Лікування п’яткової шпори: поради, рекомендації та ліки, які допомагають при П’яткова шпора

Лікування п’яткової шпори: поради, рекомендації та ліки, які допомагають при П’яткова шпора

Як вилікувати п’яткову шпору? Поради лікаря

П’яткова шпора (ПШ) або плантарний фасціїт непросте захворювання, яке характеризується болями в п’яті. Які нині існують засоби, що допомагають позбутися від цих болів і забути про даної хвороби? Про способи лікування п’яткової шпори ми сьогодні й розповімо.

Зміст статті:

Всі методи лікування плантарного фасцііта (шпори) можна умовно розділити на немедикаментозні, терапевтичні та оперативні способи.

Нелікарські методи

ортопедичний подпяточнік при шпорі п’яти POINT PLUS

Оскільки болю при п’яткової шпори викликані дегенеративними змінами в підошовної фасції, а також травмуванням навколишніх тканин кістковим наростом (шпорою), то, якщо зменшуючи це травмування, можна домогтися зменшення болю.

З цією метою потрібно звернутися до лікаря-ортопеда, який призначить носіння спеціальних ортопедичних устілок. які будуть підтримувати звід ступні і зменшувати навантаження на ногу. Виготовляються такі устілки-супінатори, а також спеціальне ортопедичне взуття і вкладиші з поглибленням для шпори, індивідуально для кожного хворого. Такі методи можуть бути дуже ефективними, тому нехтувати ними не варто.

Носіння таких устілок дозволяє зменшити мікротравмування навколишніх тканин шпорою: болі зменшуються і до того ж залишається ймовірність, що виникло запалення в тканинах п’яти піде само собою: таке іноді трапляється. Крім того, існують спеціальні вправи лікувальної гімнастики, які дозволяють зменшити натяг підошовної фасції, а значить і зменшити болі.

До немедикаментозних способів лікування шпори відносяться й інші важливі моменти:

    масаж ступень він допомагає зменшити напругу тканин в області п’яти, а значить знизити вираженість болю і запалення;

плоскостопість частий супутник п’яткової шпори

своєчасне лікування інших захворювань ніг таких, як артрит, подагра, плоскостопість допомагає зменшити симптоми і п’яткової шпори; важливо, з одного боку, по можливості зменшити навантаження на стопу, але з іншого неповністю знерухомлювати ноги; підвищені навантаження при шпорі п’яти обтяжують перебіг хвороби, а звичайні навантаження, що відповідають віку, які не мають негативного впливу, а навпаки навіть корисні; зайву вагу посилює навантаження на стопу, а значить, сприяє прогресуванню плантарного фасцііта; тому поява такої хвороби сильний аргумент на користь того, щоб почати знижувати вагу;

Але якщо такі немедикаментозні способи лікування не дають ефекту або він недостатній, то прийшов час звернути увагу на терапевтичні методи з використанням ліків.

Лікування ПШ за допомогою ліків

Сюди відносяться як медикаментозні способи лікування цієї недуги, так і фізіотерапевтичні.

Протизапальні засоби

Знімати болю при п’яткової шпори добре допомагають ліки з групи нестероїдних протизапальних препаратів (НПЗП). до яких відносяться такі ліки, як ібупрофен, диклофенак, напроксен, мовилося та інші.

Дані препарати призначаються як у вигляді таблеток, так і у вигляді різних мазей і гелів для місцевого застосування.

Зверніть увагу: протизапальні препарати тільки знімають біль і прояви запалення, але не усувають причин хвороби. Пам’ятайте також про те, що НПЗП мають свої протипоказання і їх не можна приймати тривалими курсами. Після 10-14 денного курсу терапії цими препаратами, якщо болю не пройшли, обов’язково зверніться до лікаря!

Гормональні засоби кортикостероїди

Наступна група препаратів, які призначають при шпорі п’яти це гормони-кортикостероїди (до них відносяться такі препарати, як флостерон і дипроспан).

Це досить потужні лікарські препарати, введення яких в організм у вигляді таблеток або внутрішньом’язово викликає багато серйозних побічних ефектів. Тому такі ліки вводяться місцево прямо в область п’яткової кістки.

Кортикостероїди надають сильний протизапальний ефект, завдяки чому болю в області п’яти зменшуються, а збільшення кісткових виростів, які, власне, і є шпорою # 187 ;, призупиняється.

Однак навіть при місцевому введенні ці ліки можуть надавати несприятливу дію на подошвенную фасцію, тому зазвичай речовини типу діспроспана вводять лише кілька разів або навіть одноразово.

Фізіотерапія і ударно-хвильова терапія

ударно хвильова терапія один з методів лікування хвороби

Фізіотерапевтичні методи одні з найбільш ефективних засобів лікування цієї хвороби. Такі процедури, як ультразвукова терапія, лазерна терапія в режимі низької інтенсивності дозволяють добре знімати запалення в області п’яти і суглобів стопи і зупиняти розвиток п’яткової шпори.

Також хороший лікувальний ефект на даний недуга надають різні мінеральні ванни, кріотерапія, спеціальні грязьові аплікації (пелоїд-терапія, або грязелікування), а також взагалі санаторно-курортне лікування. Особливо хороший ефект всі ці процедури дають на ранніх етапах розвитку цієї хвороби.

Якщо ж стаж # 187; хвороби вже досить великий, і кісткові розростання ( шпори # 187;) досягли значних розмірів, то найбільш підходящим методом физиолечения може стати екстракорпоральна ударно-хвильова терапія. Суть її полягає в тому, що особливі звукові хвилі, які не сприймаються людським вухом, спрямовуються на кісткові вирости п’яткової кістки, і як би дроблять їх на дрібні кісткові частинки, які через деякий час розсмоктуються.

Дана процедура безболісна і дозволяє протягом буквально кількох процедур позбутися від болю при п’яткової шпори.

Хірургічні методи

хірургічне лікування п’яткової шпори

На жаль, немає жодного методу лікування хвороби, яка давала б стовідсотковий результат одужання. Тому, навіть якщо всі вищеописані методи були призначені правильно, залишається невелика ймовірність, що вони не подіють, і болі в області п’яти, а також кісткові розростання будуть продовжувати прогресувати. У цьому випадку зазвичай вдаються до оперативного лікування плантарного фасцііта.

У ході такого втручання кісткові вирости на кістках видаляються, а при необхідності иссекаются видозмінені довколишні тканини, які також підтримують запалення і болю в області п’яти.

Народні засоби

Крім традиційних медичних способів лікування плантарного фасцііта (шпори), про які йшла мова вище, існує безліч ефективних народних рецептів для позбавлення від п’яткової шпори. Ось деякі з них.

Лікування за допомогою алюмінієвої фольги

алюмінієва фольга перевірений народний засіб лікування фасцііта

Якщо вірити навчань старокитайської медицини, першоелемент Метал негативно впливає (гальмує) першоелемент Землю. Кісткові розростання при шпорі п’яти є проявом саме елемента Землі. Тому, використовуючи в лікуванні Метал, можна призупинити розвиток даної хвороби.

Для цього візьміть звичайну алюмінієву фольгу, яка використовується для запікання, відокремте невеликий її фрагмент, складіть фольгу в декілька шарів, щоб вона була міцнішою, а потім прикладіть її до хворої п’яті, закріпивши в потрібному місці за допомогою широкого пластиру.

Для того, щоб з’явився ефект, потрібно носити фольгу в області шпори постійно, цілодобово, час від часу замінюючи фрагменти фольги на нові. Курс такої металлотерапії повинен тривати від одного до півтора місяців.

Лікування настоянкою шабельника

Болотний сабельник цілюща рослина, яке допомагає при самих різних захворюваннях кісток і суглобів, у тому числі, наприклад, при псоріатичному артриті. Його з успіхом можна використовувати і при народному лікуванні кісткового наросту на п’яті.

Купіть в аптеці настоянку шабельника болотного (її випускає компанія Евалар # 187;). Візьміть 1 столову ложку настоянки і розведіть її в одній третині склянки води. Приймайте такий розчин 3 рази на день до їди протягом 3 тижнів. Якщо болю не пішли, потрібно зробити перерву на десять днів, а потім знову пропити цей же курс.

Інші способи народного лікування плантарного фасцііта ви можете прочитати в нашій статті, яка повністю присвячена народних засобів при шпорі п’яти.

Пам’ятайте: якщо у вас з’явилося дане захворювання не терпіть біль, зверніться до лікаря! Як ви бачите, на сьогоднішній день і сучасна, і народна медицина має у своєму арсеналі багато способів лікування даної хвороби. Пройдіть необхідне обстеження, починайте лікуватися, і будьте здорові!

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