаление, активируют кровообращение и обменные процессы.
- Можно парить ноги в горячем солевом растворе. Растворить нужно 2 пачки морской соли в 3 л воды. Температура должна быть как можно выше, только чтобы можно было выдержать. Через полчаса ступни нужно потереть пемзой. Хорошо делать это перед нанесением других лекарственных средств, которые лучше проникнут через распаренную кожу.
- На ночь можно прикладывать к пораженному месту свежие листья подорожника с внутренней стороны и приматывать бинтом. Процедуру проводить ежедневно в течение 2 недель.
- Быстро снимают боль и воспаление компрессы из тертого картофеля. Его нужно промыть и потереть вместе с кожурой. Компресс закрепляется пленкой. Держать его нужно так долго, как это возможно, но раз в сутки необходимо менять состав.
- На ночь можно прикладывать к шпоре тертую редьку. Утром после компресса нужно промыть кожу.
- Эффективный рецепт народной медицины – использование отварного картофеля. Нужно сварить полную трехлитровую кастрюлю мелких неочищенных клубней. После этого высыпать их горячими в тазик, обильно пересыпать морской солью и топтать ногами до остывания. Потом протереть стопы, намазать пораженное место йодом и надеть теплые носки.
- Хорошо прикладывать на ночь к шпоре лепешку, сделанную из меда и овсяной муки.
Хирургическое лечение
При неэффективности консервативной терапии, частых рецидивах или очень сильных болях врач может порекомендовать удаление шпоры. Операция эта несложная, реабилитация занимает всего несколько дней. Удаление нароста может проводиться через разрез или с помощью эндоскопа.
Профилактика
Чтобы защититься от пяточной шпоры, которая может возникнуть у каждого человека, важно соблюдать некоторые профилактические меры. Главное, обращать внимание на свою обувь. Она должна быть удобной, имеющей небольшой каблучок. Нужно избегать длительного хождения на высоких каблуках, в узких туфлях, а также в балетках на плоской подошве.
Втрое правило – это снижение нагрузки на стопы. Для этого нужно откорректировать свой вес, стараться меньше стоять. Но физические упражнения обязательны. Ведь без укрепления мышечного корсета различные патологии опорно-двигательного аппарата появляются быстрее. Нужно стараться вовремя лечить плоскостопие, сколиоз, заболевания суставов. Кроме того, очень важно правильное питание, которое исключит отложение солей.
Пяточная шпора – это очень болезненное заболевание. Но при правильном лечении и изменении образа жизни от дискомфорта можно избавиться. А еще лучше, стараться не допускать деформации стоп, защищая их от повышенных нагрузок.
Шпора на ступне
Среди множества заболеваний, поражающих ступню, довольно часто встречается пяточная шпора.
Шпора на ступнях сопровождается воспалительными и дегенеративными процессами в подошвенной фасции, из-за чего болезнь в медицине называется плантарным фасциитом.
Чаще всего шпоры формируются у женщин старше 40 лет, особенно у тех, кто живет в городах.
В большинстве случаев диагностируется у женщин старшего возраста, живущих в городах. Шпору на ступне в медицинской практике также называют плантарным фасциитом. При этом заболевании на пяточной кости человека образовывается нарост. Он имеет шиповидную форму и, врезаясь в мягкие ткани, вызывает серьезное воспаление. Справиться с недугом можно, если своевременно обратиться за медицинской помощью.
Симптомы
Распознать заболевание можно по сильной боли, которая локализуется в пятке. Это первый и самый главный симптом, сигнализирующий о шпоре на стопе. Усиливаются боли при опоре на пятку. Становятся более ярко выраженными симптомы при: беге,прыжках, длительном стоянии на твердой почве, ношении неудобной обуви.
Человек с такой проблемой часто жалуется на утренние боли в ноге. После пробуждения ему сложно делать первые несколько шагов. При этом человек испытывает острую боль, которая будто пронзает ногу. Через некоторое время симптом может полностью исчезнуть, но на следующее утро проявляется с той же силой. Помимо этого, распознать шпору на стопе можно по покраснению кожи на пятке, напряжению в стопе, изменению походки (прихрамыванию).
Причины шпор на стопе
Вызвать заболевание могут различные факторы. В подавляющем большинстве случаев возникают на ступнях шпоры из-за:
- плоскостопия;
- избыточной массы тела;
- заболеваний суставов;
- травм пяточной кости;
- ношения узкой обуви на высоких каблуках;
- изнурительных тренировок.
Помимо этого, недуг может развиваться на фоне уже имеющихся других заболеваний. Причинами появления шпор на ступнях могут становиться патологии позвоночника, болезни соединительной ткани, например, ревматоидного артрит, артроз. Также вызывают появление нароста на пяточной кости обменные нарушения.
Заболевание диагностируется, как правило, у людей старшего возраста. При этом недуг может развиваться даже из-за истончения жировой подушки пятки. Это распространенная проблема пожилых людей, которая связана со старением организма.
Диагностика
Для того чтобы справиться с заболеванием, важно выяснить, что стало причиной его появления. Знают, как определить это, и как лечить шпору на ступне, следующие специалисты:
Специалисты на первом приеме проведут осмотр пациента. Также для уточнения диагноза они зададут несколько уточняющих вопросов.
Ответы на вопросы помогут определить, как эффективно избавиться от шпоры на ступне. Для подтверждения диагноза пациенту также назначат пройти несколько диагностических процедур. Ему будет необходимо сделать рентгенограмму, пройти ультразвуковое обследование больной области. Только после получения результатов этих процедур врач имеет право начинать терапию.
Лечение шпоры на ступне
Для каждого пациента составляется индивидуальная схема лечения. При этом врач учитывает все физиологические особенности человека, его возраст и общее состояние организма. Сегодня справиться с заболеванием можно с помощью медикаментозного лечения,физиотерапии,хирургического вмешательства.
Независимо от того, как врач предлагает избавиться от шпоры на ступне, лечение всегда начинается разгрузки больной ноги. Человеку нужно снизить свою физическую нагрузку, отказаться от ходьбы на высоких каблуках, носить специальные ортопедические стельки.
Если начать лечение шпор на пятке таким способом на ранних этапах их развития, то от заболевания можно полностью избавиться в короткие сроки. Ударно-волновая терапия почти в 99 % случаев помогает избежать операции.
Пяточная шпора — это достаточно распространенное заболевание, в ходе которого развивается воспаление и дегенеративные изменения в подошвенной фасции. Недуг в подавляющем большинстве случаев диагностируется у женщин старшего возраста, живущих в городах. Шпору на ступне в медицинской практике также называют плантарным фасциитом. При этом заболевании на пяточной кости человека образовывается нарост. Он имеет шиповидную форму и, врезаясь в мягкие ткани, вызывает серьезное воспаление. Справиться с недугом можно, если своевременно обратиться за медицинской помощью.
Симптомы
Распознать заболевание можно по сильной боли, которая локализуется в пятке. Это первый и самый главный симптом, сигнализирующий о шпоре на стопе. Усиливаются боли при опоре на пятку. Становятся более ярко выраженными симптомы при:
- Беге;
- Прыжках;
- Длительном стоянии на твердой почве;
- Ношении неудобной обуви.
Человек с такой проблемой часто жалуется на утренние боли в ноге. После пробуждения ему сложно делать первые несколько шагов. При этом человек испытывает острую боль, которая будто пронзает ногу. Через некоторое время симптом может полностью исчезнуть, но на следующее утро проявляется с той же силой. Помимо этого, распознать шпору на стопе можно по:
- Покраснению кожи на пятке;
- Напряжению в стопе;
- Изменению походки (прихрамыванию).
Причины шпор на стопе
Вызвать заболевание могут различные факторы. В подавляющем большинстве случаев возникают на ступнях шпоры из-за:
- Плоскостопия;
- Избыточной массы тела;
- Заболеваний суставов;
- Травм пяточной кости;
- Ношения узкой обуви на высоких каблуках;
- Изнурительных тренировок.
Помимо этого, недуг может развиваться на фоне уже имеющихся других заболеваний. Причинами появления шпор на ступнях могут становиться патологии позвоночника, болезни соединительной ткани, например, ревматоидного артрит, артроз. Также вызывают появление нароста на пяточной кости обменные нарушения.
Заболевание диагностируется, как правило, у людей старшего возраста. При этом недуг может развиваться даже из-за истончения жировой подушки пятки. Это распространенная проблема пожилых людей, которая связана со старением организма.
Какой врач вылечит?
Для того чтобы справиться с заболеванием, важно выяснить, что стало причиной его появления. Знают, как определить это, и как лечить шпору на ступне, следующие специалисты:
Специалисты на первом приеме проведут осмотр пациента. Также для уточнения диагноза они зададут ему несколько вопросов:
- Как давно стали беспокоить боли в пятке?
- Что может спровоцировать усиление их интенсивности?
- Есть ли другие жалобы?
- Беспокоит ли человека утренняя боль в пятке?
- Много ли времени пациент проводит на ногах?
- Были ли травмы пятки в прошлом?
- Пытался ли человек самостоятельно справиться с заболеванием?
Ответы на эти вопросы помогут определить, как эффективно избавиться от шпоры на ступне. Для подтверждения диагноза пациенту также назначат пройти несколько диагностических процедур. Ему будет необходимо сделать рентгенограмму, пройти ультразвуковое обследование больной области. Только после получения результатов этих процедур врач имеет право начинать терапию.
Как избавиться от шпоры на ступне?
Для каждого пациента составляется индивидуальная схема лечения. При этом врач учитывает все физиологические особенности человека, его возраст и общее состояние организма. Сегодня справиться с заболеванием можно с помощью:
- Медикаментозного лечения;
- Физиотерапии;
- Хирургического вмешательства.
Независимо от того, как врач предлагает избавиться от шпоры на ступне, лечение всегда начинается разгрузки больной ноги. Человеку нужно снизить свою физическую нагрузку, отказаться от ходьбы на высоких каблуках, носить специальные ортопедические стельки. Медикаментозное лечение подразумевает:
- Нанесение на пораженное место обезболивающих мазей;
- Использование противовоспалительных препаратов в форме кремов;
- Иногда — прием антибиотиков.
Быстро справиться с болью можно с помощью инъекции обезболивающих препаратов в пятку. Эта процедура очень эффективная, но и болезненная. Хороший эффект дает лечебная физкультура. Программа упражнений разрабатывается индивидуально для больного.
Лучшее средство — ударно-волновая терапия
Пациенту также может быть назначена физиотерапия. Одним из самых лучших средств, которые помогают как можно быстрее вылечить шпору на ступне, является ударно-волновая терапия. Эта методика основана на воздействии импульсов определенной частоты на больные участки. Процедура помогает:
- Улучшить кровообращение;
- Уменьшить отечность;
- Снять симптомы;
- Уменьшить воспаление.
Волны вызывают разрыхление отложений кальция. Впоследствии они вымываются из организма с кровотоком. Уже после проведения первого сеанса пациенты отмечают значительное уменьшение болей, вызываемых шпорой на ступне. С каждой процедурой симптом будет становиться все менее мучительным. Продолжительность сеанса составляет от 10 до 30 минут в зависимости от состояния человека.
Если начать лечение шпор на пятке таким способом на ранних этапах их развития, то от заболевания можно полностью избавиться в короткие сроки. Ударно-волновая терапия почти в 99 % случаев помогает избежать операции.
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