What are bone spurs in feet. How are they caused. What are the signs and symptoms. How are bone spurs diagnosed. What treatments are available for foot bone spurs.

Understanding Bone Spurs in Feet: Causes and Risk Factors

Bone spurs, also known as osteophytes, are abnormal bony growths that develop when the body attempts to repair itself. These protrusions commonly occur in high-impact areas like the feet, where constant pressure and stress can lead to their formation.

The primary causes of bone spurs in feet include:

• Excessive friction within the foot
• Abnormal arch height (too high or too low)
• Prolonged pressure or stress on bones
• Cartilage damage
• Inflammatory conditions like degenerative arthritis or tendonitis

Several risk factors increase the likelihood of developing foot bone spurs:

• Wearing tight or ill-fitting shoes
• Foot infections
• Advanced age
• Obesity
• Tight Achilles tendon
• Chronic plantar fasciitis
• Charcot foot (a condition causing foot bone weakness due to nerve damage)

Types of Bone Spurs in Feet: Location Matters

Bone spurs can develop in various parts of the foot, each with its unique characteristics and symptoms:

Tarsal Spurs

These bone spurs grow out of joints on the top of the midfoot. They often result from:

• Osteoarthritis
• Rheumatoid arthritis
• Trauma to the midfoot

Tarsal spurs typically appear as lumps or calluses on the top of the foot and can cause pain when inflamed or when they rub against surrounding structures.

Toe Spurs

Developing on the inside or outside of the toe, these spurs can lead to a condition called hallux rigidus, characterized by:

• Pain in the joint during activity
• Swelling around the affected joint
• Formation of a bump resembling a bunion or callus
• Stiffness and limited mobility in the great toe

Heel Spurs

Located on the underside of the foot, heel spurs can cause:

• Dull aches or sharp pains when walking or standing for extended periods
• Changes in gait, potentially exacerbating existing foot issues

Recognizing the Signs and Symptoms of Foot Bone Spurs

The symptoms of bone spurs in feet can vary depending on their location and size. Common signs include:

• Pain in the affected area of the foot
• Formation of small deformities or bumps
• Limited mobility in the affected joint
• Difficulty walking or changes in gait
• Swelling and inflammation around the bony growth

Can bone spurs in feet be asymptomatic. Yes, many bone spurs are painless and discovered incidentally during examinations for other foot conditions.

Diagnosing Bone Spurs: Imaging Techniques and Medical Expertise

Accurate diagnosis of foot bone spurs typically involves a combination of clinical evaluation and imaging studies. Healthcare professionals commonly use the following diagnostic tools:

• Plain X-rays
• Ultrasound imaging
• MRI scans
• CT scans
• Myelograms

X-rays remain the most frequently used method for detecting bone spurs. However, additional imaging may be necessary if X-ray results are inconclusive or suggest more extensive damage.

Which medical specialists diagnose and treat foot bone spurs. Diagnosis and treatment are usually handled by family doctors, podiatrists, or orthopedic surgeons, depending on the severity and complexity of the condition.

Treatment Options for Foot Bone Spurs: From Conservative to Surgical Approaches

The treatment of foot bone spurs depends on their size, location, and the severity of symptoms. Asymptomatic bone spurs may not require treatment, while painful ones necessitate intervention.

Conservative Treatments

Non-invasive approaches are often the first line of treatment for foot bone spurs:

• Weight loss to reduce pressure on the affected area
• Custom orthotics or shoe inserts to provide support and cushioning
• Proper footwear selection to minimize friction and pressure
• Physical therapy exercises to improve flexibility and strength
• Cold therapy to reduce inflammation
• Over-the-counter pain medications like NSAIDs

Medical Interventions

If conservative measures prove ineffective, medical treatments may be considered:

• Corticosteroid injections to alleviate inflammation and pain
• Prescription pain medications for severe discomfort
• Extracorporeal shock wave therapy (ESWT) to promote healing

Surgical Options

Surgery is typically reserved for cases where conservative treatments fail to provide relief:

• Bone spur removal (exostectomy)
• Joint fusion for severe cases affecting joint mobility
• Minimally invasive procedures using small incisions and specialized instruments

How long is the recovery period after foot bone spur surgery. Recovery times vary depending on the procedure, but most patients can expect a full recovery within 6-12 weeks, with a gradual return to normal activities.

Preventing Foot Bone Spurs: Proactive Measures for Foot Health

While not all bone spurs can be prevented, certain steps can reduce the risk of their formation:

• Maintaining a healthy weight to reduce stress on feet
• Wearing properly fitted, supportive shoes
• Using custom orthotics if recommended by a healthcare professional
• Stretching and strengthening foot muscles regularly
• Avoiding prolonged periods of standing or walking on hard surfaces
• Addressing underlying foot conditions promptly

Can dietary changes help prevent bone spurs. While no specific diet prevents bone spurs, a balanced diet rich in calcium and vitamin D supports overall bone health, potentially reducing the risk of bone-related issues.

Living with Foot Bone Spurs: Coping Strategies and Lifestyle Adjustments

For individuals managing chronic foot bone spurs, several strategies can help improve quality of life:

• Adopting a low-impact exercise routine (e.g., swimming, cycling)
• Using assistive devices like canes or walkers when necessary
• Practicing good foot hygiene to prevent infections
• Exploring alternative therapies like acupuncture or massage
• Joining support groups or seeking counseling to manage chronic pain

How can one maintain an active lifestyle with foot bone spurs. By working closely with healthcare providers, individuals can develop personalized exercise plans that accommodate their condition while promoting overall health and fitness.

Advances in Bone Spur Treatment: Emerging Therapies and Research

The field of foot bone spur treatment continues to evolve, with promising developments on the horizon:

• Stem cell therapy to promote natural healing
• Platelet-rich plasma (PRP) injections to accelerate tissue repair
• Advanced imaging techniques for more precise diagnosis and treatment planning
• Nanotechnology-based drug delivery systems for targeted pain relief
• Robotic-assisted surgical procedures for enhanced precision and faster recovery

What role does regenerative medicine play in treating foot bone spurs. Regenerative medicine approaches, such as stem cell therapy and PRP injections, show potential in promoting tissue repair and reducing inflammation associated with bone spurs, offering hope for less invasive treatment options in the future.

As research progresses, individuals with foot bone spurs can look forward to more effective, personalized treatment options that address not only symptom management but also the underlying causes of bone spur formation. By staying informed about these advancements and working closely with healthcare providers, patients can optimize their foot health and overall well-being.

Understanding the causes, symptoms, and treatment options for foot bone spurs empowers individuals to take proactive steps in managing their foot health. Whether through conservative measures, medical interventions, or surgical procedures, effective solutions are available to alleviate the discomfort associated with bone spurs and improve quality of life. As research continues to advance, the future holds promise for even more innovative and targeted approaches to treating this common foot condition.

Bone Spurs in Feet: Causes and Treatment

A bone spur—or osteophyte—is an abnormal growth of bone that develops when the body tries to repair a problem. Bone spurs can occur in any bone but happen most frequently in high-impact areas like the feet.

As the cartilage wears down, the bone is remodeled to compensate for the growing amounts of physiological stress placed on the area. The initial bone remodeling reduces the concentration of stress in the area and makes the stress transfer from one tissue to the other as smooth as possible.

As the bone spur grows, it may irritate surrounding tissues causing pain and inflammation.

Pornpak Khunatorn / Getty Images

Causes of Bone Spurs in Feet

Any situation that creates too much friction within the foot can lead to bone spurs. In fact, if you have arches that are higher or lower than normal, you may be at higher risk of developing bone spurs—especially if you are a runner or you frequently wear tight shoes.

Bone spurs typically develop when pressure or stress is applied to a bone regularly for a long period of time. Over time, the cartilage that protects the bone may be destroyed. In response, your body attempts to repair the damage by creating new bone in the damaged area.

Calcium, the main component of bone, can grow to help pad the affected area. This growth is referred to as a bone spur and may be more harmful than helpful.

Different Types of Bone Spurs in Feet

Bone spurs that grow out of one of the joints on the top of the midfoot are called tarsal spurs, whereas bone spurs that grow on the inside or outside of the toe are referred to as toe spurs.

Bone spurs of the foot are more likely to form if you have a condition that causes local inflammation such as degenerative arthritis or tendonitis. These conditions tend to be more prevalent as you age. The inflammatory reaction that occurs when damage occurs to the cartilage or tendons of the foot leads to bone remodeling and the formation of bony outgrowths.

Other risk factors for bone spurs in the foot include:

• Wearing tight shoes, especially ones that pinch the toes or squeeze the midfoot
• Infections
• Older age
• Being overweight or obese
• Tight Achilles tendon
• Chronic plantar fasciitis
• Charcot foot, a condition that causes weakness in the bones of the foot due to nerve damage (may or may not be due to diabetes)

Signs of Bone Spurs in Feet

Pain in the foot is the most common initial sign of a bone spur in the foot, but symptoms vary based on the location and size of the bone spur.

Toes

A small deformity or bump can start to form over the top of the toes along the joints. A bone spur can also limit the mobility of the affected toe leading to a stiff big toe, or hallux rigidus, making it difficult to walk.

Symptoms of hallux rigidus include:

• Pain in the joint when you are active, especially as you push off on the toes when you walk
• Swelling around the joint
• A bump, like a bunion or a callus, that develops on the top of the foot
• Stiffness in the great toe and an inability to bend it up or down

Midfoot

A bone spur that develops in the midfoot is called a tarsal boss, and it likely results from:

Bone spurs in the midfoot usually form on top of the foot, and some can be seen as lumps or calluses. This bony outgrowth can become painful when it is inflamed or rubs on surrounding neurovascular structures in the foot.

Heel

Heel spurs occur on the underside of the foot and may feel like a dull ache or sharp pain when walking or standing for long periods of time. Sometimes the discomfort from a heel spur may cause you to change your gait, potentially exacerbating structural issues in the foot.

Risk factors for heel spurs include:

• Being overweight
• Diabetes
• History of wearing poorly fitting footwear
• History of a foot injury

Diagnosis

Most bone spurs in the feet are painless and found accidentally when looking at other conditions. If you report pain in your foot, your doctor—usually a family doctor, podiatrist, or orthopedic surgeon—will suggest getting an X-ray.

A proper diagnosis is made based on your clinical symptoms and imaging. Bone spurs are detected by radiologic testing such as:

• Plain X-rays
• Ultrasound imaging
• MRI scan
• CT scan
• Myelograms

X-rays are the most commonly used imaging tool to detect bone spurs. Additional imaging may be needed if the X-ray is inconclusive or indicates more damage than anticipated.

Treatment

Treatment of your bone spurs will depend on the size and location of—and the symptoms caused by—the bone spur. If you have a painless lump on your foot that is diagnosed as a bone spur, your bone spur can usually go untreated.

Weight loss can help reduce the pressure on your foot and bone spur and relieve or eliminate your discomfort.

Common treatments for bone spurs include:

• Over-the-counter (OTC) medication: Since foot pain is the most common symptom of a bone spur, OTC anti-inflammatory medication is often the first line of treatment for pain and inflammation.
• Rest and ice: This may also help with any pain and inflammation.
• Cortisone infection: If OTC medications and rest and ice don’t work to help alleviate pain and inflammation, a cortisone injection may help.  
• Physical therapy: This can help strengthen the muscles and tendons around the weakened area and increase motion in the joints. Stretching and the use of special pads or orthotics may also help to take the pressure off of the bone spur.

If conservative measures don’t relieve your pain or clinical imaging finds that your bone spur is damaging your joint or the joint space, surgery may be suggested. Depending on the extent of your injury, surgery can range from simple removal of the bone spur (cheilectomy), which can be done in a matter of minutes, to complete replacement of the joint, to arthroplasty.

Your orthopedic surgeon may remove bone spurs as part of another surgery like bunion surgery if they believe the bone spur is contributing to your pain. This possibility should be discussed with you prior to surgery.

Complications

Untreated bone spurs in the foot can damage the joint and tissues that surround the joint space. To avoid surgery, it is best to use OTC anti-inflammatory medication to reduce the inflammation. It is also important to figure out the underlying cause of your foot pain. Treating the underlying causes of your bone spur can help limit further damage and bone spur formation.

It is very important to take care of a painful bone spur as soon as you are able to. Allowing the spur to stay—or get worse—could lead to permanent weakness or deformity, especially if the bump compresses surrounding neurovascular structures.

A Word From VeryWell

Bone spurs can be extremely painful and limit your mobility or affect your daily life. Early treatment can prevent this from being the case. Most bone spurs can be managed with conservative measures like rest, ice, orthotics, physical therapy, and the use of anti-inflammatory medication.

If you are feeling pain in your foot and think you might have a bone spur, call a health care professional to avoid serious complications.

Big Toe Arthritis (Hallux Rigidus)

What Is Hallux Rigidus?

Hallux rigidus is arthritis of the joint at the base of the big toe. It is the most common arthritic condition of the foot, affecting 1 in 40 people over the age of 50 and typically developing in those over age 30. Big toe arthritis tends to affect women
more than men.

The big toe joint is called the hallux metatarsal phalangeal (MTP) joint. This joint connects the head of the first foot bone (metatarsal) with the base of the first toe bone (proximal phalanx) and the two tiny bones (sesamoids) underneath the metatarsal.
Usually the greatest area of wear is at the top of the joint.

Symptoms

Most patients feel pain in the big toe joint while active, especially when pushing off to walk. Often, there is swelling around the big toe joint or difficulty moving and bending the toe. A bump, like a bunion or bone spur, can develop on top of the big
toe joint and be aggravated by rubbing against the inside of a shoe.  

Causes

The cause of hallux rigidus is not known; however, there are several risks factors, including a long or elevated first foot bone or other differences in foot anatomy, prior injury to the big toe, and family history. These can lead to excessive wear of
the joint, which in turn leads to arthritis. 

Diagnosis

In many cases, the diagnosis of hallux rigidus can be made with a physical examination. Your foot and ankle orthopaedic surgeon will examine the MTP joint to see how much you are able to move and where the pain occurs. Your surgeon also will check your foot for evidence of bone spurs.
X-rays may be taken to identify the extent of joint degeneration and to show the location and size of bone spurs. These X-rays are best done with you standing and putting weight on your foot. MRI and CT scans usually aren’t needed.

Treatments

Non-surgical Treatment

Non-surgical management is always the first option for treatment of hallux rigidus. A physician may suggest pain relievers and anti-inflammatory medicines and ice or heat packs to reduce pain. Platelet-rich plasma injections and similar injections into the joint are promising but vary in effectiveness.

Changes in footwear also may help. Avoiding thin-soled or higher-heeled shoes can minimize the pressure at the top of the joint. Shoes with a stiff sole, curved sole (rocker bottom), or both also may minimize joint pain. Shoe inserts as well as arch supports
that limit motion at the MTP joint also can help.

Although these treatments may decrease the symptoms, they do not stop the condition from worsening.

Surgical Treatment 

If pain persists after the non-surgical treatments, surgical treatments will be considered. The type of surgery would be determined by the extent of arthritis and deformity of the toe. 

Bone Spur Removal (Cheilectomy)
For mild to moderate damage, removing some bone and the bone spur on top of the foot and big toe can be sufficient. This procedure is called a cheilectomy. Removing the bone spur allows more room for the toe to bend up and relieves pain caused when pushing off the toe. This procedure also
can be combined with other bone cuts that change the position of the big toe and further relieve pressure at the top of the joint. 

The advantages of this procedure are that it maintains stability and motion, and preserves the joint itself. Patients can participate in physically strenuous activity such as running without pain.

Joint Fusion (Arthrodesis)
Advanced stages of hallux rigidus with severe joint damage are often treated
by “welding” the big toe joint. This procedure is called arthrodesis or joint fusion.
In this procedure, the damaged cartilage is removed and the two bones are fixed together with screws and/or plates so they can grow together. 

The main advantage of this procedure is that it is a permanent correction to reduce pain. The major disadvantage is that it restricts movement of the big toe, although most patients can still be active.

Joint Resurfacing (Interpositional Arthroplasty)
For the patient with moderate to severe hallux rigidus who wants to avoid loss of motion, an interpositional arthroplasty may be an option. This procedure removes some of the damaged bone (similar to a cheilectomy) and places a spacer between
the two bones to minimize contact on either side of the joint.

Interpositional arthroplasty is primarily performed in two ways. In one technique, a piece of soft tissue is used as the spacer in an attempt to resurface the joint. This soft tissue can come from your foot, another part of your body, or even prepared
cadaver tissue. The operation does preserve some motion but is not as predictable for pain relief and may not restore the normal mechanics of the joint.

Alternatively, another technique uses a synthetic cartilage implant plug made out of polyvinyl alcohol as the spacer. The advantages of this procedure are that it requires less bone to be removed and it is theoretically easier than a failed joint replacement to convert to fusion if it fails.
In limited studies, it also has shown to be as effective as fusion in relieving pain, while preserving motion of the joint. This is a newer procedure and additional studies are needed to examine the results over time.

Joint Replacement (Arthroplasty)
Arthroplasty,
or replacing one or both sides of the joint with metal or plastic parts, is intriguing due to the success orthopaedic surgeons have demonstrated with these procedures in the knee, hip, ankle, and other joints. While there are studies that support this technique with particular implants, orthopaedic surgeons are
cautious to recommend it at this time due to reports of higher complication rates, unpredictable short- and long-term results, as well as difficulty with salvage procedures should the joint replacement fail. Orthopaedic surgeons continue to study this technique as well as the types of implants available. Consult with your foot and ankle orthopaedic surgeon
for more information. 

Recovery

The length of recovery depends upon the type of surgery performed. For cheilectomy and interpositional arthroplasty, most surgeons recommend wearing a hard-soled sandal and allowing weightbearing as tolerated for about two weeks before a gradual return
to normal footwear. For a fusion or procedure that cuts the bone, the foot may be in a cast or boot for 4-8 weeks, and limited weightbearing may be allowed for 2-3 months. You can expect some foot swelling, stiffness, and
aching for several months after the procedure, depending on your level of activity.

After recovery, most patients are able to exercise, run, and wear most shoes comfortably. Running and jumping may be more difficult for patients undergoing fusion surgery and is not recommended after joint replacement. Patients may still find stiff-soled, rocker bottom shoes more comfortable for exercise.

Risks and Complications

Any surgery has risks, including scarring, infection, and failure to relieve symptoms. However, these risks are very infrequent with the above procedures unless there are other factors such as cigarette use or a poor immune system. Consult with your foot and ankle orthopaedic surgeon for specifics in your situation.

Contributors/Reviewers: F. Ray Nickel, MD; Jeff Feinblatt, MD

The American Orthopaedic Foot & Ankle Society (AOFAS) offers information on this site as an educational service. The content of FootCareMD, including text, images, and graphics, is for informational purposes only. The content is not intended to substitute
for professional medical advice, diagnoses or treatments. If you need medical advice, use the “Find a Surgeon” search to locate a foot and ankle orthopaedic surgeon in your area.

Painful Foot? You Might Have a Bone Spur

Human feet can develop a variety of painful problems. One of the more common issues involves excess bone that creates pain and inflammation, a problem known as a bone spur. If you have a bone spur on your foot or heel, you may find wearing shoes, playing sports, or even standing unthinkably difficult. 

Some basic information on bone spurs can help you understand why they occur, when to suspect that you have one, how you can treat the problem, and what you can do to prevent its recurrence. Check out these key points about bone spurs and their effects on the feet. 

Why Bone Spurs Develop

A bone spur, or osteophyte, develops at the point where two bones come together to form a joint. This smooth overgrowth of bone may occur in or around any joint that sees frequent use or stress. Since your feet must support your body weight as you stand, walk, or run, they naturally run the risk of bone spur development. 

Other factors can elevate your risk for bone spurs of the feet. Examples include obesity (which places an additional load on the foot bones), overly tight footwear, low arches (flat feet), and fractures or other injuries to the joints. Age-related osteoarthritis represents an additional risk factor as joint cartilage deteriorates. 

Where Bone Spurs Occur on the Feet 

Three common places where bone spurs develop on the feet include the top of the foot, the toe, and the heel. A bone spur at the top of the foot often occurs toward the center of the foot, although it can affect any of the midfoot joints. Toe spurs can grow on either the inside or outside surfaces of the toe joints. 

Heel spurs develop on the underside of the calcaneus, or heel bone. Unlike the smooth overgrowths in other foot heel spurs, heel spurs can assume a hooked or pointed shape, extending up to half an inch in length. 

What Bone Spurs Look and Feel Like

Many bone spurs of the feet show no symptoms at all, going undetected for life without presenting any problems. Unfortunately, some bone spurs make their presence known all too keenly. When you can see the affected area, you may notice a bony swelling or protrusion, as well as a sensation of heat from the trouble site. 

Pain and stiffness commonly accompany bone spurs of the feet. You may experience a noticeable loss of mobility in the affected toe or toes. Heel spurs can produce a sharp, intense pain when you first stand up in the morning. This sensation may give way to an uncomfortable ache that continues throughout the day. 

How Podiatrists Treat Bone Spurs

An examination by a skilled podiatrist can quickly confirm a bone spur as the source of your discomfort. X-rays will usually (but not always) display joint swelling or bone overgrowth. The podiatrist will ask you about your lifestyle, any history of foot injuries, and specific symptoms to help establish the diagnosis. 

Bone spur treatment varies according to the bone spur’s severity and with the underlying issues that provoked the bone spur in the first place. For example, you may receive recommendations for weight loss or a change in footwear. These changes won’t eliminate the bone spur, but they may relieve symptoms. 

Conservative treatment techniques focus on easing inflammation, relieving immediate pain, and reducing soft tissue swelling. Non-steroidal anti-inflammatory drugs, heat, and ice can provide short-term relief. Cortisone injections can provide extended relief for more serious bone spur symptoms. 

Most bone spur sufferers can get satisfactory results from non-invasive methods. However, if you cannot get relief from conservative techniques, your podiatrist may recommend surgery to remove the offending piece of bone.

How to Keep Your Feet Free of Bone Spurs 

Whether you’ve never had a bone spur in your foot or you just want to reduce your odds of getting another one, preventative measures can help you optimize your foot comfort and function. Keep your weight under control, wear proper arch support (including orthotics, if necessary), and avoid tight-fitting shoes.  

Family Foot Center Podiatry Group, Inc., can help you get over a painful bone spur problem. Contact us to request an appointment.

Heel Spur Causes, Symptoms, Treatments, and Surgery

A heel spur is a calcium deposit causing a bony protrusion on the underside of the heel bone. On an X-ray, a heel spur can extend forward by as much as a half-inch. Without visible X-ray evidence, the condition is sometimes known as “heel spur syndrome.”

Although heel spurs are often painless, they can cause heel pain. They are frequently associated with plantar fasciitis, a painful inflammation of the fibrous band of connective tissue (plantar fascia) that runs along the bottom of the foot and connects the heel bone to the ball of the foot.

Treatments for heel spurs and associated conditions include exercise, custom-made orthotics, anti-inflammatory medications, and cortisone injections. If conservative treatments fail, surgery may be necessary.

Causes of Heel Spurs

Heel spurs occur when calcium deposits build up on the underside of the heel bone, a process that usually occurs over a period of many months. Heel spurs are often caused by strains on foot muscles and ligaments, stretching of the plantar fascia, and repeated tearing of the membrane that covers the heel bone. Heel spurs are especially common among athletes whose activities include large amounts of running and jumping.

Risk factors for heel spurs include:

• Walking gait abnormalities,which place excessive stress on the heel bone, ligaments, and nerves near the heel
• Running or jogging, especially on hard surfaces
• Poorly fitted or badly worn shoes, especially those lacking appropriate arch support
• Excess weight and obesity

Other risk factors associated with plantar fasciitis include:

• Increasing age, which decreases plantar fascia flexibility and thins the heel’s protective fat pad
• Diabetes
• Spending most of the day on one’s feet
• Frequent short bursts of physical activity
• Having either flat feet or high arches

Symptoms of Heel Spurs

Heel spurs often cause no symptoms. But heel spurs can be associated with intermittent or chronic pain — especially while walking, jogging, or running — if inflammation develops at the point of the spur formation. In general, the cause of the pain is not the heel spur itself but the soft-tissue injury associated with it.

Many people describe the pain of heel spurs and plantar fasciitis as a knife or pin sticking into the bottom of their feet when they first stand up in the morning — a pain that later turns into a dull ache. They often complain that the sharp pain returns after they stand up after sitting for a prolonged period of time.

Non-Surgical Treatments for Heel Spurs

The heel pain associated with heel spurs and plantar fasciitis may not respond well to rest. If you walk after a night’s sleep, the pain may feel worse as the plantar fascia suddenly elongates, which stretches and pulls on the heel. The pain often decreases the more you walk. But you may feel a recurrence of pain after either prolonged rest or extensive walking.

If you have heel pain that persists for more than one month, consult a health care provider. They may recommend conservative treatments such as:

• Stretching exercises
• Shoe recommendations
• Taping or strapping to rest stressed muscles and tendons
• Shoe inserts or orthotic devices
• Physical therapy
• Night splints

Heel pain may respond to treatment with over-the-counter medications such as acetaminophen (Tylenol), ibuprofen (Advil), or naproxen (Aleve). In many cases, a functional orthotic device can correct the causes of heel and arch pain such as biomechanical imbalances. In some cases, injection with a corticosteroid may be done to relieve inflammation in the area.

Surgery for Heel Spurs

More than 90 percent of people get better with nonsurgical treatments. If conservative treatment fails to treat symptoms of heel spurs after a period of 9 to 12 months, surgery may be necessary to relieve pain and restore mobility. Surgical techniques include:

• Release of the plantar fascia
• Removal of a spur

Pre-surgical tests or exams are required to identify optimal candidates, and it’s important to observe post-surgical recommendations concerning rest, ice, compression, elevation of the foot, and when to place weight on the operated foot. In some cases, it may be necessary for patients to use bandages, splints, casts, surgical shoes, crutches, or canes after surgery. Possible complications of heel surgery include nerve pain, recurrent heel pain, permanent numbness of the area, infection, and scarring. In addition, with plantar fascia release, there is risk of instability, foot cramps, stress fracture, and tendinitis.

Prevention of Heel Spurs

You can prevent heel spurs by wearing well-fitting shoes with shock-absorbent soles, rigid shanks, and supportive heel counters; choosing appropriate shoes for each physical activity; warming up and doing stretching exercises before each activity; and pacing yourself during the activities.

Avoid wearing shoes with excessive wear on the heels and soles. If you are overweight, losing weight may also help prevent heel spurs.

Osteophyte (bone spur) – NHS

Osteophytes are bony lumps (bone spurs) that grow on the bones of the spine or around the joints.

They often form next to joints affected by osteoarthritis, a condition that causes joints to become painful and stiff.

Osteophytes can grow from any bone, but they’re most often found in the:

• neck
• shoulder
• knee
• lower back
• fingers or big toe
• foot or heel

Osteophyte symptoms

Osteophytes do not always cause symptoms.

They can cause problems if they:

• rub against other bone or tissue
• restrict movement
• squeeze nearby nerves

For example, osteophytes in the:

• spine can cause pain and stiffness in the back
• neck can pinch a nearby nerve and cause pain, pins and needles, numbness or weakness in the arms
• shoulder can limit the space available for tendons and ligaments, and may be linked to tendonitis or a rotator cuff tear
• hip and knee can reduce the range of movement and are often associated with painful arthritis 
• knee may cause pain when you bend and extend your leg
• fingers can cause lumps

What causes osteophytes

Osteophytes tend to form when the joints have been affected by arthritis.

Osteoarthritis damages cartilage, the tough, white, flexible tissue that lines the bones and allows the joints to move easily.

Osteoarthritis is most common in the knees, hips, spine and small joints of the hands and base of the big toe.

As the joints become increasingly damaged, new bone may form around the joints. These bony growths are called osteophytes.

Osteophytes can also form in the spine as a result of ankylosing spondylitis, a type of arthritis that specifically affects the spine.

When to seek medical advice

See a GP if you have joint pain or stiffness, or if you have other symptoms in an area of your body, such as numbness or nerve pain. They’ll investigate the underlying cause.  

A GP will ask you about your symptoms and may examine the affected area. They may test your joint movements and muscle strength. They’ll also look at your medical history. 

You may be referred for an X-ray, which will highlight any arthritis in the joint and osteophytes.  An MRI scan is better for examining torn ligaments or tendons.

Treating osteophytes

Osteophytes do not usually cause pain, but the associated arthritis might.

If you’re in pain, painkillers you can buy from a pharmacy or shop, such as paracetamol or ibuprofen, may help.

Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID), which can also help reduce any swelling and inflammation.

If you’re overweight, losing weight will help by relieving some of the strain on your joints.

A physiotherapist may also be able to help you by recommending exercises that can strengthen the muscles surrounding the problem area, and by helping to improve your range of movement.

Surgery can sometimes be used to help manage any underlying arthritis in the joint. It can be helpful for osteoarthritis that affects your hips, knees or joints, particularly those at the base of your thumb.

Find out more about treating osteoarthritis

There’s usually no need to remove an osteophyte, unless it’s irritating a nerve in the spine or restricting a joint’s range of movement.  

If you do need surgery to remove an osteophyte, your surgeon will explain the procedure’s risks and benefits.

Page last reviewed: 07 May 2019
Next review due: 07 May 2022

Big Toe Arthritis Surgery – Learn about Symptoms & Treatment

What Is A Big Toe Joint Arthritis?

Arthritis of the big toe joint is condition where the cartilage of the big toe joint becomes eroded, leading to limitation of motion and eventually rigidity.  Medically this is termed hallux limitus (for limited arthritis) and Hallux rigidus (for severe arthritis).  The big toe joint becomes painful, enlarged and inflamed.

What Are The Symptoms Of Big Toe Joint Arthritis

Patients with arthritis of the big toe joint have varying degrees of symptoms depending on the extent of the arthritis.  In general, patients have a painful big toe joint that hurts with activity (such as walking and running).  The pain may be deep and sharp to superficial and achy.   Movement of the big toe joint can result in a grinding sensation (medically called crepitus).  The top of the joint can become enlarged, and this is often referred to as dorsal bunion.  Irritation from shoe gear can cause redness and swelling.  Motion of the joint becomes limited as time progresses, leading to very limited ability to flex the toe.

Causes of Arthritis Of The Great Toe

The two most common causes of arthritis of the big toe joint are biomechanical and traumatic arthritis.  Inflammatory arthritis (ie rheumatoid) can occur but tends to be widespread through the body.  Gouty arthritis is more common cause of arthritis in the big toe joint.

Traumatic arthritis occurs after the joint is injured, leading to further degeneration.  Fractures that involve the joint have a high incidence of future arthritis.  Injury to the cartilage can also spark the degeneration process.  Sprain and strains have been known to also lead to joint degeneration.  Biomechanical arthritis occurs from structural problems within the foot that lead to premature ‘wear and tear’ on the joint.   Shoe gear can also play a role in arthritis development.  Arthritis usually develops slowly over time, with periodic flare ups until a critical point is reached resulting in ongoing pain and discomfort.

When to Seek Treatment

Common reasons patients seek treatment are: pain, interferes with walking or activities, difficulty fitting shoes, grinding sensation, swelling, and/or notice a change in appearance of the foot and/or toe(s).

Treatment

Depending on your overall health, symptoms and severity of the arthritis, the condition may be treated conservatively and/or with surgery.

Non-operative Treatments For Big Toe Joint Arthritis
Non-surgical methods for neuroma are aimed at decreasing and/or eliminating symptoms (pain).

Simple Treatments Patients Can Do:
●    Wear proper supportive shoes
●    Use an arch support
●    Wear shoes with a wide toe box
●    Modify your activities
●    Lose weight
●    Wear shoes with cushion

Non-surgical treatments Dr. Blitz can add:

●    Prescribe an oral anti-inflammatory medication
Anti-inflammatory medication is useful to significantly reduce pain and inflammation.
●    Prescribe physical therapy
A physical therapist may perform ultrasound and other techniques to reduce inflammation.  You will also be instructed how to stretch your foot and leg properly.  Keeping the joint mobile may preserve function.
●    Prescribe protective pads
Padding and/or cushioning of when bone spurs are present on the top of the foot is an effective method of preventing mechanical irritation with shoes.  Pads with cutouts say off-weight specific areas of concern.
●    Prescribe custom foot orthotics
A custom foot orthotic is a doctor prescribed arch support that is made directly from a casting (mold) of your feet, and theoretically should provide superior support compared to shoe insert that you would purchase from a pharmacy.    In the case of the big toe joint arthritis a stiff forefoot extension may be helpful in reducing symptoms by preventing motion.
●    Give cortisone injection
A intra-articular cortisone injection is a powerful anti-inflammatory medication that is used to rapidly reduce the pain associated with an arthritic joint.  The pain relief that you may experience from the injection(s) is often temporary.

Big Toe Joint Arthritis Surgery

Surgery for arthritis of the big toe joint is separated into two types of procedures – those that spare the joint (joint sparing procedures) or those that remove the joint (joint destructive procedures).

A sparing procedure allows for continued motion with the joint surgically modified or cleaned up of the arthritis to alleviate pain and increase motion.  A destructive procedure involves removing the joint and performing a fusion (locking the bone in place) or a joint replacement (allowing for motion, but with an artificial joint).

The extent of the arthritis dictates whether or not the joint could be “saved”.  Dr. Blitz evaluates each joint carefully, and takes significant measures to prevent joint destructive procedures while still preserving motion and decreasing/eliminating pain.

Joint Sparing Procedures

Bone Spur Removal (cheilectomy):  This procedure involves removing the arthritic bone spurs and removing any arthritic bone that gets dislodged into the joint.  Dr. Blitz also punctures the bone so that newer repair-like cartilage can grow into the joint.  Cheilectomy is ideal for mild arthritis of the big toe joint.  Although, Dr. Blitz commonly performs this procedure for severe arthritis, to avoid fusion or replacement.

Bone Shortening Procedure (Osteotomy):   One method of treating arthritis of the big toe joint is to decompress the big toe joint by shortening the metatarsal bone (the bone that attaches to the toe).  The purpose of this is ‘make room’ for the joint to function.   This is best for considered for patients who have moderate arthritis with a long bone.

Distraction of Big Toe Joint:   A surgical procedure that manually pulls on the big toe joint to stretch out the tissue and provide more motion.  A small external fixator device is placed onto the big toe joint – through pins placed into the bone.  This fixator is slowly distracted and kept in place for several weeks. Dr. Blitz, considers this procedure for patients with significant arthritis where joint destruction procedures are not an option.

The Cartiva Implant

Cartiva is an FDA approved synthetic cylindrical shaped cartilage replacement implant that replaces the arthritic portion of the big toe joint.  The implant itself is a organic-polymer with a high water content similar to healthy cartilage – making it deal for replacement of the arthritic portion of the big toe joint.  The surgery involves removing arthritic bone spurs and drilling a small 1-cm hole into the metatarsal bone of the arthritic joint then inserting the Cartiva implant.   The Cartiva implant sits slightly proud of the surrounding joint surface, acting as spacer to limit pressure on the joint.

The Cartiva implant is durable and does not degrade over time.   Its ideal for moderate to severe arthritis.  A major benefit of the Cartiva implant is that it does not require significant removal of bone (unlike other joint replacement procedures) so should revision be needed in the future, the repair is less complicated.

Joint Destruction Procedures

Fusion of Big Toe Joint:   A fusion of the big toe joint involves surgically removing the arthritis cartilage of the joint, and mending the bones together in a functional position for the foot.  This surgery is excellent in removing the pain, but the downside is permanent loss of motion as the big toe is locked in one place.  Most people, by the time they consider fusion, the toe doesn’t move much, so they are comfortable with that trade-off.  Men seem to be more willing for fusion procedures.   Women, who wear heels, on the other hand, require some motion of the big toe joint to physically conform into the heels.  As such, fusion procedures may not be ideal for women who continue to wear high heels.  Either way, fusion is indicated for severe or end stage arthritis.

Joint Replacement: Joint replacements are indeed an option for the big toe joint.  Advances in recent years have made replacement more function.  Other joints, such as hip and knee, have excellent functional track records, where as joint replacement of the big toe joint is limited. This is because the big toe joint is small (compared to other joint) and demands the pressure of the entire body during a propulsive gait – as such the joint replacements wear out quickly.  Nonetheless, there are options for partial replacement, total replacement, and even metallic resurfacing of the joint.  Dr. Blitz considers each patients functional need when considering replacements, but are best considered only with significant arthritis.

Big Toe Joint Arthritis Surgery Recovery

Recovery after big toe joint arthritis surgery is varies depending on the method chosen to fix the problem.  Most often patients are allowed to walk in the foot.  Minor procedures (such as bone spur removal and Cartiva), patients are walking in a regular shoe in 1-2 weeks.  When bone cuts are performed, patients have more restrictions and may be walking in a surgical shoe for 6 weeks or so.  When fusion is necessary, Dr. Blitz is able to allow immediate walking after the operating room in a protective boot for 6 weeks (until the bone mends).  Joint replacement surgery can be more involved depending on the extent of the procedure, but often are walking in a protective boot.

What Anesthesia Is Needed For  Big Toe Arthritis Surgery

Big Toe Arthritis surgery is performed as outpatient surgery (this means you go home the same day). It may be performed in a hospital, ambulatory surgery center and even in the doctors office (so long as the facility is set up for surgery).

The surgery can be performed under a local, regional, spinal or general anesthetic. Local and regional blocks, with monitored anesthesia care are most commonly performed. This means that the foot will be numbed with an anesthetic while an anesthesiologist provides sedation to relax you.

What Are The Risks Of Big Toe Arthritis Surgery

There are general risks associated with foot surgery (or any surgery) and the use of anesthesia. Complications may occur and are not necessarily your fault, or the fault of your surgeon. Nonetheless, you should understand the risks.

Morton’s Neuroma surgery complications include, but are not limited to: infection, pain (temporary or permanent), swelling, hematoma, bleeding, blood clot, poor wound healing, incision breakdown, poor bone healing (delayed union, nonunion), malunion, nerve injury, neruoma, pain syndrome, RSD, disability, recurrence, flail toe, hammer toe deformity, metatarsalgia, unsightly scar, stiffness, shortness of toe, weakness in toe, loss of toe to purchase ground, hardware problems, need for revisional surgery, and/or catastrophic loss.

Bone Spurs Treatment in Plano, Dallas, Prosper, TX

Bone spurs – Symptoms, causes, and treatments in Dallas, Plano & Texas are hard bumps or extra bony projections that form along the edges of bones. Bone spurs commonly form at the joint where bones meet with each other. They may also form on the bones of your spine.

Joint damage associated with osteoarthritis is the major cause of bone spurs. You may have bone spurs and not know because most bone spurs cause no symptoms and may be unable to detect.

Bone spurs may not require treatment. Treatment may only be required if the bone spurs affect your health and also depending on the location of the bone spurs.

Bone spurs can form on many parts of your body, including your hands, shoulders, neck, spines, hips, knees, or feet.

Symptoms of bone spurs

Bone spurs can be undetected for years. You may not know that you have bone spurs unless an X-ray is used to reveal it.

Symptoms that you may experience depend on the location of the bone spurs.

Bone spurs can also show common signs and symptoms which include:

• Pain in your knee that makes it difficult to bend your leg
• Loss of motion in your joints
• Bone spurs can affect your spine and narrow the space of your spinal cord.
• Bone spurs can pinch the spinal cord or its nerve roots and can cause you to feel weakness or numbness in your arms or legs.
• Bone spurs can occur in your hip make it painful to move your hip
• Reduction of range of motion in your hip joint.
• Pain in the affected joint
• Pain or stiffness when bending or moving the affected joint
• Muscle spasms, cramps, or weakness
• Bumps under your skin that commonly occurs in your hands and fingers
• Having trouble controlling your bladder or bowels if the bone spur presses against certain nerves in your spine.

Causes of bone spurs

Joint damage from osteoarthritis or degenerative joint disease is the most common cause of bone spurs.

If you have an injury to a joint or tendon, bone spurs might form. This is as a result of the body trying to fix the injured bone by adding bone to the injured bone.

Other causes of bone spurs include:

• Overuse of a bone
• Genes
• Diet
• Obesity
• Inherited bone problems or bone problems that you were born with
• Narrowing of the spine

Treatment of bone spurs

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90,000 Calcaneal spur – prices for treatment in Moscow in the center “CM-Clinic”

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A heel spur is a chronic condition that develops as a result of microtraumatization of the plantar ligament. The correct name is plantar fasciitis. An osteophyte forms on the ligament – a site of bone hypertrophy, which becomes a source of pain.An osteophyte is a sharp spike more than a centimeter long that irritates the surrounding tissue.

Symptoms

The heel spur does not always manifest itself from the moment of formation. The severity of pain and discomfort depends on the location of the bone growth. The more superficial to the nerve endings the bone spike is, the stronger the pain.

It all starts with the feeling of a “nail” in the heel. In the first 2 weeks, such a peculiar pain bothers only at the first steps, and then calms down on its own. However, over time, pain increases with exertion, especially long walking.

In an effort to avoid pain, the patient tries not to step on the heel. A person’s gait changes, and body weight is not distributed correctly. The outer edge of the foot and its front sections are overloaded, which leads to the formation of transverse flat feet. The anterior sections expand, and a “bone” appears at the base of the first toe.

Without treatment, the situation is gradually getting worse. The pain becomes constant, the foot hurts even at rest. Pain attacks can start and end on their own, disturb at the most inopportune moment.

If you experience these symptoms, we advise you to make an appointment with your doctor. Timely consultation will prevent negative consequences for your health. Phone for appointment +7 (495) 292-39-72

Reasons

The provoking factors are female gender, age over 40, permanent residence in the city.

The immediate causes of the disease are as follows:

• congenital flat feet;
• pregnancy, especially multiple pregnancies;
• excess weight;
• changes in blood flow and the rate of tissue repair due to age;
• trauma;
• systemic diseases affecting the nerves, blood vessels and tissues of the legs ─ diabetes mellitus, gout, rheumatoid arthritis.

In young men and women under 40 years of age, the causes of the formation of a heel spur are intense physical activity and the wearing of uncomfortable shoes that do not fix the foot ─ slippers and slates, too high “stilettos”.

The plantar fascia is a ligament of fibrous tissue that connects the calcaneus and the metatarsal heads. When walking, the ligament is stretched, the main load falls on the place of attachment to the tubercle of the calcaneus. Microtrauma in this place is inevitable, but with moderate exertion and sufficient rest, they have time to overgrow.

If the load is excessive, then aseptic (without the participation of microorganisms) inflammation occurs at the site of the tear. It is in the place of such inflammation that calcium is gradually deposited, forming a bone thorn. The periosteum becomes irritated, and the thorn begins to grow either in the plane of the ligament itself, or above it.

A heel spur can form on one leg or on both at the same time, which significantly reduces the quality of life.

Diagnostics

A heel spur can be suspected by the characteristic symptom ─ pain when walking.When feeling the heel, you can find the place of greatest soreness. However, to establish a diagnosis, an examination is required, since pain in the heel when walking can also occur in other diseases:

• gout – a violation of the metabolism of uric acid;
• rheumatoid arthritis – a specific autoimmune inflammation of the joints;
• ankylosing spondylitis, or ankylosing spondylitis;
• osteomyelitis – purulent-necrotic inflammation of the bone and surrounding soft tissues;
• bone tuberculosis;
• injury;
• sprained tendons or damage to the ligamentous apparatus of the ankle joint;
• inflammation of a bacterial or viral nature.

To distinguish one disease from another, the following examinations can be prescribed:
If an orthopedic surgeon detects concomitant diseases, then consultations of specialized specialists ─ a rheumatologist, infectious disease specialist, traumatologist, therapist or others, taking into account the clinical situation, will be required.

Treatment

Only a doctor can treat a heel spur, since the characteristics of the disease are different for each person. Self-medication in the absence of basic knowledge leads to damage to soft tissues, burns and other troubles.

Treatment is predominantly conservative. Surgical methods are resorted to as a last resort, with preference given to sparing minimally invasive techniques.

The following methods are used:

• medicinal;
• physiotherapy, including shock wave;
• exposure to ultrasound;
• laser therapy;
• X-ray therapy;
• massage;
• physiotherapy.

Medical treatment is selected by the doctor on an individual basis. Medications are aimed at reducing inflammation and relieving pain. Various dosage forms are used: tablets, ointments, patches.

Rarely enough, according to indications, the introduction of drugs into the cavity of the ankle joint or the sole is performed. This manipulation is performed by the surgeon. Pain relievers and anti-inflammatory drugs are prescribed in a short course so that there is no addiction.

Physiotherapy is most beneficial.Massage of the muscles of the leg and foot, mud baths and applications, medicinal electrophoresis and sonophoresis (administration of drugs without damaging the skin using ultrasonic waves) are used. Ultrasound and physiotherapy exercises are also used.

Shockwave therapy is widely used, when an acoustic wave literally “breaks” calcium deposits. Sediment particles are flushed out by the bloodstream and excreted naturally. The procedure simultaneously reduces swelling and inflammation, accelerates tissue regeneration.

With the help of a laser, metabolic processes are accelerated, conditions are created for the restoration of soft tissues.

Surgical method

Operations with a scalpel, when the bone growth is removed along with a portion of the fascia, are now not performed, because such an intervention violates the anatomy of the foot.

According to indications, radiofrequency microtenomy is used, when the damaged area of ​​the fascia with osteophyte is literally “burned out”. The remaining parts of the ligament do not intersect and remain intact.At the same time, a nerve ending enters the field of influence, which also collapses, and this forever relieves a person of pain.

The earlier a person consults a doctor with discomfort in the foot, the less effort and time it will take to heal.

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90,000 Calcaneal spur: description of the disease, causes, symptoms, cost of treatment in Moscow

A heel spur is an inflammation in the soft tissues of the calcaneal tuberosity. This syndrome is caused by a number of pathological abnormalities. In this condition, bone tissue grows and damages the surrounding tissue. The growth is located in the plantar part of the calcaneus.Sizes can be different, and the shape resembles a spur, beak or thorn.

Over the past decades, this disease has been diagnosed with greater intensity. The largest number of complaints are from middle-aged women. But all age categories are at risk, regardless of gender and lifestyle. Appears from a heavy load on the feet. In the early stages, the disease can be effectively cured. But the launched process of progression is quite difficult to cure.By old age, a heel spur can be found in 25% of the population.

Reasons for the formation of

The appearance of a heel spur depends on a number of factors. It can be either acquired or congenital syndrome. Throughout life, when walking, the load falls on the area of ​​occurrence of fasciitis. Infection, trauma, and vascular malfunction can also be the cause.

Consider a number of factors in the occurrence of spurs:

• Overweight leads to increased stress on the foot.

• All types of flat feet, as well as deformities that are caused during improper walking.

• Infectious diseases.

• Violation of blood circulation in the body.

• Atherosclerosis.

• Rheumatism.

• Elevated blood sugar.

• After 50 years, the reduction of fatty layer in the area of ​​the calcaneus.

• Damage to nerve endings.

• Severe injury to the heel, fracture.

• Muscle strain and inflammation.

• Age-related changes.

• Diseases of the vertebra and joints.

• Excessive physical stress on this area.

To avoid symptoms of heel spur disease, you should examine the entire body and begin treatment for other existing diseases. Against the background of these deviations from the norm, small tears appear in the tendons. Over time, this leads to inflammation. Healing is very slow. The inflammation spreads to the muscles and the area under the calcaneal tuberosity.A fluid is formed that slows down the healing process and disrupts blood flow. Salts are deposited on the hillock. A build-up begins to appear.

Symptoms

Heel pain is the main symptom of a heel spur. There may not even be any visual disturbances. In this case, a person feels pain of a different nature. Sometimes redness or an increase in body temperature is seen in the affected area. To begin effective treatment, you should study the symptoms and find out what disease caused the occurrence of the heel spur.

Diagnostic process

It is easy for a doctor to diagnose a heel spur. Based on the patient’s complaints about heel pain, the diagnosis is made immediately in 95% of cases. The doctor will examine the limb visually, and, thanks to pressure on certain points on the heel, accurately diagnose the disease. For confirmation, the patient is prescribed an X-ray, according to which the doctor will reveal the size and shape of the spur. Prescribe the correct treatment and assess the level of progression of the disease.

Over time, the build-up can reach a size of more than 1 cm.It grows on the heel towards the toes. It can be diagnosed as a result of an X-ray of another area of ​​the legs, and be seen by a specialist. At the same time, in one patient, due to severe pain, movement may be limited, while the other does not experience any sensations.

Treatment

Heel spur disease is often confused with a spine. These are completely different diseases that are located on different parts of the heel, and the treatment proceeds in different ways. Based on the X-ray photo, the doctor will determine the stage of the disease of the heel spur syndrome.The first stage is characterized by a rounded shape. At the second stage, the spur changes shape and increases in size. In its neglected form, it becomes 12 mm in size and resembles a bird’s beak.

Additional examinations may include ultrasound examination of the heel spur and magnetic resonance imaging. To determine the damage and condition of soft tissues. Ultrasound is accompanied at all stages of treatment and therapy, to monitor the condition and the healing process.

To eliminate the swelling, stretch the tendons and relieve inflammation from the calcaneal tuberosity, medication or physiotherapy is prescribed.Ointments, tablets and compresses are prescribed, in which the pain when walking will begin to decrease. Modern medicine allows you to prescribe an effective course of treatment for heel spurs using special procedures:

• X-ray therapy.

• Laser treatment.

• Ultrasound treatment.

• Immobilization.

• Phonophoresis.

• Electrophoresis.

• Wearing heel prostheses.

• Medicines.

• Injections.

• Surgery.

There are various methods and treatments for heel spur:

Ointments.Special anti-inflammatory and regenerating ointments help to restore cartilage tissue, restore tissue elasticity, and relieve pain. With correct and long-term use, edema disappears and the balance of minerals in the damaged area is regulated. The warming effect will improve blood circulation and heat exchange. The most common are: Voltaren, Chondroxide, Dexamethasone, Indomethacin.

Preparations. Medication focuses on blocking the chemicals that contribute to inflammation.Chondroprotectors can accelerate the recovery of bone and soft tissue. They will give elasticity and normalize blood circulation in the body. For example: Artadol, Ibuprofen, Diclofenac, Nise.

Injections. Appointed and performed only by a specialist. The correct dosage and penetration depth are determined. To relieve severe pain and speed of action, injections are performed 2-3 times a day.

Blockades. Heel shots are performed by the surgeon to block the spread of inflammation and pain.One correct blockage can help relieve pain for several years. A solution of ledocaine or novocaine is administered with an active substance such as Diprospan or Betamethasone.

Wave therapy. The most effective treatment. Has no side effects. The duration of the procedure is about half an hour. No pain.

Laser therapy. Laser treatment is the most painless and enjoyable treatment. The price matches the quality. A powerful laser beam penetrates the affected area and speeds up the metabolism.Daily procedures for 10-20 minutes, depending on the patient’s condition, are carried out 5-10 times.

Readings and progress of operation

At the first sign of a heel spur, do not self-medicate and seek immediate medical attention. Surgery is rarely performed, but sometimes it becomes simply necessary. The effectiveness of removing bone growth through an incision in the skin brings results in 70% of cases, otherwise the pain returns.

Readings

1. Lack of improvement in the patient’s condition within six months.

2. The impossibility of waiting and carrying out drug treatment.

3. Decreased performance and limited movement.

Progress

During surgery, the doctor performs the following actions:

• puts the patient into anesthesia;

• makes an incision on the heel;

• penetrates through the incision and removes the affected area of ​​the fascia;

• frees the nerve by dissecting the muscle tissue from the thumb;

• removes the build-up;

• the heel surface is leveled for further favorable healing;

• muscles and nerves are in place;

• stitches are applied;

• seams are processed;

• patient is recovering from anesthesia.

Treatment of a “heel spur” by the UHT method

Today, the method of shock wave therapy is gaining more and more popularity, and it is no coincidence: the effectiveness of treatment of a heel spur using the shock wave therapy method is extremely high, and the number of contraindications is minimal.
Moreover, shock wave therapy not only cures the disease, but also produces a pronounced analgesic effect, which makes it possible to refuse or significantly reduce the intake of analgesic drugs for the period of treatment.

This disease in the masses is usually called “heel spur”, although it has a medical name – plantar fasciitis. Its essence is as follows: on the plantar surface of the calcaneus tuberosity, bone formations appear in the form of a wedge, bump, thorn or beak.

The mechanism of their formation is that in the “standing” position, half of all human weight falls on the plantar fascia – a connective membrane that acts as a case for plantar muscles and tendons, which is a natural shock absorber.However, with excessive loads or due to the individual structure of the foot, the fascia is traumatized, manifested in its micro-tears, which normally heal on their own, but in some cases lead to chronic inflammatory processes. Against their background, there is a compensatory reaction of the body to an increased load at the site of inflammation, which consists of bone growths, which are called “heel spurs”.

Pain can be caused both by inflammation of the mucous membrane itself (fascia), and by pressure on it of a bone growth, that is, a spur.It is characteristic that the size and acuteness of the bone growth do not correlate in any way with the intensity of pain: a large and sharp formation can cause less suffering than a small and flat one.

Causes of the formation of a heel spur and its symptoms

From there are several main reasons (factors) for the development of plantar fasciitis, these are :

• Flat feet (predominant cause)
• Age over 40 years old
• Gender: women are most affected by this disease
• Calcaneus injury
• Gouty and other types of arthritis
• Curvature of the spine
• Overweight
• Professional activities, e.g. sports or hard physical labor

A heel spur manifests itself as pain in the heel, which increases with walking, squeezing the heel, and also makes itself felt in the first morning hours.Plantar fasciitis is diagnosed by ultrasound examination of soft tissues and X-ray of the foot.

Heel spur treatment

In most cases, a heel spur can be cured without surgery. Relief of the painful area is necessary for effective treatment of a heel spur. Here you cannot do without custom-made orthopedic insoles.

Traditionally, non-steroidal anti-inflammatory drugs, or NSAIDs, are used in treatment, which are necessary to relieve pain and inflammation.Massage in combination with therapeutic exercises gives good results. These measures are designed to improve circulation and speed up the recovery process.

Treatment for a heel spur often includes physical therapy. Means such as shock wave therapy, which is the effect on the affected area of ​​a weak current of high frequency, as well as magnetotherapy, help to expand small capillaries, improve blood circulation and reduce pain.

Heel spur and plantar fasciitis

Heel spur and plantar fasciitis (heel pain)
Plantar fasciitis is the most common cause of heel pain.On average, 2 million people a year treat this problem. Plantar fasciitis causes irritation and inflammation of the tissues.

Anatomy
The plantar fascia is a long, thin strip of tissue that sits at the bottom of the foot. It connects and supports the heel bone to the toes.

Plantar fascia is necessary to absorb mechanical stress and strain on the feet. But sometimes, strong pressure can damage or tear tissue.Inflammation is the body’s natural response to injury, resulting in pain and muscle stiffness.

Risk factors
Plantar fasciitis often develops without a specific cause. But there are many factors that can contribute to the disease:

• obesity
• high lifting of the foot
• activity associated with constant pushing toes (running, another sport)
• a sharp increase in load or a new type of physical activity for the legs
• stiffness of the foot (stiffness of muscles, ligaments, …)

Heel spur
A heel spur is present in many people with plantar fasciitis, but not everyone feels pain.Every tenth person has a heel spur, but only one in twenty has pain. Therefore, in some cases, plantar fasciitis can be treated without removing the heel spur.

Symptoms
Most common symptoms:

• Pain in the lower part of the foot near the heel.
• Pain from the first steps after getting out of bed in the morning or after a long period of rest, such as after driving.The pain decreases after a few minutes of walking.
• Increased pain after exercise or other physical activity.
  Conservative treatment

In 90% of patients with plantar fasciitis, conservative treatment is effective within 10 months.

Rest.
Stop doing activities that cause pain – jogging on hard surfaces, step aerobics, etc.

Cooling.
Massage with a bottle of cold water 3-4 times a day for twenty minutes can help relieve leg pain.

Non-steroidal anti-inflammatory drugs.
Pharmaceuticals such as ibuprofen and naproxen reduce pain and inflammation. It is imperative to consult a doctor if you have been using this medicine for more than one month!

Physical exercise.

Plantar fasciitis may contribute to muscle stiffness in the lower leg and foot. Stretching exercises are the most effective pain relief method.Exercises aimed at strengthening the muscles of the foot are quite effective in treating heel spurs and plantar fasciitis in combination with other methods of treatment.

Hormonal injections.

Hormonal injections are powerful anti-inflammatory drugs that are injected into the area of ​​inflammation. The number of injections is strictly limited. excessive injections can lead to tissue atrophy. Before starting treatment, be sure to consult with your doctor.

Orthopedic products.

Shoes with thick soles and padded inserts can reduce the occurrence of heel pain when standing and walking. Stepping on the ground, the fascia is subjected to strong pressure, which can lead to microtrauma. Soft shoes reduce pressure on the fascia and help prevent micro-injury.

Physiotherapy.

Your doctor can advise you on an exercise program developed in cooperation with a physiotherapist.In addition to gymnastics, physical therapy can include cold therapy, massage, and other methods such as electrical therapy.

During electrical treatment, an electrical impulse stimulates the wound healing process. Unfortunately, studies have shown low effectiveness of the method. However, some doctors prefer this non-invasive method because there are no other options besides surgery.

Surgical treatment

Surgical treatment is individual, depending on the mechanism and cause of heel pain.The main focus of the Estmedica clinic is the minimal trauma of each procedure and the quick recovery of the patient, using modern technologies and treatment methods. Undoubtedly, before starting treatment, it is necessary to discuss with your surgeon the need for surgery, the method and effectiveness.

Heel spur – Sofia

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Calcaneal spur and plantar (plantar) fasciitis

Heel spur – bony outgrowth along the plantar surface of the calcaneus.

Contrary to popular belief, the heel spur itself is not the cause of heel pain. Pain in most cases occurs due to chronic trauma to the dense ligamentous plate – plantar (plantar) fascia at the point of its attachment to the heel bone.

Calcaneal spur – bony outgrowth along the plantar surface of the calcaneus.

Plantar fasciitis is a condition that causes pain in the heel along the plantar surface of the foot.This happens when the flat tissue (plantar fascia) that supports the arch of your foot becomes inflamed or irritated.

Plantar fascia is a dense ligament on the sole, starting from the heel bone, then it is divided into bundles, which are fixed at the base of the toes.

Plantar fasciitis is common among middle-aged people. It can also occur in young people who spend a lot of time on their feet, such as athletes or soldiers.Plantar fasciitis can occur both on one foot (more often) and on both feet at the same time (much less often).

Plantar fasciitis can be treated conservatively in most cases. In this case, the doctor recommends you:

• comfortable shoes,
• exercise limitation,
• anti-inflammatory therapy,
• physiotherapy procedures,
• shock wave therapy,
• possibly local cold,
• gymnastics and stretching of the foot
• Medical blockade of a painful point.

But in the case of a prolonged and protracted course of the disease, in which conservative therapy becomes ineffective, the doctor can offer surgical treatment.

Plantar fascia – a dense ligament on the sole, starting from the heel bone, then it is divided into bundles that are fixed at the base of the toes.

Plantar Release (Plantar Fascia Dissection) Surgery Overview

Plantar Fascia Dissection (Plantar Release) involves cutting a part of the plantar fascia in the area of ​​attachment to the heel bone to relieve tension and relieve inflammation at the point of tenderness (plantar fasciitis).For anesthesia, your doctor may use a local anesthetic to numb the area of ​​the procedure, or the operation may be performed under spinal or general anesthesia. Partial dissection of the plantar fascia can be done through an incision (classic surgery) or through small punctures (endoscopic surgery).

• The surgeon can make an incision in the foot in the heel area along the lateral surface, along the line where the thicker skin of the sole passes into the thinner skin of the lateral surface of the foot, an incision is also possible along the plantar surface of the foot.If the operation is performed endoscopically, the surgeon will make two small punctures, up to 5-7 mm long, on both sides of the heel below the ankles.
• The doctor may completely cut off the plantar fascia from the heel bone or make incisions (partial release) on both sides of the plantar fascia to relieve tension.
• The surgeon may remove the protruding spine and flatten the surface of the bone to allow the plantar fascia to heal with less stress. Sometimes the surgeon removes a small piece of damaged fascia tissue.
• During surgery, the doctor may also extract one of the large muscles of the foot (abductor hallucis) from the surrounding tissue to prevent nerve compression from the surgery.
• If a spike (heel spur) is present on the plantar surface of the heel, it can be removed.

Postoperative regimen

In traditional (open) surgery, the patient is usually given a plaster cast or splint and is advised to move for a while without loading the operated leg (for example, with crutches or walkers), for 2 to 3 weeks after the operation, so that allow the tissues to heal well.

After endoscopic surgery, it is often possible to start a moderate load on the leg the next day after surgery and start wearing normal shoes again as soon as comfortable.

With both open and endoscopic surgery, most people will return to their full normal activities in 3-6 weeks.

After your surgery, you will begin a gradual training and rehabilitation program. Running and jumping are restricted for at least 3 months after surgery.

Who is the operation indicated for?

The operation can be indicated only in 5% of people with plantar fasciitis. Some foot surgery specialists may more often recommend surgery.

Typically, your doctor may recommend surgery if:

• You continue to have severe symptoms despite careful attention to your illness and conservative treatment.
• Your symptoms last at least 6-12 months.
• You are actively involved in sports, pain affects your training or interferes with participating in sports activities.
• Your ability to work is limited, despite the ongoing conservative treatment.

Plantar Fasciitis: What to Expect from Surgery?

How effective is the operation?

Most people (over 75 out of 100) experience significant improvement and much less pain after plantar fascia dissection surgery. Up to 25 out of 100 people who have surgery continue to experience pain.

Risks

Risks associated with plantar fascia dissection surgery include:

• Neurological problems, including damage to small nerve branches or tunnel neuropathy syndrome.
• Recurrence (repetition) of pain in the heel.
• Neuroma formation – thickening on the nerves passing nearby, due to their trauma.
• Delayed or complicated wound healing.
• Suppuration in the area of ​​the wound.
• General risks of anesthesia (reactions to medication, etc.).
• Probability that pain may persist or even worsen after surgery (rare).

What is worth clarifying?

Endoscopic surgery should be performed by a surgeon who is specially trained in the method and has experience in performing the operation.Ask how many endoscopic surgeries the surgeon performed and how successful they were.

Orthopedic treatment of the shoulder joint and treatment of the foot

Instability of the shoulder joint (habitual dislocation of the shoulder)

In case of instability of the shoulder joint, the head of the humerus is poorly fixed in the glenoid cavity of the scapula and can move over longer distances than is the case in a normal joint. In some cases, the head may even extend beyond the glenoid cavity of the scapula.This condition is called dislocation. If left untreated, the instability of the shoulder joint over time leads to the development of osteoarthritis.

Chronic shoulder joint instability manifests with certain symptoms. Subluxation of the shoulder joint is common. Subluxation usually occurs when the arm is in certain positions, usually above the head. Most often this happens when throwing objects from behind the head forward. Subluxation is manifested by acute pain, sometimes patients feel a click or crunch in the joint.Over time, patients begin to avoid arm positions that lead to subluxation.

With severe instability, periodic dislocations of the shoulder are possible. Some patients manage to correct the dislocation on their own, but many have to go to emergency rooms for urgent medical care. The clinical picture of shoulder dislocation is very characteristic. Severe pain appears, the arm is in the wrong position, and the area of ​​the shoulder joint changes in shape. Any attempt to move the shoulder increases the pain.The dislocated head of the humerus can compress the nerves passing near the shoulder joint.

Bankart is the most effective treatment for shoulder instability. The meaning of this operation is to fix the ligaments of the anterior surface of the joint in a certain position.

In GBUZ GKB im. S.P. Botkin DZM, a full range of instruments and anchor clamps (titanium or absorbable “anchors”) are used, which allow fixing soft tissues in an anatomically correct position without through drilling of the bone.

Rotator cuff rupture

The rotator cuff is a complex of ligaments and muscles of the shoulder joint that makes it possible to perform a variety of movements in this joint.

Rotator cuff rupture is a particularly painful injury and is accompanied by arm weakness. This traumatic injury can occur in people of all ages, but is most common in older patients. A typical patient with a rotator cuff rupture is an elderly person who has had shoulder pain for some time.After raising the severity or falling, the pain in the shoulder joint increases significantly, in addition, after the injury, the patient cannot raise his arm up.

Repairing a ruptured rotator cuff tendon is a rather complicated operation. Rotator cuff reconstruction can be performed either openly through an incision on the anterior shoulder or arthroscopically.

Arthroscopic surgery is performed through small punctures in the shoulder joint under the control of a video camera.It is less traumatic, but requires a highly qualified surgeon and excellent skills in arthroscopic techniques. In GBUZ GKB im. S.P. Botkin DZM, all operations are performed by arthroscopic method.

Adhesive Capsulite

The shoulder joint is made up of the articular surfaces of the spherical head of the humerus facing each other and the concave cup-shaped surface of the neck of the scapula. The joint is surrounded by a capsule, which is a shell, consisting mainly of ligaments that provide stability to the shoulder joint.

At the same time, the capsule provides joint mobility, freely stretching throughout the entire range of motion.

In some cases, the joint capsule and the synovial membrane lining the joint cavity may become inflamed, as a result of which it shrinks and there is a restriction and pain during movement. This disease is called adhesive capsulitis or frozen shoulder.

The reasons for this ailment are not fully understood. Women of middle age are more often affected. The disease occurs acutely or gradually.Characterized by night pains in the shoulder joint radiating to the arm. The limitation of movement in the shoulder gradually progresses.

How is adhesive capsulitis and frozen shoulder treated?

An arthroscopic treatment is used to treat this condition. A special optical device, an arthroscope, is inserted into the cavity of the shoulder joint through punctures in the skin. Through the arthroscope, the joint cavity is examined, and areas of the adhesions and wrinkled capsule are revealed. Through the second puncture, a special thin instrument is inserted into the joint cavity, which allows you to process the areas of pathological fusion in the joint and the wrinkled capsule using cold plasma.After this procedure, the range of motion in the joint is restored. On the second day, a set of exercises is prescribed, which allows you to consolidate the results achieved during the operation and restore muscle strength.

Damage and diseases of articular cartilage

Normal hyaline articular cartilage appears smooth, white, shiny and has a smooth surface. When palpated with a probe, its consistency can be determined as tight-elastic. No other method except arthroscopy is able to fully assess the pathological changes in the cartilage.Arthroscopy allows not only to establish the presence of changes in the articular cartilage, to assess their severity, to determine the tactics of further treatment, but also to perform a number of therapeutic manipulations.

Pathological changes in cartilage are usually called different terms: chondromalacia, chondropathy or cartilage damage. Currently, the 4-degree Outerbridge classification of chondropathy is more commonly used.

1st degree – softening of the surface layer of cartilage.The cartilage loses its gloss, fades, and microvillous fibers appear on its surface.

The first degree of chondropathy is not subject to surgical arthroscopic treatment, however, being the initial stage of degeneration, it requires specific conservative treatment. The initial phenomena of chondropathy in persons over 40-50 years old are often found and are most often caused by primary degeneration of the articular cartilage. Chondropathy in younger patients is usually secondary in nature and appears due to a violation of the biomechanics of the joint (instability of the ligamentous apparatus, hypermobility of damaged menisci) or against the background of chronic synovitis.

2nd degree – cartilage razvlecheniya, extending to half the depth of its layer with the appearance of deep cracks and single flaps. These pathological changes can also be a manifestation of primary or secondary degeneration or occur as a result of traumatic damage to the articular cartilage. The focus of chondropathy of the 2nd degree is processed until a smooth surface is obtained, without cartilage flaps and significant fiber separation, which can serve as the beginning of a new zone of cartilage destruction during friction of the condyles.In this case, the detached sections of the cartilage are removed using nippers or a shaver knife. The entire surface of the lesion of the destroyed cartilage is processed with a shaver knife.

In the process of shaving, loose areas are removed, the surface of the cartilage becomes smoother, including due to some deepening of the defect. Thus, this area is less traumatic for the reciprocal articular surface, and there are no flaps left, which can be torn off further with friction, expanding the zone of chondropathy.In addition, it was noted that mechanical stimulation of the underlying cartilage layers promotes some activation of its regenerative potential. Such treatment of the defect in various sources is called shaving, arthroscopic debridement, mechanical chondroplasty or shaving. It should be noted right away that the restoration of full-fledged hyaline cartilage is impossible. All arthroscopic manipulations are aimed only at slowing down degeneration and reducing trauma to the surrounding cartilage.

3rd degree – cartilage razvlechenie, extending to more than half of its depth, the formation of deep cracks, patchwork detachments.The main reasons are the same – primary cartilage degeneration and mechanical damage.

For grade 3 chondropathy, we also shaver the defect. In addition, a number of specialists recommend thermal chondroplasty. For this we use bipolar electrosurgical devices operating in the “VAPR” mode of vaporization.

Grade 4 – These are cartilage defects with exposure of the subchondral bone. Extensive areas of grade 4 chondropathy are usually the result of a degenerative process.Grade 4 traumatic defects are less common.

A site of grade 4 chondropathy on the loaded surface of the femoral condyle, detachment of adjacent cartilage areas

We carry out the removal of exfoliated flaps with special or conventional nippers and a shaver. On the exposed areas of the subchondral bone, we carry out microfracturization or fenestration.

If the defect occupies a large area – diameter more than 30 mm, in other words, occupies more than 1/3 of the articular surface of the condyle, then we perform abrasive arthroplasty, or apply mosaic plasty.

Mosaic plastic

In case of cartilage defects, we perform autochondrotransplantation, which is often called mosaic plasty. This technique provides for the movement of osteochondral fragments in the form of cylinders from the surface of the condyles of the femur, which is not involved in articulation, to the defect area. Usually, in practice, defects are restored, which can be replaced by three, less often four cylinders of the same diameter. Ideal results are obtained when replacing small defects that can be repaired with one graft

Osteoarthritis of the knee joint, regardless of its etiology, is a serious problem, the solution of which at the present stage of development of orthopedics is far from clear.One of the generally recognized factors in the progression of degenerative changes in the knee joint is biomechanical abnormalities. Not the least role is played by injuries and inflammatory processes of various etiologies.

Arthroscopy of the knee joint for osteoarthritis has various capabilities. During the revision, the articular surfaces in the articulating zone, the position of the patella, the condition of the synovial membrane, the presence of intra-articular bodies, the condition of the menisci and the ligamentous apparatus are assessed.In other words, during arthroscopic surgery, the conditions for articulation of the joint are improved. One of the tasks is the elimination of flexion contracture of the knee joint by removing the cicatricial folds of the synovial membrane and osteophytes of the anterior part of the joint.

The procedure consists in the removal of free chondromatous bodies attached to the pedicle. All areas of the altered synovial membrane (nodes, giant villi, areas of villous-nodular degeneration) must be removed.The condition of the menisci, the folds of the synovial membrane and their participation in the articulation of the joint must be assessed. The damaged fragments of the menisci are removed. The enlargement of the media-patellar and infrapatellar folds of the synovium also interferes with the normal functioning of the joint. Very often, fibrous tissue overgrowth occurs around the infrapatellar fold. These changes are localized in the area of ​​the intercondylar eminence, fill the intercondylar fossa, which leads to the formation of flexion contracture.Enlarged folds and scar tissue are removed during arthroscopy using shaver knives followed by ablater treatment. If damage to the menisci is detected, their partial resection is indicated. Treatment of cartilage lesions is described above. The result of arthroscopy of the knee joint in osteoarthritis is the choice of the correct subsequent treatment. It can be conservative with preserved cartilaginous cover. With the defeat of the predominantly medial section, the question of corrective osteotomy or monocondylar (odgomyshylkovy) arthroplasty can be raised.With total damage to the cartilaginous cover, one should think about total endoprosthetics.

Impidge COP Syndrome

This syndrome occurs due to friction of the tendons of the rotator cuff muscles against the process of the scapula – acromion, which forms the upper part of the shoulder joint.

The phenomenon of impingement occurs to one degree or another when raising a hand in any healthy person. The development of clinically pronounced impingement is facilitated by daily work with raised hands (plasterers), with constant throwing movements (shot pushers).Often, impingement syndrome manifests itself clinically when the rotator cuff tendons are irritated or damaged. Any condition leading to a narrowing of the gap between the acromion and the rotator cuff tendons contributes to the appearance of impingement syndrome. A common cause of this narrowing is bone spurs – spine-shaped outgrowths emanating from the acromioclavicular joint.

In the early stages of impingement syndrome, the main complaint of patients is a diffuse dull pain in the shoulder.The pain increases when the arm is lifted up. Many patients find that pain prevents them from falling asleep, especially when lying on the side of the affected shoulder joint. The pathognomonic symptom of impingement syndrome is the occurrence of acute pain in the patient when trying to reach the back pocket of his trousers. In later stages, the pain increases, and joint stiffness may appear. Sometimes in the joint there is a clicking sound at the time of lowering the hand. Weakness and difficulty raising the arm up may indicate a ruptured rotator cuff tendon.

The goal of surgery for the treatment of impingement syndrome is to increase the gap between the acromion (anatomical part of the scapula) and the rotator cuff. The surgeon removes bone spines, which can narrow the gap and damage the rotator cuff tendons. Removal of part of the acromion is also usually performed in order to widen the gap.

To facilitate this operation in GBUZ GKB im. S.P. Botkin DZM, a special apparatus (ablater) is used, which allows you to quickly and effectively remove tissue and restore the mobility of the shoulder joint.

The device is a high-frequency bipolar electrosurgical unit that allows the removal of soft tissues with simultaneous coagulation (stopping bleeding). It is completely safe for the patient (burns and electric shocks are absolutely excluded) and convenient for the operating surgeon.

The heat generated by the RF energy is used to create a temperature pocket that vaporizes (removes) soft tissue and seals damaged blood vessels at the same time.

Orthopedic treatment of the foot

Hallux valgus is a term denoting deformity at the level of the medial metatarsophalangeal joint with the valgus joint (Latin valgus – curved), i.e. directed outward, deviation of the first toe. Patients are worried about the difficulty in choosing shoes, a painful “bump” on the foot. The disease is based on bone deformity, which must be treated by an orthopedist.

Hallux valgus is caused by a violation of the biomechanics of the joint and the foot in general, which is often associated with transverse flat feet and weakness of the ligamentous apparatus, some neurological disorders, congenital deformities and a number of other reasons, aggravated by wearing narrow shoes with a narrow toe and high heels.

The most common causes of pain in the area of ​​the foot and discomfort in this pathology are:

• The appearance of a painful “bump” on the inner surface of the foot.

• Pain in the forefoot along the plantar surface, the appearance of calluses associated with impaired biomechanics and overloading of the heads of 2-3 metatarsal bones.

• Cosmetic defect – deformity of the foot and first toe.

• Occurrence of deformities of adjacent 2-3 fingers (usually hammer-like) with concomitant pain syndrome.

• Dislocations and subluxations of the main phalanges of 2 fingers, due to instability, accompanied by pain.

Clinical, X-ray methods, plantography are used for diagnostics, and a more modern and technologically advanced version of this study is podoscanning.

Subscanning

Along with the deformity of the first toe and 2-3 toes, in most cases, the deformity (varus) of the first metatarsal bone is detected, causing a change in biomechanics, the appearance of a painful “bump” and an overload of adjacent supporting bones.

The first stage in the treatment of this pathology is the use of various orthopedic devices (supinatars, interdigital partitions, selection of shoes, physiotherapy exercises, correction of physical activity, analgesics).

With the progression of this disease or the ineffectiveness of conservative treatment, there is a need for surgical correction of the developed deformities.

To date, there are more than 400 operations and their modifications designed to correct the hallux valgus of the 1st toe.As a result of the evolution of techniques, modern complex reconstructive surgical operations performed in the clinic of traumatology and orthopedics of the N.N. S.P. Botkin DZM: various types of osteotomies in combination with changes in the relationship of muscles, tendons and ligaments, aimed at correcting deformity.

Modern surgical techniques can effectively correct deformities and obtain a good long-term clinical result.

Treatment of deformed fingers is carried out with the help of special exercises, the use of correctors. If it is impossible to correct a pronounced deformity by conservative methods, corrective operations are used to restore the normal anatomical axis of the fingers and relieve the patient from pain.

Rigid first toe (the first toe becomes inactive and painful, each step is accompanied by pain, patients are forced to walk slowly in order to reduce the load on the forefoot) – the disease can be of a different nature, but the outcome is the same – pain and limited mobility of the first toe.Currently, there are modern methods of conservative and surgical treatment of this problem, which make it possible to relieve a person of pain syndrome and return a normal gait.

Neuroma of the foot (Morton’s neuroma) – the cause of which, most often, is a chronic nerve injury in the intermetatarsal space. Clinically, the disease is manifested by pain in the area of ​​the foot, often with irradiation to the fingers. Treatment includes a wide range of modern conservative and surgical methods.

Metatarsalgia – pain in the forefoot. The general name for a number of diseases, the most common cause of which is the consequences of flat feet and overloading of the metatarsal heads.

Freiberg’s disease. Osteochondropathy of the metatarsal head (Keller II disease) – with this disease, the head of the metatarsal bone is affected, accompanied by swelling, pain and bone growth. The disease is manifested by a decrease in the range of motion in the metatarsophalangeal joints, pain syndrome, sensation of a foreign body in the forefoot.

Haglund’s disease (osteochondropathy of the heel of the calcaneus, Schinz-Haglund disease) – the first discomfort can be expressed in painful sensations in the heel when walking. Patients are worried about chronic pain in the area of ​​the calcaneus tubercle. The cause of the pain syndrome is the deformation of the calcaneus in the area of ​​attachment of the Achilles tendon. The first stage of treatment is the selection of shoes. In the case of persisting pain syndrome, surgical treatment is indicated.

Tarsal tunnel syndrome – pain is localized in the heel and often spreads to the foot.The cause is compression of the nerve by soft tissues.

Various congenital and acquired deformities of the feet, including extra toes (polydactyly), fused toes (syndactyly).

Plantar fasciitis and heel spurs. Patients are worried about pain in the plantar region, often extending to the fixation point of the plantar fascia to the calcaneal tuberosity. These diseases cause a lot of anxiety to patients and are accompanied by persistent pain syndrome.In most cases, conservative treatment works well. With the ineffectiveness of the therapeutic effect and the presence of chronic intractable pain syndrome, surgical treatment is indicated.

bone surgery on legs, price – Moscow

Surgery for deformity of toes.

Osteotomy of the foot in “Medicament”

Walk without pain or discomfort! Modern foot surgeries can relieve the patient from acute pain and restore the functioning of the limb.

For the treatment of various foot pathologies, patients come to the MedicaMente clinic both from Moscow, the Moscow region, and other cities of the Russian Federation. Our traumatologists-orthopedists have vast experience in performing operations for deformities of the toes. Thanks to their productive and well-coordinated work, the introduction of modern minimally invasive techniques into practice, the most sparing techniques for cutting the skin, the removal of “painful bones” of the hallux valgus, the treatment of hammer-like, intersecting toes, deformities of the little finger are carried out with minimal trauma for the patient and a short recovery period.

Depending on the disease, specialists use a variety of surgical techniques (scarf, chevron osteotomy of the foot, osteotomy of Mitchell or Austin and many others, if necessary, plastic of the extensor tendon is performed, which significantly reduces the risk of recurrence).

Operation Halus Valgus (removal of the “bone” on the leg)

Hallux valgus (the so-called “bump” or “bone” on the leg) is one of the most common pathologies.

Hallux valgus tends to progress

Operation required

The operation will help eliminate pain syndrome and give the foot an aesthetic appearance

* Information is for reference only. The treatment regimen is selected in each case individually by a traumatologist-orthopedist or a podiatrist at a face-to-face consultation.

Severe forms of hallus valgus not only significantly limit the choice of footwear, but also cause serious functional changes in the foot, make it difficult to walk.If the bone on the leg is inflamed, hurts, or grows, you should consult an orthopedic traumatologist or podiatrist. With the initial manifestations of hallux valgus, conservative therapy may be recommended, which will help alleviate the symptoms of the disease.

Chalus valgus surgery is aimed at achieving both aesthetic and functional results. Correctly performed treatment of hallux valgus of 1 toe, firstly, allows you to change the appearance of the foot, to give it the correct physiological shape, and secondly, to preserve (or restore) its spring (shock absorbing) functions.

Hallux Valgus: leg bumps operation at MedicaMent

WHAT WE ARE READY TO OFFER

Treatment of complex cases

The surgeons of our clinic are fluent in all modern surgical techniques for the treatment of hallux valgus (from the world-renowned chevron osteotomy of the foot and the SCARF technique to plastic surgery of the tendons and ligaments around the big toe). Thanks to the skillful actions of doctors, the operation to “remove bones” on the feet (even with severe hallux valgus of the first toe of the 4th degree) takes place in “Medicament” with minimal trauma and allows you to restore all the functions of the foot in the shortest possible time.

Experience of Moscow orthopedists

The MedicaMente clinic in Korolev closely cooperates with the specialists of the departments of the leading institutes of surgery in Moscow. Removal of “bones” on the legs in our clinic is carried out by Ph.D., assistants of the Department of Traumatology, Orthopedics and VPH Russian National Research Medical University named after N.I. Pirogov, under whose auspices our Center operates. All doctors regularly improve their qualifications, carry out active scientific activities, take part in domestic and international conferences…our specialists in foot surgery

Comfortable hospital

Single and double wards of the MedicaMente clinic are equipped with everything necessary for a comfortable rest and recovery after surgery (Internet, TV, disposable clothes, personal hygiene products, a separate bathroom). The cost of staying in the ward includes meals. The length of hospital stay after hallux valgus surgery depends on the patient’s condition and the extent of the intervention. On average, a patient spends up to 2 days in the clinic, being under the constant supervision of medical personnel and a surgeon.During this time, antibiotic therapy, dressings, physiotherapy are carried out, if necessary, stimulation of reparative (restorative) processes by means of shock wave therapy. Pain relief can be avoided with the help of modern pain relievers. If you experience severe pain, simply press the nurse call button located next to each bed. You will be given adequate pain relief … hospital photo

Without plaster and crutches

Modern methods of removing hallux valgus allow the patient to start walking immediately after the operation (in special Baruk’s shoes).At the same time, there is no need for a cast or additional support (crutches, canes), which makes it possible to operate both feet at once. Rehabilitation after surgery to eliminate hallux valgus takes 5-6 weeks. At the same time, an important condition for the speedy recovery after surgery is the ability to adequately stimulate the functions of the foot. At all stages of rehabilitation, our specialists will correct the recovery processes and, if necessary, stimulate the healing processes by means of physiotherapy and shock wave therapy.As early as 4-6 months after the removal of the “bone” on the leg, the patient can start wearing high-heeled shoes, sports shoes – after 2.5-3 months.

Hammer toes, Taylor deformity

In addition to hallux valgus, common deformities of 2-5 toes are hammer toes, hook fingers, claw toes, tailor’s feet (Taylor’s deformity). The operations allow restoring the normal anatomy of the joints, normalizing the shape of the small toes, and relieving the patient of pain and corns.The method of correction depends on the severity of the deformity. The most effective method for correcting 2-3-4 fingers is Weil osteotomy in combination with soft tissue operations. In the case of deformation of the little finger (“a bump on the tailor’s foot”), various types of osteotomy are also widely used, which make it possible to dispense with additional immobilization in the form of plaster cast, plastic orthosis in the postoperative period.

Removal of bones on the legs with laser

In Moscow, and in other regions of the Russian Federation, you can find clinics that offer “laser removal of bones on the leg.”Alas, such treatment (as well as orthopedic devices and traditional medicine) does not give a positive effect and does not always lead to the expected results. To date, the only optimal method of treatment for hallus valgus, which allows you to “remove” bumps on the legs and correct the deformity of the toes without complications and relapses in the future, is an operation performed correctly and accurately, taking into account the severity of the deformity, the causes of its occurrence and, of course, the physiological structure the patient’s feet.

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