Стопы ног человека постоянно подвергаются большим нагрузкам. Многие испытывают дискомфорт в них после тяжелого трудового дня или ношения неудобной обуви. Такие ощущения можно объяснить перенапряжением мышц и связок. Но некоторые люди замечают, что у них болят стопы ног после сна. Это непонятно: вроде бы мышцы отдохнули, а при вставании с кровати возникает болезненность. Через некоторое время неприятные ощущения могут утихнуть, но все равно это для многих является проблемой.
Причин такого состояния может быть множество, поэтому, если подобный дискомфорт появляется часто и не связан с перенапряжением накануне, лучше обратиться к врачу и обследоваться, так как это может быть свидетельством патологических процессов в организме.
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Частые причины
Чаще всего болят ступни ног по утрам при наступании на них из-за того, что накануне они подвергались повышенным нагрузкам. При этом даже продолжительный ночной отдых не избавляет от неприятных ощущений. Ведь при больших нагрузках происходит микротравматизация мышечных волокон и связок, которые не успевают зажить за ночь.
Обычно подобные ощущения возникают после ношения неудобной обуви или высоких каблуков. Если долго ходить в такой обуви, это приводит к неправильному распределению нагрузки на мышечно-связочный аппарат стопы. При ношении высоких каблуков происходит растяжение связок на подошве, повышенная нагрузка падает на передний отдел стопы. При этом суставы пальцев деформируются, что может привести к появлению утренних болей. Неестественное положение стопы, сохраняющееся длительное время, приводит также к повышенным нагрузкам на голеностопные и коленные суставы. Поэтому боли по утрам могут ощущаться не только в стопах, но и выше по ноге.
Постоянное хождение в обуви совсем без каблуков, например, в модных уггах или балетках, тоже вредно для стоп. Тонкая подошва не может правильно амортизировать нагрузки. Поэтому связки тоже перенапрягаются и растягиваются. Пальцы могут деформироваться, часто развивается плоскостопие, первым симптомом которого становится боль в стопах по утрам. Такое состояние может появиться также после ношения узкой обуви. Она нарушает кровообращение в стопах, сильно сдавливает пальцы, деформируя их. Это может также приводить к повреждению нервов, которое вызывает жгучие боли, усиливающиеся ночью и по утрам.
Больно вставать на ноги после пробуждения также в том случае, если накануне они подвергались повышенным физическим нагрузкам. Постоянные они у людей с лишним весом. Он приводит к диффузному увеличению нагрузки на стопы, которая перенапрягает мышцы и связки. Подобные утренние боли знакомы также всем спортсменам. При повышенной нагрузке в мышцах образуется молочная кислота, а также появляются микротравмы. Это приводит к появлению болезненных ощущений при первом напряжении мышц после отдыха.
Больно наступать на ноги по утрам также тем людям, у которых наблюдается дефицит необходимых микроэлементов. Особенно часто такая болезненность, судороги и покалывание в мышцах возникает из-за недостатка калия и магния. Дискомфорт при этом развивается обычно по ночам или в утренние часы. Такое состояние может возникнуть из-за несбалансированного питания, но чаще всего ему подвержены женщины во время беременности и климакса, дети и подростки при быстром росте, а также пожилые люди.
Иногда болеть стопы по утрам могут у людей с давней травмой. Поврежденные ткани могут уже зажить, но периодически будут возникать ноющие боли. Часто они также связаны с обострением хронических заболеваний.
Малыши могут жаловаться на боли в ногах из-за того, что связки и мышцы у них не успевают в росте за костями. Они растягиваются, что приводит к нарушению кровообращения и иннервации. Ноющие и тянущие болевые ощущения при этом чаще всего возникают ночью или утром после вставания с кровати. Причиной их может стать также нарушение кровообращения у ребенка из-за анемии или вегетососудистой дистонии.
Пожилые люди страдают от болезненных ощущений в конечностях, которые в основном связаны с недостатком микроэлементов. С возрастом усвоение питательных веществ замедляется. Особенно страдают стопы из-за дефицита калия, магния и кальция. Когда кальций вымывается из костей, они становятся хрупкими, а после длительной неподвижности появляются ноющие боли. С возрастом также уменьшается жировая прослойка на подошве ног. Они теряют амортизирующие свойства, что может привести к появлению болей. Такое состояние называется метатарзалгией. Кроме того, пожилые люди мало двигаются, поэтому подобная болезненность может быть связана с атрофией мышц и связок.
Какие патологии вызывают боль
Если болезненность появляется периодически и человек знает, что причиной ее стали повышенные нагрузки, с этим можно справиться самостоятельно, меняя образ жизни и обувь. Но иногда люди не могут понять, почему болят ноги по утрам. При этом лучше обследоваться у врача, так как такое состояние может быть связано с различными патологиями.
Подобные болевые ощущения часто являются реакцией на патологические процессы в суставах, мышцах и связках, а также на нарушение процессов кровообращения.
Причиной утренних болей в ступнях могут быть такие патологии:
подошвенный фасциит;
артрит;
артроз;
невропатия большеберцового нерва;
тендинит;
бурсит;
болезнь Бехтерева;
подагра;
варикозное расширение вен;
тробмбофлебит;
плоскостопие;
неврит;
эритромелалгия.
Эти заболевания хронические. Когда пациент бодрствует, они могут не ощущаться. А ночью во время отдыха замедляются все процессы, расслабляются мышцы, поэтому признаки этих патологий могут обостряться.
Подошвенный фасциит
Самая распространенная причина болезненности в стопах по утрам – это воспаление подошвенной фасции. Оно развивается из-за повышенных нагрузок или микротравм этой связки. Острая боль при подошвенном фасциите появляется при наступании на ногу после ночного сна. Она длится, пока не расходишься, потом постепенно стихает. Локализуется дискомфорт у основания пятки, где фасция прикрепляется к пяточной кости.
Возникает патология из-за длительного ношения высоких каблуков или неудобной обуви, постоянных нагрузок на ноги. Фасциит может развиться при плоскостопии, подагре, сколиозе, варикозном расширении вен. Если воспаление продолжается длительное время, в основании пяточной кости начинается отложение солей. Такой нарост вызывает еще большие боли. Эту патологию называют пяточной шпорой. На начальном этапе болезненность человек ощущает, когда только встает утром, но расходившись, чувствует облегчение.
Суставные патологии
Стопы могут болеть по утрам из-за заболеваний суставов. Чаще всего это артрит и артроз. Артрит – это воспаление суставов. Чаще всего он поражает пальцы ног, иногда – голеностопный сустав. При этом возникает отек, покраснение, острая боль по утрам и после повышенных нагрузок.
Артроз развивается постепенно. Эта патология связана с дегенеративными процессами. Кроме болезненности по утрам, при этом возникает скованность в мышцах, ограниченность движений.
Болезни сосудов
Одной из распространенных причин того, что утром у человека болят стопы, является нарушение кровообращения. Такие заболевания, как атеросклероз, тромбофлебит, варикозное расширение вен сильно отражаются на состоянии нижних конечностей, так как кровоснабжение их ухудшается.
Это вызывает появление болезненности и тяжести утром при наступании на ноги. Могут возникнуть также судороги, жжение, похолодание кожи.
Более редкой патологией сосудов является эритромелалгия. Это заболевание поражает в основном мужчин среднего возраста. Основным симптомом его является боль и жжение в стопах, их покраснение. Часто такое случается по утрам, так как причиной появления этих симптомов может стать нагревание ног или их длительное вынужденное положение, что и случается ночью.
Другие патологии
Часто сильный дискомфорт, из-за которого больно вставать на ноги по утрам, возникает из-за невропатии большеберцового нерва. Он может быть поврежден в результате травмы, постоянных повышенных нагрузок или воспаления. Такое состояние вызывает жгучие боли по ходу нерва, распространяющиеся от стопы до ягодицы.
Часто у спортсменов, людей с лишним весом или с плоскостопием развивается тендинит ахиллова сухожилия. Кроме отека и болезненности при надавливании, эта патология вызывает дискомфорт в пятке по ночам и утром после вставания с кровати. Через некоторое время боль стихает, появляясь снова на следующее утро.
После травм или повышенных нагрузок, а также на фоне некоторых суставных заболеваний может развиться бурсит – воспаление синовиальной сумки. В стопах этой патологией часто поражается область пятки, иногда – пальцы. При этом по утрам человеку больно стать на ногу, сильно ограничивается подвижность суставов.
У людей с болезнью Бехтерева поражен позвоночник. Но у некоторых пациентов начинается заболевание с болей в стопах, чаще всего в области пятки. Они усиливаются ночью и утром, особенно если больной спит на неудобном матрасе.
Лечение
Любые неприятные ощущения в стопах, даже если они появляются нечасто и быстро проходят, требуют особого лечения или изменения образа жизни. Когда болят стопы по утрам не из-за патологических процессов, предотвратить такое состояние можно тем, что выбирать только удобную обувь с небольшим каблучком, использовать ортопедические стельки или вкладыши. Необходимо укреплять мышцы и связки, выполняя специальные упражнения. И также рекомендуется следить за весом, чтобы стопы не подвергались повышенным нагрузкам. Важно правильное питание, которое бы обеспечивало организм всеми необходимыми микроэлементами.
Вечером после повышенных нагрузок рекомендуется сделать контрастную ванночку для стоп с морской солью или отварами трав. Потом лечь и приподнять ноги на возвышение. Помогает предотвратить появление утренних болей также массаж. Можно использовать для него мази с разогревающими и расслабляющими свойствами.
Если же такое состояние связано с хроническими заболеваниями, необходимо специальное лечение. Оно проходит под руководством специалистов. Чаще всего это травматолог, ортопед, хирург, флеболог или невролог. После обследования и определения причины болей врач назначает специальную терапию. Избавиться от подобных ощущений можно только в том случае, когда устранено воспаление и восстановлено кровообращение конечностей. Лечение таких патологий должно быть комплексным. Часто оно бывает длительным или даже постоянным.
Основными терапевтическими методами является прием лекарств. Чаще всего – это противовоспалительные, обезболивающие средства, препараты для улучшения кровообращения и обменных процессов, поливитамины. Эффективно также использование наружных средств. Это мази и гели с обезболивающим, противовоспалительным, разогревающим и расслабляющим действием.
Дополнительно лечить патологии, вызывающие боли в стопах по утрам, можно с помощью физиотерапевтических методов. Это может быть электрофорез, ударно-волновая терапия, магнитотерапия, парафиновые аппликации. Эффективны при любых патологиях лечебная физкультура и массаж. А при повышенных нагрузках рекомендуется использовать ортопедические приспособления.
В домашних условиях можно применять народные методы. Особенно они эффективны при подошвенном фасциите. Помогают народные средства снять воспаление и уменьшить болезненность.
Чаще всего применяются такие рецепты:
компресс из капустного листа, смазанного медом, на ночь;
примочка из смеси сала, сырого яйца, уксуса и меда;
эффективен компресс из соли, меда и йода, держать его можно не более 15 минут;
на весь день привязать к подошве свежий лист лопуха.
Выводы
Даже если боли в стопах по утрам появляются нечасто и быстро проходят, необходимо обратиться к врачу. Это поможет выяснить причину такого состояния и избежать повторения. Часто подобные боли являются первым симптомом серьезных хронических заболеваний, которые лучше начинать лечить на начальном этапе. Если же обследование не обнаруживает патологий, необходимо изменить образ жизни, устранив все факторы, которые могут вызвать подобные боли.
В будничной суете люди часто не обращают внимания на небольшие боли в ногах, которые со временем проходят. Но они могут говорить о серьезных проблемах. Ведь ноги, а особенно стопы, каждый день выдерживают огромное давление. Из-за чрезмерной усталости или повышенной физической активности стопы могут болеть, ныть и доставлять дискомфорт. Нередко бывает, что даже крепкий сон не снимает усталость ног.
Причины возникновения
Если перед этим пришлось долго ходить в неудобной обуви, боль в стопах вполне объяснима. Но если боли в ногах после сна становятся постоянными, стоит побеспокоиться о визите к ортопеду или неврологу. Врач определит причины этой проблемы и установит точный диагноз.
Болят стопы ног после сна по различным причинам, как внешней, так и внутренней природы. Список этих причин, которые могут спровоцировать боль, довольно большой:
Стопы болят, когда в организме увеличивается объем молочной кислоты. Она накапливается в больших размерах при резких физических нагрузках на ноги, к примеру, при посещении спортзала. Это естественная реакция организма. Организм привыкает к нагрузкам, и боли проходят.
Нехватка калия и магния может вызвать в икрах и мышцах стоп тянущую боль. Такие болевые ощущения, похожие на судороги, возникают именно в утреннее время, после долгого сна. Боли проходят при приеме недостающих элементов.
Беременные женщины могут чувствовать боли по утрам от того, что плод давит и пережимает нервные окончания.
Боль в ступнях вызывает также тесная и неудобная обувь. Если постоянно и долго на протяжении дня носить обувь на высокой платформе или каблуках, а также остроносые модели, то по утрам вполне возможны регулярные болевые ощущения в стопах.
Утреннюю боль в стопах вызывает лишний вес. Суставы испытывают чрезмерную нагрузку, что приводит, как к острым, так и продолжительным болям в разных участках.
Утренние боли в стопе могут сигнализировать о серьезном заболевании. Даже хорошо отдохнув, человек нередко замечает неприятные ощущения в ногах.
Провоцирующие болезни
Боли в стопах по утрам могут быть одним из симптомов серьезных заболеваний. Во сне человек расслабляется, пораженные и воспаленные участки проявляются более активно, и все эти проявления человек ощущает поутру.
Есть ряд заболеваний, для которых характерным признаком является боль в стопе:
Боль в стопах может сигнализировать о начальной стадии варикозного расширения вен. На поверхность вены выступают, когда болезнь уже запущена. Воспалительные процессы в тканях начинаются значительно раньше.
Стопы по утрам болят от травм, которые были слишком сильными или интенсивными. Первые болевые ощущения проходят, но пораженный травмой участок дает о себе знать утром после пробуждения.
По утрам болит стопа при артрите и артрозе, заболеваниях суставов, которые поражают суставы ног и хрящевые ткани. А также при ревматизме.
Причиной болей нередко становится подагра, которая ведет к накоплению солей в суставах ног, и соответственно, болевым ощущениям после сна.
Подошвенный фасцит приводит к тому, что после отдыха болит не только вся ступня, но и пятка. При фасците воспаляется фасция, которая является полоской кожи от пальцев ног до пятки. Стопы болят не только после сна, но и весь день, осложняя процесс ходьбы. При отсутствии должного лечения фасцит приводит к образованию пяточной шпоры.
Поражение стоп невромой, которая чаще всего развивается между третьим и четвертым пальцами. В пораженной части стопы ощущается также жжение и покалывание.
Часто причиной болезненных ощущений сразу после сна становятся дерматологические заболевания ног. Наличие на ступнях бородавок, натоптышей, мозолей, трещин неизменно приводит к появлению боли после того, как человек, проснувшись, ступает на ноги.
Характер боли в ногах бывает разным – незначительным или сильным, острым или ноющим. Боль проявляется во всей стопе, или же частично в области пяток, пальцев или ахиллового сухожилия.
Показания к оперированию стопы
Если ступня утром болит постоянно, необходимо понять, является ли это следствием заболеваний, или причина в неправильной гигиене ног. Следует покупать удобную обувь, которая не сдавливает и не деформирует стопу. Необходимо избегать травм, повреждений кожного покрова на ступнях.
Если же, несмотря на все способы гигиены ног, ступни продолжают болеть по утрам, следует посетить врача, даже в том случае, если боль не слишком сильная. С проблемами стопы чаще всего приходится иметь дело травматологам, хирургам и ортопедам. Для установления точных причин болевых ощущений применяется обследование и рентген стопы. Когда утренняя боль в ступне связана с ревматизмом, лечение проводит ревматолог и кардиолог.
Довольно часто, даже если боли после сна проявляются ежедневно, люди не хотят обращаться к врачам. Они опасаются, что медики обязательно будут делать операцию, хотя хирургическое вмешательство во многих случаях не обязательно. Операцию назначают в том случае, когда ступни наполняются гноем. Поскольку появляется риск распространения гноя по всей ноге, приходится удалять его хирургическим путем. Также операция необходима, если у человека кости срослись в неправильной позиции, и доставляют боль после сна.
Косточки и суставы стопы довольно мелкие, потому их можно переставлять правильно без особых усилий. Операцию проводят под наркозом, она почти не доставляет болезненных ощущений. Однако после вмешательства определенное время придется ходить с гипсом.
Медикаментозное лечение
Чтобы избавить пациента от болевых ощущений в рассматриваемой области – врачи нередко приписывают лекарственные препараты и физиопроцедуры. Частая практика – лечебный массаж на проблемном участке стопы.
Медики выбирают средства для лечения стоп в зависимости от этиологии боли и места, где возникают болевые ощущения по утрам. Фармакологическая терапия для лечения болей после сна предлагает несколько действенных нестероидных противовоспалительных препаратов, среди которых популярные обезболивающие Диклофенак, Ибупрофен и Пироксикам. При серьезном заболевании применяется комплексная терапия.
Для ускорения процесса лечения люди нередко обращаются к народным средствам, но их применение должен согласовать лечащий врач. По данным статистики, 70 случаев из 100 самостоятельного применения народных рецептов приводит к усилению болезни, которая вызвала боль, а также к развитию серьезных патологий.
В большинстве случаев лечение утренних болей в стопах проходит просто. Главной процедурой является лечебная гимнастика, которая исключает сильный упор на ступни, но делает кости прочными, а ноги – эластичными.
Методы профилактики
Для того чтобы не пришлось обращаться к врачам из-за болей в стопах после сна, необходимо соблюдать профилактические меры. Профилактика состоит из простых правил:
Следует регулярно заниматься физическими упражнениями и спортом. Полезны бег, плавание, лыжи, пешие прогулки, езда на велосипеде.
Чтобы не повредить стопу, спортсменам нужно хорошо разминаться перед занятиями спортом.
Для всех спортивных занятий стоит использовать специальную спортивную обувь.
При сильных болях необходимо организовывать небольшой отдых.
Чтобы стопы по утрам не болели, следует чаще прогуливаться босиком.
Необходимо выбирать для ежедневного пользования обувь, которая удобно сидит на ноге и не доставляет дискомфорта.
Женщинам необходимо ограничить ношение обуви на высокой платформе, каблуках, с узким носком.
На работе надо постоянно менять положение тела, если приходится долго находиться в одном и том же положении. Следует отказаться от привычки сидеть, сложив нога на ногу.
Утро. Вы просыпаетесь в отличном настроении, встаете в постели, делаете несколько шагов… И бодрый настрой улетучивается из-за острой или тянущей боли в ступнях. Без паники! Самое время успокоиться и проанализировать свое самочувствие и произошедшие накануне события, чтобы выявить спровоцировавший боль фактор. Давайте вместе разбираться в причинах, из-за которых болят стопы утром после сна, и способах их устранения.
Почему после сна болят ступни ног
Чтобы быстрее разобраться с проблемой, нужно понять, что факторы, вызывающие боль в стопах, могут быть внешними и внутренними. В первом случае неприятные ощущения – следствие воздействия извне, нагрузок или травм. Внутренние причины боли связаны с заболеваниями и нарушениями в организме.
Внешние причины
Причины из этой группы легко выявить самостоятельно. Для этого нужно вспомнить:
какая обувь надевалась накануне;
подвергались ли ноги интенсивным нагрузкам;
были ли падения, ушибы, растяжения.
Рассмотрим причины, вызывающие боли в ступнях при ходьбе после сна, более подробно.
Перенапряжение мышц
Первая тренировка в спортзале или длительное хождение пешком приводят к мышечному гипертонусу, который сохраняется, когда человек ложится спать. Этот симптом пройдет без лечения, если физические нагрузки будут продолжаться с той же интенсивностью.
Чтобы облегчить свое состояние по утрам, рекомендуется после усиленной физической активности перед засыпанием хорошо помассировать каждую стопу.
Неудобная обувь
Эта причина больше касается женщин, предпочитающих носить модные туфли на высоком каблуке. Реже от нее страдают мужчины, надевающие узкие тесные ботинки. В ответ на сдавление мышц, сосудов и нервов организм реагирует возникновением боли. Как правило, неприятные симптомы проходят уже через несколько часов после снятия обуви. Однако в некоторых случаях боль в ступне ощущается и на следующее утро.
Если болезненность возникает только после надевания определенных туфель, не стоит их больше носить.
Ушибы и растяжение связок
Даже если ушиб был не очень сильным, утром все равно будет больно наступать на ногу. Дело в том, что в области травмы активизируются обменные процессы, усиливается приток крови и образуется отек. Во сне мышечные волокна расслаблены, и жидкость проникает между ними. Встав с постели, человек может ощущать болезненность не только в месте травмы, но и в близлежащих тканях.
Что делать при ушибе:
Нужно воспользоваться любой обезболивающей мазью, противовоспалительным гелем или бальзамом («Лиотон-гель», «Спасатель»). Если с момента травмирования уже прошли сутки, лучше всего прибегнуть к помощи разогревающих средств («Фастум-гель»).
Обеспечить покой травмированной стопе.
Пройти восстановительные процедуры (электрофорез, воздействие УФ-лучами, ЛФК).
Если после травмы прошло совсем немного времени, нужно прикладывать холод к пострадавшему месту.
Для снятия воспаления рекомендуется несколько дней «рисовать» на ступне йодную сетку.
Хорошо помогают молочные компрессы. Смоченную в горячем молоке марлю прикладывают к больному месту, закрывают пленкой и заматывают теплой тканью. После остывания процедуру повторяют.
Первые 2–3 дня нужно обеспечить ноге покой, замотав пострадавшую ступню эластичным бинтом.
Для лечения серьезных травм рекомендуется обратиться к травматологу. Сильные боли могут быть следствием перелома.
К концу дня ступня больше, чем утром. Поэтому обувь перед покупкой желательно примерять в послеобеденное время.
Ходить легче, чем стоять. В процессе ходьбы нашему телу проще поддерживать равновесие.
На стопе находится более 250 тыс. потовых желез, которые способны выделять до 400 мл жидкости ежедневно. Что интересно, сам по себе выделяемый пот не имеет неприятного запаха. «Аромат» появляется из-за бактерий, живущих на носках и обуви.
Если внешняя причина выявляется без труда, то внутренние не всегда очевидны. Иногда сложно определить, почему больно вставать на обе стопы после пробуждения. Чаще всего утреннюю болезненность провоцируют следующие заболевания.
Болезни суставов (артрозы и артриты)
Начинаться они могут незаметно, в течение дня проявляясь лишь небольшой болезненностью и дискомфортом после долгой ходьбы. И только ощутимая утренняя боль может послужить главным признаком патологии. Если болезненные ощущения возникают регулярно и боль уменьшается, если «расходиться», пора посетить ревматолога.
Дополнительные симптомы артрита – покраснение кожного покрова, отечность, изменение походки, приступы острой боли. При артрозе наблюдается скованность движений, могут появляться костные наросты.
Остеопороз
Заболевание, при котором из костной ткани вымываются кальций и фосфор, делающие ее твердой и прочной. Характеризуется возникновением болевого синдрома при ходьбе, часто – в подушечке стопы, основаниях пальцев. Провоцирующие факторы – лишний вес, пожилой возраст, наступление климакса у женщин, малоактивный образ жизни, курение. При подозрении на развитие остеопороза рекомендуется проконсультироваться с ортопедом.
Недостаток калия и магния
Если в организме не хватает этих минералов, то могут начаться судороги. Часто ощущение «выкручивания» появляется не только в ступнях, но и в икроножных мышцах. Судорожный приступ возникает в ранние утренние часы, и человек сквозь сон чувствует его начало. Прием витаминно-минерального комплекса позволит избавиться от дискомфорта по утрам и полноценно выспаться.
Варикозное расширение вен
Ранние признаки варикоза незаметны и могут проявляться незначительной болью и отеком ступней в утреннее время. Если боль и небольшие отеки появляются всегда вместе, то стоит проконсультироваться у ангиохирурга по поводу состояния ножных вен.
Болезнь Бехтерева
Утренние боли в суставах стоп, бедренной кости и позвоночнике могут служить признаком этого хронического воспалительного заболевания. Чаще всего от него страдают мужчины до 30 лет. При указанных симптомах обращаться надо к терапевту или к узким специалистам – ортопеду, ревматологу.
Болезнь трудно распознать на ранних стадиях, ее нельзя полностью вылечить. Можно лишь замедлить ее развитие, избежав осложнений и сохранив хорошее самочувствие. Пациенту назначают ЛФК, занятия в бассейне, физиотерапию, массаж, кортикостероиды, противовоспалительные средства. Большое значение имеет организация спального места: спать придется на жестком матрасе, желательно без подушки и по возможности на животе.
При любом подозрении на патологический процесс в стопах нельзя заниматься самолечением, следует обратиться к врачу.
Бурсит
Воспаление одной из синовиальных сумок, расположенных на стопе. Проявляется болью при ходьбе, снижению подвижности суставов, повышением температуры, плохим самочувствием, образованием отека. Бурсит может поражать область большого пальца, мизинца, ахиллова сухожилия, пятки.
Провоцируют заболевание травмы, чрезмерные нагрузки, инфекции, избыточный вес, неудобная обувь. Лечение подбирается в зависимости от тяжести заболевания и может включать в себя физиотерапию, ношение бандажа, ортопедической обуви и даже хирургическое вмешательство.
Подошвенный фасциит (пяточная шпора)
Воспаление соединительной ткани, выстилающей внутреннюю сторону ямки стопы. Главная причина – повышенная длительная нагрузка. Провоцируют заболевание лишний вес, ношение обуви на высоких каблуках, плоскостопие, нарушение кровообращения в нижних конечностях, варикоз, остеохондроз.
Острая боль ощущается утром при попытке наступить на пятку, усиливается при хождении, к вечеру может стать невыносимой. Болит ступня в области пятки, но отдает в пальцы и голень. Болевые ощущения могут проявляться при хождении по ступенькам, твердой поверхности, при длительном стоянии.
При отсутствии лечения фасциита воспаленный участок пропитывается солями кальция и образуется костный выступ – остеофит, который называют пяточной шпорой.
При обнаружении указанных проблем следует записаться на прием в ортопеду, травматологу или хирургу. Может быть назначено консервативное комплексное лечение или оперативное вмешательство.
Неврома
Неврома Мортона – утолщение подошвенного нерва, вызывающее сильную боль при ходьбе. Возникает из-за ношения узкой обуви, ожирения, неправильной осанки, травм, поперечного плоскостопия, избыточной нагрузки. Основные симптомы – боль в стопе по утрам, жжение, покалывание, ощущение инородного тела под кожей, онемение пальцев. Боль обычно локализуется в подушечке стопы и в третьем межпальцевом промежутке.
При таких симптомах следует обращаться к подологу, неврологу, хирургу или ортопеду. Лечение должно быть комплексным: больному рекомендованы ортопедические стельки и супинаторы, массаж, ультразвуковые и физиопроцедуры, противовоспалительные препараты. При отсутствии результата требуется хирургическое удаление невромы или иссечение пораженной области.
Подолог – врач, который специализируется на проблемах стопы.
Боль в ступне после сна у ребенка
У детей, в отличие от взрослых, боль в ступнях может появляться после сна и по другим причинам.
Быстрый рост
Часто случается, что ребенок резко подрос за короткий период времени и жалуется, что утром у него болят стопы. Если нет никаких патологий ног, то этот симптом возникает из-за того, что мышцы и сосуды немного отстали в росте и, натягиваясь, сдавливают нервные корешки. Неприятные ощущения пройдут, как только мышцы и сосуды немного подрастут. Лечения в этом случае не требуется, нужно лишь убедить ребенка, что ничего страшного не происходит, и включить в его рацион побольше белковой пищи.
Ревматоидный артрит
Возникает после перенесенного тонзиллита или другого бактериально-вирусного заболевания, примерно на 10–14-й день. Характеризуется покраснением и отеком суставов ног, резким повышением температуры. Ребенок будет жаловаться на боли стоп в утренние часы, которые мешают ему спать. Заболевание проявляется остро и лечится у детского ревматолога.
ВСД по гипотоническому типу
Часто встречается у астеничных детей. Пониженное артериальное давление может стать причиной плохого кровоснабжения ножных мышц во время сна. Необходимо проконсультироваться с педиатром и детским кардиологом по поводу лечения ВСД.
Любые болезни ног у ребенка (даже синдром быстрого роста) требуют обследования у врача. Самолечение домашними методами запрещено: растущий организм еще не сформирован, и оно может спровоцировать развитие патологий стоп.
Как избавиться от боли в стопах по утрам
Если болевые ощущения возникают каждое утро и их интенсивность сохраняется или увеличивается, то, возможно, это первые симптомы заболевания ног, а значит, нужно пройти обследование у врача. Если же патологий не выявлено и болевой синдром вызван бытовыми факторами, рекомендуется:
Подобрать удобную обувь (она должна не сжимать ногу, быть на устойчивом каблуке не выше 4 см). Модницам разрешено носить высокий каблук, но не более 4 часов в сутки. Если длительное время ходить в узкой обуви, на высоком неустойчивом каблуке, то вскоре к болевому синдрому добавится деформация стоп.
Стабилизировать вес. Возможно, боль и постоянная усталость ступней связаны с повышенной нагрузкой на суставы. Если своевременно не обратить внимание на эту симптоматику, то вскоре может начаться деформация суставов.
Пересмотреть пищевой рацион и добавить в него продукты, богатые кальцием, магнием, витамином D. Проконсультировавшись с врачом, можно дополнительно принимать приобретенный в аптеке минерально-витаминный комплекс для профилактики утренних судорог.
Делать перед сном контрастные ножные ванночки, чтобы улучшить ночное кровообращение в ступнях. Противопоказаниями будут только травма в первые дни и воспалительные процессы в суставах.
После длительного хождения или при непривычной физической нагрузке перед сном сделать массаж стоп. Такая несложная мера поможет избавиться от мышечного напряжения.
Если болят ступни по утрам, нужно постараться выявить и устранить причину. Если самостоятельно сделать это невозможно, не стоит откладывать визит к врачу и заниматься самолечением. Своевременная терапия не только позволит хорошо выспаться, но и предотвратит развитие осложнений.
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