П’яткова шпора: причини і лікування шпори на п’яті

П’яткова шпора: причини і лікування шпори на п’яті

П’яткова шпора: причини і лікування шпори на п’яті

П’яткова шпора – це кісткові вирости (виступи) у формі шипа або гачка на підошовної поверхні п’яткової кістки або біля місця прикріплення зв’язок, зазвичай ахіллового сухожилля. У народі її ще називають “шпора на п’ятах”, основні симптоми якої – це гостра, пекуча біль при опорі на це місце, яка може з’явитися раптово або розвинутися поступово.

Найсильніше це захворювання відчувається, коли людина тільки встає з ліжка вранці, а також після тривалого сидіння. Хворобливі відчуття іноді порівнюють з цвяхом у п’яті, але іноді вони розповсюджуються і по всій п’яткової області. Наприклад, при задній шпорі п’яти болі виникають в місці прикріплення ахіллового сухожилля під час ходьби, а також при натисканні задником взуття. Також можливі набряк і мозолі на шкірі.

При звичайному огляді стопи симптоми з’являються при натисканні на підошву в області п’яти і при стисненні її з боків. Більш точно діагностується шпора при рентгенівському обстеженні стопи, коли на знімках з’являється виступ, що складається з солей кальцію, відкладаються на уражених сухожиллях. На думку лікарів, саме він вважається причиною травм навколишніх тканин і виникнення больових відчуттів.

Виріст може бути різних розмірів, але інтенсивність болю від цього не залежить. Проте, в деяких випадках рентгенограма може і не показати будь-яких змін, а причиною хворобливості стають зміни в м’яких тканинах, такі, як подпяточний бурсит і ахіллобурсіт (запалення глибоких слизових сумок).

Причини п’яткової шпори

Найчастіше ця недуга проявляє себе у людей похилого віку внаслідок анатомічних змін стопи. У групі ризику в основному знаходяться жінки старше 40 років.

Іншими причинами освіти п’яткових шпор можуть стати різні травми та інфекції, поздовжнє плоскостопість, ревматизм, судинні та нейродистрофические розлади. Сутулість, при якій відбувається зміщення центру ваги, надмірна вага, слабкі м’язи гомілки, великі навантаження на стопи, захворювання хребта і великих суглобів ніг – все це також може призвести до шпорам на п’ятах.

Для профілактики п’яткової шпори необхідно, в першу чергу, стежити за поставою і за зайвою вагою, намагатися якнайменше носити взуття на високих підборах, не давати перевантажень стопах. Якщо вас почали турбувати болі в п’яті і п’яткової області, відразу звертайтеся до лікаря для визначення причини і постановки точного діагнозу.

Лікування п’яткової шпори

З усіх захворювань опорно-рухового апарату 10% припадає саме на п’яткову шпору. Тому для її лікування придумано багато засобів і методів, як народної медицини, так і в спеціалізованих клініках. Спрямовані ці заходи на ліквідацію запального процесу і утворення капсули із сполучної тканини.

Лікування п’яткової шпори – досить тривалий процес, який залежить від причини захворювання і його стадії. Це блокади з знеболюючими і протизапальними препаратами, місцеві гелі та мазі, лікувальний масаж, ультразвукова терапія з гідрокортизоном, ударно-хвильові методи, лазер, кріопроцедури.

Щоб зняти запалення, широко використовується домашній спосіб із застосуванням ванночок для ніг з солями Мертвого моря відповідно до інструкції на упаковці (зазвичай це 1 столова ложка солі на 1,5 – 2 літри води з температурою 40 градусів, тривалість – 15- 20 хвилин). Процедури виконуються щодня до повного зникнення больових симптомів, зазвичай це 10-12 днів. Також приносять ефект ванночки із звичайною сіллю, содою і грязьові маски.

П’яткова шпора цілком може пройти і без спеціальної терапії, але на це вам буде потрібно багато часу – кілька місяців, в які вам буде дуже боляче ходити. У будь-якому випадку, чи будете ви застосовувати якісь сучасні або народні методи лікування шпори на п’яті, слід розвантажити хворобливу область.

Зробити це можна, якщо носити різні ортопедичні пристрої, які гарантовано полегшать біль і дозволять вам вести звичний спосіб життя, не втрачаючи працездатності. Це ортопедичне взуття, спеціальні устілки з викладенням поздовжніх склепінь, подпяточнікі при шпорі п’яти з поглибленням або отвором в області п’яти, в яке потрапляє хворе місце і не зачіпається при ходьбі.

(14 Голосів)

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