Common treatment for heel pain
Heel pain refers to the heel on one side or both sides of the pain, not red nor swollen, walking inconvenience, also known as heel pain. Is due to the heel bone, joints, bursa, fascia and other diseases caused by the disease. Common for plantar fasciitis, often occurs in a long standing or walking workers, caused by long-term, chronic minor injuries. Chinese medicine believes that heel pain is mostly liver and kidney, phlegm, blood heat and other causes. Liver effects muscle, kidney effects bone. So if the liver and kidney deficiency, bones dystrophy, complex sense of cold dampness or chronic fatigue will lead to meridian stasis, blocked the operation of qi and blood, the bones and muscles dystrophy and then cause disease.
I, What caused the heel pain?
1, Calcaneal spur
More common in elderly patients, when there are heel pain, after shooting X-ray, you can find the calcaneal nodules have different sizes of spur formation. Uplift of the spur, easy to make local tissue by friction, strain, resulting in aseptic inflammation, the degree of heel pain and severity of the local inflammatory response, but not directly related to the size of the spur.
2, Subtalar arthritis
Often after calcaneal fractures, it is a form of traumatic arthritis. X-ray photo on the anterior sinus, weight-bearing pain worse. If conservative treatment fails, should be followed by arthrodesis.
Old calcaneal fractures or rare calcaneal tumors or tuberculosis are also causes of heel pain. Heel pain caused by disorders other than the heel, rheumatoid spondylitis, oppression sacral nerve root lumbar disc herniation occurred in the shin tibial nerve extrusion.
3, Plantar fasciitis
Heel pain caused by plantar fasciitis is common. Generally get up in the morning or sedentary heel stand, the heel pain. The pain worsened just after walking, relieved pain after walking a few steps, but with walking distance or standing time increases, the pain will intensify.
4, Bone osteitis
Often occurred in 8 to 12-year-old boy, lesion and calf tibial tubercle similarities in the development process, the unhealed epiphyseal tendon traction caused by the symptoms, pain in the Achilles tendon attachment point can be bilateral At the same time the disease.
5, After the bursitis
Some women who like to wear high heels are more likely to be caused by improper high-heeled shoe frictional injuries. Sliding wall variable hypertrophy, sac filled with synovial fluid, local swelling, and tenderness.
6, Excessive use of the foot
Excessive fatigue can also cause heel pain. For example, some people go shopping for a day. Overuse of the foot can easily cause heel pain. In addition, some shoes are not suitable, which aggravates the pain.
There are many reasons for heel pain, but the root cause, that is, "inflammation", inflammation here refers to "aseptic inflammation." More common in chronic strain, sports injuries, etc., different from our daily understanding of bacterial infections.
II. What to do if heel pain?
Heel pain first go to the hospital to diagnose, if the diagnosis is due to aseptic inflammation disease, it should be under the guidance of a professional doctor for treatment.
1. Treatment method
1), Fumigation of traditional Chinese medicine: Wash the limbs with cloth and add water 1000ml, soak for about 20 minutes, 30 minutes after boiling, the first to fumigate the affected area with hot gas until the temperature appropriate then dip the affected area 1, Every 20 minutes. Local swelling without swelling may choose Pittosporum skin soup or make the bones comfortable to make the blood smooth washing prescription addition and subtraction; local swelling may be added with double Parker or rain scattered.
2), Rubbed Chinese medicine: to rub the rub and massage the affected area, once daily, every 10 minutes.
3), Chinese medicine sticking: local optional use of blood stasis and other analgesic cream paste, a daily paste.
2. Shock wave therapy
1), Indications: in the foot or Achilles tendon attachment point obvious tenderness, no local swelling.
2), Contraindications: children, pregnant or lactating women; installation of pacemakers, mental disorders and other special physical fitness.
3), The operation: the prone position, treatment will be suffering from foot fixed in the heel to find the most obvious tender point and mark the sight alignment, the proposed initial impact energy of 8.0kv, adapt to the energy gradually increased to patients can endure the limited impact frequency: 50-60 beats / min. Impact times: 1000 times. Treatment times: 1-2 times a week, treatment 2--3 weeks. Before treatment to inform patients to maintain limb posture during treatment, to prevent reflex due to pain and moving limbs, leading to treatment failure.
3. Physical therapy
According to the disease to choose low-frequency, ultra-shortwave therapy.
4. Acupuncture therapy
1). Body acupuncture:
Patients supine or sitting position, the acupuncture site in the medial malleolus or posterior margin of the lateral malleus straight down 4cm (equivalent to the calcaneal nodules), with the acupuncture points (Sanyinjiao 1 inch), too Creek, according to the sea, Kunlun, Cheng Shan, Ah Point and so on. Treatment every other day.
Below the heel pain point, let moxibustion smoke moxibustion pain point. Every 15-20 minutes, once daily.
1, Rest, reduce weight-bearing movement
Long-distance walking or standing for a long time, there must be a scientific gait and posture, pay attention to intermittent rest, to avoid continuous foot load, to prevent foot fatigue.
2, Weight control, changing the foot shoes
If the body is more fat, then you should pay attention to control their own weight, and should try to avoid weight, reduce the impact of weight on the heel, a pair of sneakers can effectively reduce their own weight on the heel pressure, you can buy double Dedicated heel pad, padded heel, allowing the surrounding muscles and ligaments to relax, the pain can be alleviated.
3, Develop good habits
Daily foot bath with hot water to keep it clean and good blood circulation, reduce local inflammation, contribute to the foot health. Balanced, high-calcium diet, can make the status of osteoporosis improved. Can be taken from the food containing calcium foods, such as: shrimp, kelp, seaweed, crisp fish, seaweed, sesame and so on.
4, Clever use of cold and heat
Strenuous exercise or sports injury in time after cold, recovery (48 hours after injury) appropriate heat, but also effectively relieve fatigue and reduce the degree of pain.
When there is persistent pain, it is recommended to consult a doctor before oral administration of some anti-inflammatory analgesic drugs.