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Skin spurs: Skin Tags Causes, Pictures, Remedies & Removal


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Bone Spurs and Cysts | Hand Institute of Charleston

Bone spurs are sharp spikes of bone that form at the margins of joints with arthritis. Sometimes you can actually fell the bone spur as a hard lump under the skin. Bone cysts are just small holes or cavities that form inside the bone around arthritic joints. They also sometimes form spontaneously in healthy bone. These can’t be felt but are detectable on x-ray.

Arthritis literally means “inflamed joint”, and generally refers to any damage to the joints of the body. There are 36 joints in the hand and wrist, and several sites that commonly affected by arthritis. Osteoarthritis is the most common type and is a degenerative breakdown of the joints over time. The CMC joint at the base of the thumb is commonly affected. Less common forms of arthritis include damage to the joint due to injuries (post-traumatic arthritis), and inflammatory arthritis (rheumatoid, gout, psoriatic).


Bone spurs and cysts commonly occur in association with the various types of joint arthritis.


While the arthritic joint may hurt, the bone spur or cyst is usually not what is causing the pain. Occasionally a very prominent bone spur can put pressure on the skin or irritate an overly tendon causing pain or snapping sensation. Prominent bone spurs also may cause a visible lump under the skin which is hard to the touch and not mobile like a ganglion cyst would be.


X-rays of the hand and wrist can generally detect significant bone spurs and cysts, which also may serve as evidence of arthritis of the joint. Some large bone spurs may be felt on physical exam.


Treatment for bone spurs and cysts is usually the same as treatment for the associated arthritis. Occasionally a bone spur may be large or symptomatic enough to warrant surgical removal. Bone cysts rarely require individual treatment.


Our Board-Certified Orthopaedic Hand and Wrist Surgeons are here to help! They can often diagnose the problem in one visit, and get you started with a treatment plan. We offer a wide variety of both nonoperative and operative treatment options.

Call today for a clinic or telehealth appointment! 854-423-4263          Book Now

This content is not a substitute for expert medical advice or diagnosis and is for educational purposes only.

Bone Spurs | Cedars-Sinai

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About bone spurs

In spite of their name, bone spurs are smooth, bony growths that form over a long period of time. They are a growth of normal bone that tends to occur as we age.

The spurs themselves are not painful. Their effect on nearby structures, such as nerves and the spinal cord, can cause pain.

The spine is made up of 33 bones (vertebrae) designed to protect the spinal cord. Gel-filled discs between the bones serve as shock absorbers. The discs also allow us to bend forward and backward and twist our backs in a variety of directions.

Behind each disc and under each joint are openings that allow a part of nerve roots to leave the spinal cord to go to other parts of the body. These tiny openings, called foramen, enclose the nerve and are just large enough for the nerve to go through.

Bone spurs, also known as osteophytes, can be a problem if they develop in the openings for the nerve roots. They make the space narrower and press on the nerve. This is called foramen stenosis.

What are causes and risk factors for bone spurs?

A variety of factors contribute to bone spurs. These include:

  • Aging. As our discs wear down, ligaments get looser and don’t hold the joints as stable as they should. The body tries to thicken the ligaments to hold the bones together. Over time, the thickened ligaments start forming flecks of bone. The thickened ligaments and new bone around the spinal cord and the nerve roots cause pressure.
  • Disc and joint degeneration.
  • Heredity.
  • Injuries, including sports-related and motor vehicle accidents.
  • Nutrition.
  • Poor posture.
  • Structural problems that a person is born with.

In addition, certain conditions can make it more likely that bone spurs will develop, including:

  • Arthritis
  • Osteoarthritis
  • Spinal stenosis

In persons 60 and older, bone spurs are common. A little more than 40 percent of the population will develop symptoms that require medical treatment as a result of bone spurs.

What are symptoms of bone spurs?

Back or neck pain is the most common sign of bone spurs. The joint becomes inflamed (swollen and tender) and the back muscles become tender.

Common symptoms are:

  • Burning or tingling (pins and needles in the hands or feet)
  • Dull pain in the neck or lower back when the person stands or walks
  • Loss of coordination in a part of the body
  • Muscle spasms or cramps
  • Muscle weakness
  • Numbness
  • Radiating pain in the buttocks and thighs
  • Radiating pain into the shoulders or headaches

Activity tends to make the pain worse. Rest tends to make it better. If the symptoms affect the back, the person may feel better leaning forward and bent at the waist as in leaning over a shopping cart or cane.

If there is severe pressure on the nerves, a person may have problems controlling his or her bladder or bowels.

How are bone spurs diagnosed?

After taking the patient’s medical history and performing a physical examination, physicians can rule out conditions that may have similar symptoms but different causes.

Tests that a doctor may order include:

  • Electroconductive tests. These show the degree and seriousness of the spinal nerve injury.
  • Computed tomography scans.
  • Magnetic resonance imaging.
  • X-rays to highlight any bone changes.

How are bone spurs treated?

Several approaches can be taken to treatment depending on the severity of the symptoms.

A conservative approach for persons with mild or moderate pressure on the nerves or spinal cord might include:

  • Steroid shots to help reduce joint swelling and pain. The effects of these are temporary and may need to be repeated up to 3 total in a year.
  • NSAIDS to reduce swelling, relieve pain and relax muscles for four to six weeks.
  • Physical therapy and manipulation of joints to restore flexibility and strength, improve posture and reducing the pressure on the nerves.
  • Rest.

If this approach isn’t successful, surgery may be needed, such as a laminectomy to remove bone spurs.

Key points

  • Bone spurs are smooth, bony growths that form over a long period of time. They are a growth of normal bone that tends to occur as we age.
  • The spurs themselves are not painful. Their effect on nearby structures, such as nerves and the spinal cord, can cause pain.
  • Factors that contribute to bone spurs include aging, heredity, injuries, poor nutrition and poor posture.
  • Treatments can include medication, physical therapy and rest. If those don’t work, surgery may be needed.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

  • Know the reason for your visit and what you want to happen.
  • Before your visit, write down questions you want answered.
  • Bring someone with you to help you ask questions and remember what your provider tells you.
  • At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
  • Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
  • Ask if your condition can be treated in other ways.
  • Know why a test or procedure is recommended and what the results could mean.
  • Know what to expect if you do not take the medicine or have the test or procedure.
  • If you have a follow-up appointment, write down the date, time, and purpose for that visit.
  • Know how you can contact your provider if you have questions.

© 2000-2021 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

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Plantar Fasciitis and Heel Spurs

Plantar fasciitis is an inflammation of the long band of connective tissue running from the heel to the ball of the foot.

A Heel spur is a bony overgrowth on the bottom of the heel bone that results from tension and inflammation in the plantar fascia attachment to the heel.

Heel spur syndrome may be described as the combination of plantar fasciitis, tendonitis or stress with or without a plantar heel spur. Plantar fasciitis and heel spur syndrome affect women more than men. They can cause the bottom of the heel and arch to become painful.


Symptoms of plantar fasciitis can occur suddenly or gradually. When they occur suddenly, there is usually intense heel pain on taking the first morning steps, known as first-step pain. This heel pain often subsides as the patient begins to walk around, but it may return in the late afternoon or evening. When symptoms occur gradually, a more chronic form of heel pain causes patients to shorten their stride while running or walking. Patients also may shift the weight toward the front of the foot, away from the heel.


Some people tend to have a naturally dry skin that predisposes them to the cracks. The thickened dry skin (callus) around the heel that is more likely to crack is often due to mechanical factors that increase pressures in that area (eg the way you walk). Other factors that can be involved in the cause of cracked heels include:

  • Stretching the long band of tissue that connects the heel and the ball of the foot
  • Muscle imbalance
  • Bone deformity
  • Obesity
  • Trauma
  • Tightness of the muscles on the back of the leg


  • Warm up and stretch properly before exercise
  • Wear appropriate shoe gear
  • “RICE” – rest, ice, compression, and elevation


  • Wearing proper footwear for both everyday and sporting activities.

  • Using insoles that support the arch and reduce tension on the ligament.

  • Making use of an arch brace, arch bandage or arch cradle to relieve pressure and reduce inflammation of the plantar fascia at its attachment to the heel bone.

  • Giving the afflicted area an ice massage to reduce inflammation and relieve tension.

  • Stretching calf muscle to reduce tightness.

Links to recommended Pedifix Products:


We hope these suggestions improve your health and make you more comfortable. However, if you have any concerns about our advice, if any symptom persists for an unreasonable amount of time or if your condition worsens after self-treatment, we encourage you to consult a medical professional for further assistance.

Please note, people with diabetes and poor circulation should always consult a medical professional before performing any self-treatment.

Bone Spurs – Podiatry, Orthopedics, & Physical Therapy

By:  Robert H. Sheinberg, D.P.M., D.A.B.F.A.S., F.A.C.F.A.S.

A prominence of bone on the top or the inside of the toe may cause pain and an inability to wear shoes comfortably.

They are usually caused by an abnormal bone structure causing sharp or prominent bones.   Fractures, injury or dislocation to the toe in the past may also cause bone spurs to develop.  Hammertoes, curly toes or toes that are abnormally shaped that get pressure from closed shoes can also become painful.  Tight shoes, especially heels and those that are narrow in the forefoot will aggravate the condition.

Hard skin is usually seen on the top or the inside of the toe.  A callus on the outside of the fifth toenail may be mistaken for an ingrown toenail.  Redness or swelling around the toes is also seen and a prominent bone spur can be felt.  In patients with poor sensation (diabetics), an ulceration of the skin over the spur may be seen.

Wider shoe to lessen toe pressure is the primary treatment.  Removal of hard skin to lessen the pain can also provide a lot of relief.  Temporary padding of the toes may take stress off of the bone spur.  Toe spacers made out of foam may also be used to prevent the bones from rubbing against each other.  A Cortisone injection may also be needed to help to decrease inflammation and allow the foot to fit comfortably in a shoe.

When unresponsive to conservative care, surgery to remove the spur or to correct the toe deformity may be necessary.  This will not only help the foot become comfortable in a shoe but it will permanently correct the problem. 


  • Prominence of bone on the top or inside of the toes causing pain and an inability to wear shoes comfortably.


  • Abnormal bone structure causing sharp or prominent bones.
  • Friction of two bones against each other.
  • Fracture, injury or dislocation to the toe causing a bone spur to develop.
  • Hammertoes, curly toes or toes that are abnormally shaped.
  • Tight shoes, especially heels and those that are narrow in the forefoot.


  • Callus on the top or inside of the toe causing pain in closed shoes.
  • Callus along the outer edge of the fifth toenail, mistakenly diagnosed for an ingrown nail.
  • Redness and/or swelling around the toes.
  • Prominent spur can be felt.
  • Bursitis on the spur increasing pain.
  • Possible ulceration of the skin over the spur caused from excessive pressure.


  • Wider shoe to lessen toe pressure in the shoe.
  • Removal of the hard skin to lessen the pain and pressure.
  • Temporarily padding the toe to take all stress off of the bone spur.
  • Applying a toe spacer (lamb’s wool or foam) to prevent the bones from rubbing against each other.
  • Cortisone injection to decrease inflammation.
  • Surgery to remove the spur and permanently correct the problem is the treatment of choice if the condiion has been unresponsive to conservative care.

Intraop Pics of Large Bone Spur at IPJ of the Big Toe before and after removal

Spurs Big Fix Animals Horse Hoof Wound Skin Care Spray 32 Oz

Spurs Big Fix Animals Horse Hoof Wound Skin Care Spray 32 Oz

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  • Spurs Big Fix Animals Horse Hoof Wound Skin Care Spray 32 Oz



Spurr’s Big Fix was developed and perfected by David and Kathy Kimbrough in the heart of Alabama horse country. In addition to both being lifelong horse enthusiasts and animal lovers, David is a highly respected, working farrier with over 38 years of experience. Being frustrated by the lack of positive results from the number of hoof products on the market, David and Kathy took it upon themselves to come up with a recipe that would meet, not only the needs of a horse’s hoof, but would also address many common skin and wound conditions, as well. After an ideal formula was scientifically developed under the supervision of a chemist, Spurr’s Big Fix underwent rigorous testing ensuring that it was both effective and safe. Today, Spurr’s Big Fix has been thoroughly tested, both in the field and in the lab. It has been endorsed by numerous horsemen and women. With a completed formula in hand. Bruce Conley, long time friend of the Kimbrough’s entered the picture to assist with production, packaging and marketing. Bruce’s invaluable production experience allowed the formula to be produced and marketed en mass. Bruce is not only a partner and a product evangelist, he also uses it daily on his small herd of Miniature horses. Cattlemen swear by Spurr’s Big Fix for treating “Hoof Rot”. Hoof Rot strikes in wet conditions. Typically in Winter and Spring, or whenever cattle are running on bottom land. Cattlemen who use it see great results even after the initial application. Ideal for use on open wounds after castration! A cattle ranch running approximately 3,500 head of cattle has been using Spurr’s to treat the open wound after they castrate their bull calves. After switching from Biodine to Spurr’s Big Fix the calves have responded more favorably and have healed quicker. Ideal for various injuries on cattle! We have a cattle rancher who treated a leg injury, probably from barbwire, by just riding up beside the calf and treating it from the saddle. Because you couldn’t walk up to the calf, but could ride up next to it on horseback, they set the sprayer on stream instead of spray and could treat the calf without getting off their horse. The results were amazing on how quickly the calf healed. Excellent for treating the navel cord on newborns! It couldn’t get any easier treating the navel cord on newborns with Spurr’s Big Fix simple to use spray nozzle.

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Bump on top of foot: Causes, diagnosis, and treatment

Bumps on the top of the feet can vary in size, color, and hardness, depending on what caused them.

A person with a bump on their foot may notice:

  • pain or discomfort
  • stiffness
  • areas of rough skin, or calluses
  • swelling or flushing
  • difficulty wearing tight shoes
  • difficulty walking

Sometimes, however, a bump can form with no accompanying symptoms. Taking note of how the bump looks and feels will help a doctor make a diagnosis.

The following sections discuss the potential causes of a bump on the top of the foot in more detail.

Ganglion cyst

Ganglion cysts are harmless, fluid-filled bumps that often occur near joints and tendons, such as those in the hands and feet.

Often, the only symptom is a noticeable lump. However, ganglion cysts may also cause an ache if they push on a joint or burning or tingling if they press on a nerve.

A doctor can diagnose a ganglion cyst by conducting a physical examination.

In many cases, a ganglion cyst does not require treatment. However, if it is especially large, is painful, or inhibits movement, a doctor may drain the fluid or suggest removal surgery.

Bone spur

Bone spurs, or osteophytes, are small, bony growths that occur near damaged joints. Sometimes, they can appear on the top of the foot and become visible through the skin.

A common cause of bone spurs is osteoarthritis.

A person with a bone spur on their foot may notice:

  • discomfort or pain from wearing shoes
  • limited movement
  • calluses or blisters around the affected area

A doctor can diagnose bone spurs by carrying out an X-ray.

Taking over-the-counter (OTC) pain medications such as acetaminophen (Tylenol) may help ease pain or discomfort that arises due to a bone spur. If the spur is a result of arthritis, managing the condition may reduce any joint pain or stiffness.


A bunion, or hallux valgus, is a growth of bone that appears on the side of the foot, usually at the base of the big toe. Smaller bunions, or “bunionettes,” can also form at the bottom of the little toe.

The condition is most common among older females, but it also occurs in young females and males.

Symptoms include:

  • a bump on the foot
  • a toe that is out of alignment and leans toward the other toes
  • pain and swelling
  • difficulty walking
  • discomfort when wearing tight shoes
  • calluses on or around the bunion
  • symptoms that gradually worsen over time

A doctor can diagnose bunions by conducting a physical examination or an X-ray.

Nonsurgical treatments include:

  • wearing looser shoes
  • icing swollen areas
  • padding the bunion
  • wearing a toe splint while sleeping
  • taking OTC pain medication

Undergoing surgery can also reverse a bunion’s progression. However, in some cases, the bunion may return.


Bursa are fluid-filled sacs that sit between the bones of a joint. They allow bones to move in opposite directions. When one of these sacs becomes inflamed, it is called bursitis.

There is one bursa in the foot, located between the Achilles tendon and the heel bone.

A person with bursitis of the foot may experience:

  • pain, especially when walking or running
  • intense pain when standing on tiptoes
  • warm, flushed skin

Treatments for bursitis include:

Bursitis sometimes occurs due to excessive rubbing and strain on the Achilles tendon. Addressing the underlying cause may prevent bursitis from coming back.


Gout is a form of arthritis caused by a buildup of uric acid. Gout causes sudden severe pain, often in the big toe. This condition usually affects one joint at a time.

Symptoms include:

  • burning pain
  • stiffness
  • swelling
  • flushing
  • tenderness and warmth

A person is more likely to develop gout if they:

A doctor can diagnose gout by conducting a physical examination, X-rays, and laboratory tests.

A person can manage and reduce gout flares by:

  • taking OTC pain medications
  • reaching a moderate weight
  • drinking less alcohol
  • eating a diet low in purines
  • protecting the joints
  • managing any other health conditions


A lipoma is a noncancerous growth of fatty tissue that forms under the skin.

Lipomas are typically:

  • soft and rubbery
  • painless
  • movable when pushed

When lipomas develop on the foot, they usually develop on the bottom of the foot. However, a lipoma can develop anywhere on the body.

Lipomas usually do not require treatment unless they become large. If this happens, a surgeon can remove the lipoma.

90,000 Calcaneal spur – symptoms, diagnosis, treatment at the Central Clinical Hospital of the Russian Academy of Sciences

“Heel spur”, plantar fasciitis, inflammation of the plantar aponeurosis, tendoperiostopathy of the plantar aponeurosis – this is the name of the inflammation at the site of attachment of the plantar aponeurosis to the calcaneus.

The causes of are: longitudinal-transverse flat feet, overweight, increased physical activity, metabolic disorders, impaired blood supply, irrational footwear.

Typical signs of the disease are sharp local pain in the heel, which can spread further along the entire foot.

The most common diagnostic method , in addition to analyzing patient complaints, is an X-ray of the foot, performed in the lateral projection, in which an osteophyte (“spike”) can be seen in the region of the medial process of the calcaneus tuberosity. However, the presence or absence of a thorn does not determine the sensation of pain in the heel area.

Therefore, the most informative research method for a reliable diagnosis of the “heel spur” is magnetic resonance imaging (MRI) of the foot , which allows assessing the degree of soft tissue inflammation at the site of attachment of the plantar aponeurosis to the heel bone.

Treatment of “heel spurs” is carried out on an outpatient basis.

The basic methods of treatment are:

  1. X-ray therapy.
  2. Steroid blockade – the introduction of prolonged hormones in the area of ​​attachment of the plantar aponeurosis.
  3. Timely use of non-steroidal anti-inflammatory drugs.
  4. Regular wearing of insoles-instep supports as a method of prevention and consolidation of the achieved results.

These methods can be used both independently and in combination with each other.
However, the main and most effective method of treating pain in the heel area is currently extracorporeal shock wave therapy – a local method of exposure to pneumatic and electromagnetic waves.

At the Central Clinical Hospital of the Russian Academy of Sciences extracorporeal shock wave therapy has been used for about 10 years. Our doctors have been trained at the leading clinics in Europe and are certified by the European ATRAD society.

The use of the method of extracorporeal shock wave therapy allows to obtain positive dynamics in the treatment of “heel spurs” immediately after the procedure.

The procedure of extracorporeal shock wave therapy is non-invasive, it is an alternative to treatment with prolonged hormones, which is extremely important for people suffering from endocrine diseases (diabetes mellitus, etc. ).diseases of the cardiovascular system, as well as athletes who are tested for doping.

We will be happy to help you too.

90,000 Heel spurs: causes of occurrence, prescription of treatment

Calcaneal spurs are bone growths in the form of thorn-shaped or coracoid projections on the calcaneus, resulting from a chronic inflammatory-degenerative process in the soft tissues of the area of ​​attachment of the plantar fascia to the tubercle of the calcaneus.

The growths appear on the plantar surface or in the area of ​​the calcaneal tubercle. The base of the outgrowth passes into the bone, and the sharp end is directed towards the sole or is slightly bent upward.

The causes of this disease can be different, but most often they are associated with the load on the musculoskeletal system of the foot, which goes beyond its physiological capabilities, which leads to local microtraumatization with subsequent inflammatory and degenerative changes in this area.

Main causes of the disease:

  • acute trauma
  • overweight 90,030

  • occupation associated with long-term local overvoltage in the heel area
  • longitudinal flat feet
  • chronic joint diseases
  • metabolic disorder
  • wearing the wrong shoes

Symptoms and course

The main and main symptom of a heel spur is heel pain that gets worse while walking.The patient feels as if he is stepping on a nail or needle.

At the onset of the disease, pain occurs only when walking. Sufferers try not to step on the heel. Over time, the pain becomes persistent, and its intensity does not particularly decrease at rest and when taking analgesics. Then constant lameness joins. The pain can be worse in damp and cold weather.

To avoid the development of the disease with further complications, timely treatment of the heel spur is necessary.


The main method for diagnosing heel spurs is X-ray examination. The X-ray shows the presence of a bony protrusion in the area of ​​the plantar surface of the calcaneus. Be sure to see your doctor if you have any of the above symptoms.

Treatment of heel spurs is most often conservative. It is aimed at eliminating inflammatory changes in the tissues surrounding the bone thorn, at counteracting dystrophic phenomena and at tissue regeneration.

When treating an advanced form, surgery may be needed.

The St. Petersburg Medical Services Center has the necessary X-ray equipment for diagnosing a heel spur and prescribing its further treatment. Make an appointment by calling (812) 318-05-67.

Heel spur, what is it and how to deal with it?

That is why you take off upward, because your heel touched the ground.

Johann Wolfgang Goethe “Faust”

They say that there is no truth at the feet. But if you turn your gaze to the foot, then you can find a lot of truth there: calluses, corns, cracks, fungal lesions and the most bitter truth – a spur in the heel.

10% of diseases of the musculoskeletal system are attributed to the heel spur, which spurs a person and often prevents him from moving. The length of the spur is from 3 to 12 mm. But even the smallest spur sometimes causes unbearable, sharp, unbearable pain, like a nail being driven into the heel.

A person experiences the most burning pains when taking the first steps after a long sitting, or in the morning after sleeping, getting up on his feet. After it “diverges”, the pain decreases. But in the evening, usually, it intensifies again;

Pain sensations can occur suddenly or develop gradually and become chronic. People with a spur try to get up on a sore heel less often, their performance is noticeably reduced;

If there are spurs on both heels, the person can hardly walk.

What is a spur?

Heel spur is a disease associated with inflammation of the muscles, ligaments and tendons in the heel area. Gradually, the inflammatory process leads to the appearance of growths on the calcaneus (osteophytes). These spikes cut into the soft tissues of the foot and injure them, causing severe, sharp pain. 80% of those who experience heel pain when walking are women.

Main causes of heel spur formation:

flat feet,

metabolic disorder,


trauma to the foot, especially the heel,

diseases that impair blood circulation, e.g. diabetes,

· excessive loads on the heels (playing sports, wearing high-heeled shoes).

Can I get rid of a heel spur?

Remember that any heel spur is treatable.

There are many methods of treatment, ranging from conservative measures, numerous physiotherapy procedures, home methods and ending with surgical treatment, which allows you to get rid of the bone growth itself.

It is important to know that the pain is not caused by the growth itself, but by the torn, injured, inflamed and swollen tissues that surround the spur. Therefore, it often happens that after the treatment, inflammation goes away, tissues heal, blood flow and pain improve, as it appeared suddenly, so suddenly it goes away. And the spur itself, as it was, remains in place, but it is already silent and the pain may never return again. The simplest, most affordable and attractive method of affecting the spur is transdermal (through the skin) . For this, local treatment is used in the form of ointments, gels, creams, the action of which is aimed at relieving inflammation of the tissues around the calcaneal tubercle and increasing the elasticity of the ligaments. In this case, even bone growth will not cause pain when walking. But to obtain the effect, all components of the cream must overcome the skin barriers and enter the pathological focus.

The Foot Cream-Balm DOCTOR BOBYR® No. 4 contains natural conductors – cocoa butter, Boswellia extract, tea tree essential oil. They deliver all the components of the cream directly to the pathological focus.

According to the mechanism of action, the active components of the cream can be divided into several main groups:

extracts, absorbable heel spur – propolis extract, tea tree essential oil,

plant extracts and natural ingredients that have analgesic and anti-inflammatory effects – sesame oil, cocoa butter, mannan cognac, propolis extract, apple seed extract, sweet clover extract, boswelia extract, tea tree essential oil, CO2 extract of burdock, CO2 extract amaranth,

plants that improve blood flow and metabolic processes in the damaged area – sesame oil, sweet clover extract, boswelia extract, tea tree essential oil, amaranth CO2 extract,

· plants that stimulate the synthesis of collagen, which contributes to the restoration of tissues damaged by the spur. – Mannan cognac.

As a result of such a multifactorial impact, the following occurs:

disappearance of heel pain,

restoration of functional activity of the foot,

spur resorption, confirmed radiographically,

· softening of the skin of the feet.

Method of application.

Cream-balm Doctor Bobyr No. 4 Apply with massaging movements on the skin of the foot 2-3 times a day until completely absorbed.

To accelerate the effect, it is advisable to pre-hold your feet for 10-15 minutes in hot (400C-450C) water with the addition of 1-2 teaspoons of soda.

Perform procedures daily until a positive result occurs. After that, it is useful to carry out several more procedures to consolidate the result.
Average course: 10 – 12 procedures.

If the heels hurt for a long time and the pain is strong, then it is recommended to apply cream-balm Doctor Bobyr® No. 4 for feet 3-4 times during the day.

After the evening procedure, it is advisable to wear cotton socks.

These measures can be well combined with orthopedic insoles or heel pads made of soft materials.

Contraindications : individual intolerance to the components of the cream.

Remember, everyone has a heel spur. Use a natural herbal cream and your gait will be light again.

90,000 Treatment of heel spurs in Moscow and St. Petersburg at the Tibet clinic

A heel spur is a sharp outgrowth on the underside of a bone.It usually feels like a nail in the heel digging into soft tissue when walking or standing.

The medical name for this disease is plantar fasciitis. It reflects the cause of the spur – inflammation of the plantar (plantar) ligament (fascia) in the place where it is attached to the bony tubercle. Treatment at the Tibet clinic eliminates inflammation, reduces pain symptoms and stops the development of the disease.

In most cases, our doctors manage to reduce the size of the bone outgrowth.The effectiveness of heel spur treatment in our clinic exceeds 90%. This is due to the complex application of Eastern and modern methods.

Heel spur – non-saline

Many consider the heel spur to be salt deposits. In fact, the deposition of calcium salts in the plantar ligament is one of the factors of the disease. This phenomenon is called calcification. But a spur is not a deposition of salts, but an osteophyte. It is made up of bone tissue.

Such spine-like growths of the bone usually occur in response to an inflammatory or degenerative-dystrophic process.In the heels, they feel like a sharp stone or a stabbing nail, especially when getting up on their feet (starting pain), as well as when walking, standing, or exertion, for example, when carrying a weight.

Tibetan Heel Spur Medicine

In Tibetan medicine, plantar fasciitis is treated as a cold disease associated with the Bad Kan (Mucus) system. A characteristic sign of an imbalance in this system is overweight. It can occur due to fatty deposits or fluid buildup (edema).As a result, the pressure on the heel ligament increases significantly, this leads to its trauma and inflammation.

The disease often develops against the background of insufficient blood supply. The plantar ligament supports the arch of the foot and is highly stressed. A lack of blood supply leads to a deterioration in nutrition and metabolism. As a result, the recovery processes in the connective tissue are slowed down. Degenerative-dystrophic changes develop, which are related to cold diseases.They cause inflammation of the periosteum in the heel area – periostitis, as well as inflammation of the plantar ligament. The consequence of this is the formation of a bone thorn.

Contributing factors in the development of this process are multiple injuries and microtraumas, including sports, wearing unhealthy shoes (tight, high-heeled), and flat feet.

Cold diseases are often accompanied by a slowdown in the liver, as well as metabolic disorders. Liver coldness leads to a decrease in heat in the body.Against this background, kidney disease develops. One of the factors in the development of plantar fasciitis is gout. This is an metabolic disease in which uric acid salts are deposited.

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Heel spur treatment

Treatment of a heel spur at the Tibet clinic eliminates the symptoms associated with inflammation of the plantar ligament and the formation of acute osteophyte. At the same time, we act on factors that create additional stress on the arch of the foot and plantar fascia – we remove extra pounds, treat flat feet, and improve posture. More than 90% of this approach yields positive results.

1st stage (diagnostics)

Before starting treatment, the doctor makes a diagnosis. With the help of a survey, he finds out the cause and nature of the imbalance of the Bad-kan system and its manifestations – overweight, metabolic disorders. Then he conducts an external examination, examines the foot.During a diagnostic session, a podiatrist examines the causes of high stress on the feet. These can be spinal problems, improper posture, violation of body biomechanics. Concomitant cold diseases, in particular, arthrosis of the joints, are being studied.

2nd stage (elimination of the cause of the formation of bone outgrowth, reduction of its size)

Treatment in “Tibet” is based on individual combinations of procedures and a combination of complex sessions with herbal medicine. We do not use surgical interventions or drug therapy, which gives only a symptomatic effect, regardless of the name and price of the drugs.


The introduction of thin sterile needles reduces inflammation of the periosteum, fascia (periostitis, fasciitis), soft tissues in the heel area. Eases pain, improves blood circulation, reduces swelling. This procedure is applied in the area of ​​inflammation and on the back (in case of concomitant diseases of the spine).


Strong point presses in the foot area eliminate muscle spasms, relax tense muscles, improve blood circulation and microcirculation, blood supply to ligaments, muscles, periosteum, and stimulate recovery processes.


Warming up bioactive points improves metabolism, activates the restoration of connective tissues, and has an anti-inflammatory effect.

Shockwave therapy

Acoustic waves create a shock massage effect at the junction of the plantar fascia with the heel bone. This procedure increases blood circulation, breaks down calcium deposits, accelerates tissue repair, relieves pain and reduces inflammation.

Orthopedic insoles

The insoles are individually created using the patented FormTotics technology. They restore the correct distribution of the load on the foot, support the arch, and reduce the load on the plantar ligament. With the help of such insoles, it is possible to treat flat feet, relieve pain and inflammation in the heel.


Tibetan phytopreparations improve metabolism, help reduce weight and load on the feet, improve liver and kidney function, have an anti-inflammatory effect, and normalize the excretion of calcium and urate salts.

Results of heel spur treatment

At an early stage of the disease, it is possible to prevent inflammation of the periosteum – periostitis. As a result of the treatment of heel spurs in the Tibet clinics in Moscow and St. Petersburg, stable results are achieved:

  • pain and inflammation in the heel is significantly reduced or eliminated,

  • the plantar ligament is restored and strengthened, the arch of the foot is supported,

  • concomitant diseases are treated – overweight or obesity, edema, arthrosis of the joints, functional disorders of the liver, kidneys,

  • concomitant diseases and curvature of the spine are treated,

  • the biomechanics of the foot improves, the gait is corrected.

Clinic “Tibet” offers not only relief of heel spur symptoms, but a complete treatment that will eliminate the causes and prevent complications of this disease.


SHOCK WAVE THERAPY (SWT) on the German apparatus WESTFALIA

The modern method of shock wave therapy (SWT) allows about 90% of patients to avoid surgery, significantly affects the healing process and contributes to maintaining the body in a healthy state.

What is treated with shock wave therapy

When carrying out shock wave therapy, patients first of all note a decrease in pain and an improvement in blood circulation in the affected area after the first session (although the first procedure itself can be quite painful).

After several procedures, there is a breakdown of calcified deposits and bone growths, resorption of fibrous foci and intercellular septa, an increase in collagen production, improvement of lymph flow and capillary blood supply, an increase in the permeability of cell membranes.Mobility in joints improves, ligaments and tendons become more resistant to injury and physical stress, fat deposits are destroyed, and the skin begins to renew itself.

These effects allow treatment with shock wave therapy for the following common diseases and injuries:

  • Arthrosis
  • Arthritis and periarthritis
  • Osteochondrosis
  • Herniated and protruded intervertebral discs
  • Heel spur
  • Deformity of the big toe (valgus)
  • Slow healing of fractures
  • Diseases and injuries of tendons, muscle ligaments, contractures
  • Pain syndrome (trigger and muscle-tonic pain), including bruises
  • Myositis
  • Cellulite


  1. Oncological processes in the affected area
  2. Availability of endoprostheses in the affected area
  3. Pregnancy and lactation

Shock wave therapy is a modern and effective way of treating diseases of the musculoskeletal system.
What is very important – the procedure is effective and after the first session, the state of health and mood improves.
Usually, the course of treatment consists of 5-7 procedures at intervals of 3-7 days, after which a stable positive dynamics can be observed in 90-95% of patients.
A huge advantage of shock wave therapy is the fact that patients are offered outpatient treatment that does not disrupt the normal rhythm of life. This method also has no side effects and risks associated with the operation.Treatment is carried out without anesthesia in a course of several sessions for 10-15 minutes, the number of which depends on the severity of the process and the duration of the disease.

90,000 how it is carried out, indications and contraindications, prices

  1. What is Shock Wave Therapy
  2. How Shockwave Therapy Sessions Are Conducted
  3. Efficiency UHT
  4. Indications, contraindications and side effects
  5. Special features of the MASTERPULS® “ultra”
  6. Cost of UHT services
  7. Promotion!
  8. Doctor-neurologist, conducting UVT
  9. Reviews

Shockwave therapy is a modern method of treatment based on the impact of shock (acoustic) waves. The latter are a kind of “delivery” of a large amount of energy. When colliding with tissues, or rather at the border of two dissimilar tissues, for example, bone and cartilage, this energy is released and has a certain biological effect.

Among the main effects of shock wave therapy, there is a decrease in pain, a decrease in inflammatory manifestations, restoration of joint mobility, acceleration of regenerative processes, and improvement of microcirculation. The procedure itself is painless and non-invasive, does not require special training and subsequent rehabilitation.

How Shockwave Therapy Sessions Are Conducted

At the first stage, a consultation with a doctor who will carry out the procedure is appointed. In our clinic, UHT sessions are conducted by a neurologist with many years of experience, modern equipment of an expert class is used in the work – the MASTERPULS® “ultra” apparatus from the STORZ MEDICAL company.

After consultation, the specialist draws up the optimal treatment plan and selects the required number of sessions of shock wave therapy, depending on the individual characteristics of the patient and the existing diseases. To achieve a pronounced effect, it may take from 4 to 10 procedures.

Shockwave therapy is performed on an outpatient basis. The patient sits comfortably on a couch or chair, then a special conductive gel is applied to the problem area, after which they proceed directly to the procedure itself. The doctor sets the necessary parameters on the device and sets the manipulator to the desired area on the body. This takes into account the so-called trigger points, which differ for each disease.The duration of one session is 7-10 minutes per zone. After the procedure, the patient can immediately leave the clinic and return to his usual life without any restrictions.

Efficiency UHT

The procedure gives the best results when relieving pain. More than half of patients report improvement after the first procedure. Currently, there have been many studies that have evaluated the effectiveness of shock wave therapy in the treatment of diseases such as erectile dysfunction, Peyronie’s disease, heel spur, cellulite, etc. In all cases, positive results were obtained, both with the independent application of the method, and with its combination with other types of treatment.

Indications, contraindications and side effects

Shock wave therapy is actively used in the treatment of various diseases that are accompanied by neurological symptoms. These include:

  • Consequences of a spinal injury.
  • Osteochondrosis.
  • Herniated and protruded intervertebral discs.
  • Hypertonicity of muscles after a stroke.
  • Radicular syndromes.
  • Migraine and others

UHT has proven itself to be effective in eliminating painful sensations caused by such diseases as heel spur, periarthritis, flat feet, myositis, epicondylitis, periarthritis humeral-scapular with impeachment syndrome. The method has found application in other areas – urology, traumatology, aesthetic medicine.

Among the contraindications to shock wave therapy are noted:

  • Neoplasms in the SWT area.
  • Vascular thrombosis of any localization.
  • Acute infectious processes.
  • Pathology of the blood coagulation system.
  • Pregnancy.
  • Heart rhythm disturbance
  • Skin diseases in the SWT area

The procedure is well tolerated and very rarely leads to complications. In some patients, a short-term increase in pain syndrome, the formation of edema and small hematomas in the affected area is possible.

Special features of the MASTERPULS® “ultra”

MASTERPULS® “ultra” is primarily a multifunctional and flexible system that allows the doctor to solve a wide range of tasks and individually adapt to the characteristics of a particular patient.

Among the advantages of the device are noted:

  1. Unique ergonomics.
  2. Wide variety of attachments.
  3. Large setting range.
  4. Low noise level.
  5. Unique Technologies (Air Power, D-ACTOR.IPS Control).

Due to its versatility, only one MASTERPULS® “ultra” complex can be used in the treatment of various pathologies, which affects the cost of the procedure itself.

Shockwave therapy with the MASTERPULS® “ultra” device is a simple, affordable and effective method for eliminating a wide variety of neurological diseases and their manifestations. It can be used alone or in combination with other treatments. The exact tactics of managing a particular patient is developed individually, after consulting a neurologist.

[4 stages, review of TOP-8 products]

Why is it important to regularly cleanse the skin of the face

Cleansing the skin is important for several reasons:

  • Elimination of excess skin of the face, the excessive production of which clogs the pores;
  • Clogged pores are the cause of inflammation, acne and blackheads;
  • Untimely removed make-up and dirt impede the penetration of creams and serums, therefore, not only the processes of skin renewal are slowed down, but the general condition of the skin of the face generally worsens;
  • Clogged and enlarged pores, blackheads, small pimples, as well as traces of dirt, dust and make-up deprive the skin of a healthy – natural – glow, leaving the skin looking gray and haggard.
  • The skin needs help and the name of this help is cleansing. Just a few minutes a day, a little perseverance and patience – and your skin will glow, and you will radiate confidence, because healthy skin adds self-confidence.

Signs of contaminated skin

  • Dull skin tone.

The skin is renewed daily, therefore keratinized particles must be removed in order, firstly, to allow the skin to breathe, and secondly, not to hinder self-renewal;

  • Various eruptions on the face.

The reason can be hormonal disturbances or changes in the body, as well as bacteria caused by the lack of proper cleansing.

  • Enlarged pores on the face, especially in the T-zone.

Ways to cleanse your skin at home

You can quickly and easily cleanse your face at home. This does not require the cosmetic arsenal of a beauty salon – a scrub or a cleansing mask that draws out impurities is enough.

  • Masks are one of the most delicate ways to cleanse your face at home. Various extracts (white clay, red algae) allow not only to remove impurities, noticeably narrow pores and dry imperfections, but even moisturize the skin and tighten the oval of the face. Masks are ideal for owners of capricious skin (oily, dry), and for those who want to pamper themselves and arrange “prevention” of the skin.
  • Magic Clay

    Face Mask: Cleansing and Matting


Face masks can be used once a week for those with normal skin, but cleansing masks with menthol or clay, which dry and are literally created for owners of oily and combination skin, preferably twice a week.

  • Scrubs are a facial cleanser that can be creamy or gel-like in texture. Unlike a mask, a scrub has a more aggressive effect. Depending on the grinding of the scrubbing particles (as a rule, it is either coffee beans or fruit pits), the effect can vary: from a mild – superficial – cleaning to a very coarse and deep one. It is recommended to use scrubs once a week (if the scrubbing particles are medium), and once every two weeks if the particles are large. Otherwise, there is a risk of severely injuring the delicate skin of the face. For owners of oily and combination skin, it is advisable to use peeling with finely ground particles, but twice a week, in order to delicately cleanse the skin of the face from impurities, sweat and make-up.
  • Peelings – by “peeling” we mean the procedure for cleansing the skin itself, and various means, including creams, and “rolls”, and serums that perfectly cope with enlarged pores, thanks to fruit acids, abrasive particles, a special composition …Purchased products with the prefix “peeling” are almost safe, because the concentration of acid in them is extremely low, but sufficient to eliminate keratinized skin particles. Salon peels are more aggressive, the procedure itself takes more than an hour, the concentration of funds is verified, so it is not recommended to use such funds at home in order to avoid burns or other negative consequences. Peeling is usually done in the off-season, when there is no aggressive sun, and it is advised to do it once every two weeks (for owners of oily and combination skin), or once a month.

How to cleanse your face: step-by-step instructions

High-quality facial cleansing is possible at home, does not require high costs. The main thing is the systematic nature of a pleasant and, undoubtedly, useful ritual.

Preparatory phase

The facial cleansing procedure should be performed twice a day: in the morning – to rinse off the remnants of nighttime products, in the evening – to remove dust, sweat and makeup. Secondly, you need to decide on a product that effectively and gently removes impurities from the skin.These can be:

  • Wet wipes, impregnated with a certain composition, which not only removes makeup and dust, but also soothes the skin after mechanical action;
  • Micellar water, milk or biphasic makeup remover is an excellent and hypoallergenic way to quickly and effectively cleanse the skin of impurities and makeup.
  • Micellar water

    For makeup removal, for normal and combination skin



Foam for washing is a relatively new product in the world of skin care and cleansing, which has won many fans. The reason is not only economical use and a convenient dispenser-pump, but also the softest, like mousse, texture that gently removes dirt and does not dry the skin due to the smaller amount of surfactants.

Gel for washing takes into account the needs of each type of skin and therefore perfectly removes the remains of not only sebum residues, skin particles, the remaining particles of cosmetics and so on, but also removes milk or make-up remover oil so that the skin breathes freely.

Gel for washing contains surfactants of a certain type, which can gently capture dust particles, guaranteeing only superficial cleansing, but there are, for example, cationic gels that penetrate the epidermis and can cause irritation.

There is an opinion that it is possible to cleanse the skin of the face – at the preparatory stage – with ordinary soap, because the soap formulas are being improved and are no longer as aggressive as before; contain more nourishing and moisturizing ingredients. However, do not forget that soap is alkaline, it does not take into account the needs of each type of skin, it strongly degreases the skin (which leads to dryness), so you should give preference to more gentle textures and products.

Additional cleansing

Once a week, you can arrange a spa at home and additionally cleanse your face of dirt and grease: for example, apply a mask with natural extracts or charcoal, apply a coarser particle scrub.Natural ingredients have a beneficial effect on the condition of the skin, the oils that make up the composition nourish, and the scrubbing particles return the skin to softness and a healthy glow.

Additional – deep – skin cleansing is possible and safe only in beauty salons and specialized clinics that offer the service of skin cleansing or acid peeling. The result is visible immediately. Therefore, if the face is too dirty: black dots, enlarged pores, tuberosity, gray complexion are visible, you should seek the help of professionals.

The most popular procedure is salon facial cleansing, which is hardware (using a special nozzle that literally pushes dirt out of the pores), and mechanical (manual), when the master, using various lotions, emulsions and creams, softens the stratum corneum and pads fingers and using a Uno spoon, removes blackheads, comedones, acne and wen. The whole procedure takes more than an hour, in places it is painful and traumatic; various steaming masks, high concentrations of agents that draw dirt from the pores of the serum and special equipment are used.

It is highly discouraged to carry out such a procedure at home.

Toning and moisturizing

Many people neglect a cleansing skin toner, but it tightens pores and has an antiseptic effect, ensures normal skin acidity after using alkaline products, restores skin firmness and elasticity, and prepares the skin for better penetration of creams into the skin epidermis.

Skin hydration is the final step in the ritual of beautiful and healthy skin. Since almost all products contain surfactants, they dry out the skin in one way or another, which can lead to premature wrinkles. Moisturizing the skin with special aqua-fluids and nourishing creams will restore its silkiness and smoothness, as well as give a feeling of comfort for the whole day.

How to properly cleanse different skin types

The abundance of foams, mousses, wipes and makeup products for every skin type on endless store shelves is not a whim or a marketing ploy of manufacturers.Indeed, each skin type has its own cleansing program, otherwise there is a risk of overdrying the skin or, conversely, leading to excessive sebum production.

Oily and problem skin

Those with oily skin are shown hydrophilic oils. In the evening, it is advisable to cleanse the skin with a gel for washing with fine scrubbing particles. The particles will remove dead skin cells, the foam base will draw out impurities, and the specially developed formula of the product will not dry out the skin.

Do not get carried away with alcohol-containing products that contribute to excessive dryness of the skin.

Dry and sensitive skin

Those with dry skin should first cleanse the skin of make-up with a special milk marked “For dry skin” or micellar water. As a means for washing, it is recommended to choose a foam and complete the procedure with a nourishing cream that will saturate the skin with useful elements.

Micellar water

For makeup removal, for dry and sensitive skin

More details

Do not get carried away with scrubs and products that contain alcohol.

Sensitive skin is similar in moodiness to dry skin, it can react sharply to a certain composition, however, it requires more attention in the selection of makeup removers (the mark “Hypoallergenic” is required).


The owners of normal skin are the luckiest ones – they are free to choose both the means and the texture. In the morning, you can cleanse your skin with water at room temperature or special wipes – they will both moisturize and remove impurities. In the evening, it will be enough to remove cosmetics and impurities with makeup remover milk and additionally use a cleansing gel, after which – to tone the skin.You can use a scrub once a week.


Combination skin may be dry on the cheeks and temples, but oily and shiny in the T-zone. Therefore, the abuse of cleansing gels will lead to increased dryness in the chin, temples and cheeks, and increased production of sebum on the nose and forehead. The delicate formula of the cleansing foam will solve the problem of cleansing.

Review of facial cleansers


Infinite Freshness

Cleansing gel for the face, for normal to combination skin

More details

Absolute Tenderness

Cleansing gel for the face, for dry and sensitive skin

More details

Cleansing gels ” Endless Freshness and Absolute Tenderness are designed to meet the needs of all skin types.They contain an extract of rose and jasmine, which visually mattifies the skin and protects against dryness. Rose extract soothes the skin, jasmine softens and lotus extract maintains moisture balance.


Sugar Scrub

Sugar scrub for the face, cleansing, reducing blackheads

More details even skin, extra nourishment and radiance.


Infinite Freshness

Cleansing milk for normal to combination skin

More details

Absolute Tenderness

Cleansing milk, for dry and sensitive skin

More details

Cleansing milk “Infinite freshness” and ” the most capricious and fastidious skin types. Emollient ingredients gently remove impurities from the skin of the face and eyes. The flower scent is a nice bonus.

Luxurious Nutrition Cleansing Milk for the face gently cleanses the face of make-up. Nutrient-rich passionfruit and rosehip oils provide long-lasting softness, freshness and comfort.


Endless Freshness

Cleansing face toner for normal to combination skin

More details

Absolute Tenderness

Cleansing toner, for dry and sensitive skin

More details

Cleansing face toner “Infinite Freshness” and ” a skin cleansing routine to soften the skin and give it firmness and elasticity. The emollient ingredients soothe the skin and give a feeling of freshness and comfort for a long time

Micellar water

Micellar water

For makeup removal, Biphasic, for all skin types

More details

Micellar biphasic water for makeup removal is ideal for all skin types. Having two phases, water and oil, mixing, they are able to cope with waterproof makeup.

Micellar water is non-irritating, cleanses and leaves the skin soft. It is not for nothing that these three babies have won the hearts of eminent makeup artists and ordinary consumers.

Rules for daily cleansing

Beautiful skin can be given at birth, but maintaining it throughout life is an art. Do not neglect cleansing your skin twice a day. In the morning, you can cleanse the skin of the face from dust and the remains of the night cream with micellar water and then apply a moisturizer. In the evening, when the skin is working tirelessly, absorbing and renewing itself, it needs a little more attention.