Heel bursitis treatment

Calcaneal bursitis is a disease of professional athletes who are subjected to constant pressure on their legs.

Inflammation in the joint bag develop as a result of the following reasons:

  1. injury to the heel, in particular the Achilles tendon, with damage to the bone and cartilage tissue structures; football injuries are most common;
  2. constant wearing of narrow, uncomfortable shoes, high heels in women – all this leads to excessive tendon tension and the development of inflammation;
  3. increased load on the muscles of the lower extremities (fast, grueling long-distance running, ascents to the mountain);
  4. pathology often develops against a background of diseases with joint damage due to excess formation of uric acid (arthritis, gout);
  5. after transferred pathologies in the body of an infectious or viral etiology (boils, otitis media, carbuncles).

Among the predisposing factors are overweight, atherosclerotic deposits, diabetes mellitus.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Symptoms of calcaneal bursitis

Timely access to a doctor will help to avoid many complications, get rid of excruciating pain.

For this, one should not only understand what heel bursitis is, but also distinguish the symptoms of this pathology.

With the defeat of the synovial bag, located above the bone protrusions, the corresponding clinic develops:

  • pain occurs in the heel and back of the leg;
  • pain is most pronounced in the morning, immediately after sleep, as well as when lifting on toes and while walking;
  • when feeling the affected area, the feeling of pain intensifies;
  • pronounced edema and redness appear on the back of the heel.

Sublingual bursitis has the following symptoms:

  1. puffiness develops in the Achilles tendon;
  2. integuments in the heel become hot to the touch, hyperemia develops;
  3. during palpation, severe pain is manifested;
  4. stiffness of movements, as the slightest pressure on the heel brings severe pain.

Sublingual bursitis and inflammation of the synovial bag located above the bone protrusion, an infectious etiology leads to an increase in the temperature regime of the body. When suppuration in the affected area, purulent exudate is secreted. Any movement of the foot and heel brings severe pain.

Types of bursitis

There is a classification of the disease, which depends on the cause of the pathology.

Traumatic

More often, symptoms of calcaneal bursitis of a traumatic nature occur in people involved in professional sports associated with constant loads on the lower extremities. Heel bursitis also occurs as a result of trauma when wearing high heels in women.

In this case, after injury to the calcaneal region, the affected synovial sac is deformed with a large amount of blood and plasma accumulating.

Symptoms develop some time after the injury. Without the necessary treatment, there is a risk of infection and the development of a purulent process.

Chronic

The chronic course of the disease develops in the presence of other pathological processes in the joints.

In this case, the clinical manifestations are not very pronounced: in the inflamed area there is a slight swelling and soreness, which are often not paid attention to.

Most often, chronic heel bursitis is manifested during periods of exacerbation under the influence of additional loads.

Infectious

This type of disease involves the development of inflammatory processes in the periarticular bag as a result of infection present in the body.

Symptoms of heel bursitis appear sharply and are characterized by strong, intolerable painful sensations. It is difficult to stop the pain syndrome.

With suppuration of the bursa, temperature indicators of the body rise, weakness appears, appetite decreases, and headaches occur. In this case, a puncture is required to eliminate purulent contents.

Heel bursitis treatment

To avoid dangerous complications that can lead to a partial loss of motor activity of the sore leg, you should know how to cure heel bursitis and where to start treatment.

Treatment is prescribed only by a doctor after examination and examination of the patient. The initial actions are to immobilize the affected limb, for this a fixing bandage is applied. Also, for the period of therapy, it is required to ensure maximum peace and reduce motor activity.

Further treatment depends on the presence of infection and the degree of symptoms.

In the acute period, drug therapy is carried out, if necessary, a puncture or surgery is performed, physiotherapeutic procedures are prescribed.

Traditional methods of treatment will help improve the condition and speed up the healing process.

Medical preparations

Conservative treatment of calcaneal bursitis includes the use of drugs to eliminate symptomatic manifestations:

  • non-steroidal anti-inflammatory drugs (NSAIDs) – are prescribed to eliminate inflammatory processes and pain, often in the form of injections; in acute processes, the drug is injected directly into the affected area (Ketonal, Celecoxib);
  • glucocorticosteroids – are introduced into the synovial bag after pumping exudate (Methylprednisalon);
  • with the development of infectious calcaneal or calcaneal bursitis, treatment includes the use of broad-spectrum antibiotics;
  • local treatment with ointments for heel bursitis – reduce swelling, soreness and inflammation (Diclofenac, Ibuprofen).

Operative intervention

With a purulent process, which is accompanied by complications, and drug therapy does not have the desired effect, surgical treatment of heel bursitis is used.

The operation consists in performing a puncture, pumping out pathological fluid and introducing an antiseptic solution or anti-inflammatory medicine into the synovial bag. In severe cases of the disease, a bursectomy is performed – an operation during which the bursa is removed.

Home Treatment

At home, you can significantly improve the condition with calcaneal bursitis: get rid of the pain syndrome and reduce the manifestation of inflammatory processes.

Alternative methods will not replace traditional medicine, but with the correct preparation of compresses, infusions, ointments, baths, you can significantly enhance the effect of drugs.

Before starting treatment, it is recommended to consult with your doctor. All recipes are based on the use of exclusively natural substances, with the correct preparation of which the medicine has a quick effect.

Folk methods

Treatment of calcaneal bursitis at home consists of the preparation and use of the following recipes:

  1. Warm compress based on flax seeds – pre-heat the seeds in a dry pan, and then transfer to a small bag or scarf. A compress is applied to the heel area for several hours. The course of treatment is 14 days, the procedure is carried out daily, preferably before bedtime.
  2. In addition to flax seeds, salt is used, heated in a dry frying pan, which is also transferred to a bag or scarf and applied to the edematous area, every day for two weeks.
  3. Inside, apple cider vinegar is used to strengthen the protective properties of the body and reduce inflammation. To prepare, add 1 hour to one glass of water. l liquid honey and 1 tsp. apple cider vinegar. Take medicine daily in 1 glass in the morning, for one week.
  4. The leaves of aloe or kalanchoe, previously repulsed, before the juice is released, are applied to the sore spot for the night. The course of therapy lasts 7-10 days.
  5. Compresses from leaves of white cabbage – taking a few leaves, it is recommended to beat them off slightly until soft. Softened leaves are applied to the heel, covered with cellophane on top and wrapped in a warm scarf. For a more pronounced effect on the cabbage leaf, a small amount of liquid honey is applied (not used for allergy sufferers). The duration of the procedure is 2-3 hours, for 5-7 days. You can alternate with other procedures.

Rehabilitation after illness

After drug therapy and treatment of heel bursitis with folk remedies, physiotherapeutic procedures are prescribed that will help restore motor activity and strengthen muscles.

An integral treatment during the recovery period is massage and therapeutic exercises, with incoming increases in load. It is also recommended to wear comfortable shoes, abandon heels.

Of the methods of physiotherapy for the treatment of heel bursitis, magnetotherapy, paraffin, electrophoresis, mud therapy and UHF are used.

Conclusion

Calcaneal bursitis is a disease that brings a lot of discomfort and pain, fetters movement.

If you do not seek medical help in time, it is possible to develop an infectious process with the formation of purulent fluid inside the bursa.

As a result, a puncture, and in some cases a bursectomy, is required.

Only timely treatment of heel bursitis is the key to a favorable outcome of the disease.

Otherwise, the resulting complications can lead to loss of motor activity and, as a consequence, to disability.

Video: Methods of treatment of calcaneal bursitis

Treatment of heel bursitis with medicines and folk remedies

In this article, we consider methods for the effective treatment of heel bursitis, what are the causes, symptoms and how to properly diagnose the disease.

Bursitis is an inflammation of the periarticular bags in the area of ​​the calcaneal tendon. Each such tendon is surrounded by a synovial bag (bursa – in translation from Latin), which contains a liquid that softens the loads that fall on the foot and heel. When an infection gets into the bursa, a very strong inflammatory process begins, which also encompasses nearby tissues.

Timely treatment of heel bursitis is necessary, because if this disease is left to chance, bursitis will turn into a chronic form, which is dangerous with a severe exacerbation. This article will discuss how to cure heel bursitis, as well as the causes of this disease.

Causes

  1. Mechanical damage. Such damage can be attributed to the wearing of uncomfortable shoes, especially high-heeled shoes, which no matter what provokes the deformation of the synovial bag. In addition, the cause of the development of the disease can be a bruise or sprain. At risk are people with overweight, people who spend many hours on their feet due to work, as well as athletes.
  2. Infectious lesion. The infection can enter the bursa as a result of a cut, puncture or any other penetration injury. The cause of the disease can be hormonal failure and metabolic disorders, as well as infection after diseases, such as arthritis, arthrosis, erysipelas, furunculosis.

All the reasons why it hurts to step on the heel is painful to step on the heel, is on our website.

Symptoms

  • Swelling and swelling in the affected area. Extreme pain on palpation. At the junction of the Achilles tendon with the calcaneus, a disease such as achillobursitis is possible, the treatment of which is approximately the same.
  • Pain in the heel when walking
  • In some cases, fever may occur.
  • Redness of the affected area

What a limb affected by this disease looks like can be seen in the photo.

More information about the symptoms of calcaneus bursitis can be found on our website.

It is worth noting that the disease discussed in this article has very similar symptoms with a heel spur, so if you do not want to treat one disease instead of another, only a specialist can make the final diagnosis.

Diagnosis of the disease

As already mentioned, the diagnosis is carried out exclusively by a specialist. He will appoint the following set of measures:

  1. X-ray It is carried out in order to exclude the presence of a growth characteristic of plantar fasciitis (calcaneal spur). Also, with the help of an x-ray, the boundaries of inflammation are determined.
  2. Synovial fluid analysis. Helps determine the pathogen of infection for subsequent, well-conducted treatment, as well as the stage of the disease
  3. General blood and urine tests. They are taken to assess the general condition of the body and can also identify the cause of inflammation.

How to treat heel bursitis

Treatment of such a disease is possible in several ways. Here they are:

  • Medication
  • Heel bursitis surgery
  • Treatment of heel bursitis with folk remedies

Medication for heel bursitis

This treatment option for heel bursitis involves taking medication, applying external agents to the affected area, as well as using improvised drugs and physiotherapy. But first things first.

Since the complex for the treatment of the disease without fail includes fixation of the foot, as well as getting rid of it from unnecessary loads. Therefore, with calcaneal bursitis, a variety of insoles and bandages are usually used.

As the main drug support, drugs are prescribed that have the following properties:

  • Antibacterial
  • Pain Reliever
  • Anti-inflammatory
  • Contributing to improved microcirculation
  • Absorbable fibrous adhesions
  • Stimulating healing

Here, for example, how to treat heel bursitis with Dimexidum:

You will need: dimex />

Also use a variety of topical ointments and gels to treat heel bursitis. Here are a few options:

  • Diclofenac
  • Ibuprofen
  • Naproxen
  • Butadione
  • Indomethacin and hydrocortisone ointments

The use of antibiotics is the basis of the medical treatment of the disease in question, since only in this way it is possible to completely get rid of purulent inflammation. First, a broad-spectrum antibiotic is prescribed, and after identifying the causative agent of the infection, the therapy is adjusted.

With a particularly severe course of the disease, a puncture is performed, with the help of which the synovial bag gets rid of the purulent contents, after which antiseptic solutions and antibiotics are introduced into it. Treatment of calcaneal bursitis with a medicine such as diprospan is also performed during a puncture.

Treatment of calcaneal bursitis at home

Here are some popular recipes to help relieve the symptoms of the disease:

  1. Wrap raw potatoes, cabbage leaf and beets. For the proper effect, you need to alternate the ingredients, applying them in turn every night for two weeks. Potatoes and beets need to be cut into thin slices, and the cabbage leaf – a little knead.
  2. Dilute in a water bath one part of laundry soap grated on a fine grater and one part of honey. Put the mixture on a clean cloth, and on top add the m >To support the body after a disease, therapeutic massage, special physical exercises and physiotherapy are recommended. In addition, foot massage is a great way to prevent it.

An operation is performed only if conservative methods have been powerless. Depending on how severe the severity of the disease, the doctor will either remove the synovial bag completely, or excise its membrane with subsequent processing.

What is bursitis. Dangerous pathology in adults and children

Heel bursitis – the presence of any inflammatory development in the joint bag. Often, its development can be observed in the area of ​​accession of the Achilles tendon to the heel. Often you can meet bursitis with sports people, as well as those who are engaged in heavy physical labor.

The early stage of achillobursitis is very treatable, but if you neglect the therapy started on time, then further stress on the foot will only worsen the course. If you know the causes of bursitis, consider its symptoms, then you can track the onset of pathological development.

What is heel bursitis

Heel bursitis, what is it? The heel bursitis is something similar to the heel spur. If inflammation of the calcaneus is detected, competent and timely treatment should be carried out.

Plantar bursitis can be chronic and complicated by disability. If inflammation occurs, you should not be treated on your own, you should immediately consult a doctor to establish an accurate diagnosis. Doctors using traditional medicine methods can give a positive result only with the treatment methods that the doctor will prescribe.

Calcaneal bursitis captures the synovial bag in inflammation and causes tendonitis. It is placed on the back of the heel where the Achilles tendon is attached.
Achilles tendon bursitis arises in overweight people, athletes, as a result of any injuries.
After that, exudate is formed in the cavity of the heel joint, which saturates the cells.

The surface becomes vulnerable to any infections, even the formation of a purulent cavity is possible.

Infection of streptococcus or staphylococcus, and in addition, other diseases are often the causative agent of purulent achillobursitis.
Specific bursitis is one of the variations of the foot bursitis, it can be caused by gonococci, pneumococci and even tubercle bacillus.

Chronic bursitis may result from a mechanical irritant or sports injuries.

Causes of achillobursitis

The main reasons for the appearance of an inflammatory reaction of the heel joint bag are various injuries. They are also the cause of the formation of fluid impregnating soft tissues.

And the very occurrence of calcaneal bursitis causes the combination of the release of fibrin and exudative effusion into the synovial fissure, especially after injuries, with the addition of blood to the tissues.

A defect in the subcutaneous articular bag entails Achilles tendon bursitis. According to studies and statistics, achillobursitis and its causes are:

  • Damage and breaks in the place of the synovial bag due to weight lifting in athletes
  • Inconvenient narrow non-orthopedic shoes
  • The presence of chronic pathologies in the ankle area
  • The presence of tuberculosis polyarthritis

Pathogenic microorganisms, as well as brucellosis bacillus, can be the basis for the development of an inflammatory area, as well as an infection of viral origin.

Symptoms of calcaneal bursitis

Characteristic signs of calcaneus bursitis:

  • Swollen, swollen area near Achilles
  • Soreness in the synovial bag, which is located in the thickness of the heel when you click on it
  • The presence of pain during various movements can also be very painful in the morning
  • The pronounced course of the disease is a noticeable manifestation of symptoms – high fever, purulent effusion
  • Redness of the affected area

Achilles bursitis in its symptoms is easily confused with a heel spur. Only a doctor is able to establish an accurate diagnosis.

You can’t postpone the visit to the doctor: the disease is dangerous, its untimely or incorrect treatment brings disability.

In case of detection of achillobursitis and symptoms, an immediate appeal to a specialist is necessary so as not to aggravate the condition and conduct proper timely treatment.

Inflammation of the joint bag of the heel in children

The inflammatory process in the periarticular bag at a young age can be seen extremely rarely. But still, cases occur, and their cause may be injuries such as bruises and dislocations.

The selection and purchase of shoes is important for the health of the foot. If you still don’t want to buy orthopedic shoes or you can’t, you can purchase special insoles. Children need to be controlled and reminded of safe games so as not to start the process in a periarticular bag.

Diagnosis of bursitis

To accurately determine the diagnosis, you need to go through a number of studies:

  • The approval of the pathogen (various bacteria) as well as the stage of the disease. This can be understood by taking a sample of the fluid that formed during the illness.
  • X-ray of the heel. This is necessary to check if there is a growth.
  • A blood and urine test is taken from the patient; a general health check is performed, because doctors need to find the cause of the ailment.

After passing all the diagnostic methods for calcaneal bursitis, the patient learns about the exact diagnosis, and the doctor begins to work on the preparation of the treatment.

How to treat achillobursitis

The patient is undergoing combination therapy. Achillobursitis treatment, which eliminates edema, helps to move independently painlessly.

The main methods of treating heel bursitis are: the patient is invited to wear orthoses; pills treatment; proven recipes from traditional medicine; various methods of physiotherapy.

Treatment of Achilles tendon bursitis will affect the normal life of a person.

  • Lower weight
  • Limit sports for a while
  • Fix the foot in one position with a bandage or plaster
  • Treat new pathologies of the feet and joints
  • Treat old diseases (if any)

Medication Therapy

Treatment of calcaneal bursitis in the first place should eliminate the presence of a destructive focus.

In these cases, anti-inflammatory drugs such as Dimexide are used. Gels are also prescribed to relieve puffiness, redness and pain. In addition, the doctor makes intraarticular injections to stop the destruction of cartilage.

Chondroprotectors and muscle relaxants are taken by patients in order to quickly remove fluid, normalize blood circulation, and prevent the destruction of cartilage tissue. For acceptance, groups of drugs are shown in which adhesions and cords resolve.

Physiotherapy

Achilles tendon bursitis and its treatment is performed when the inflammation subsides a little. A doctor may recommend physiotherapy of a different nature. The number of sessions and the name of the methods of treating the disease is made by the doctor when he understands the condition of his patient.

Effective for this disease:

  • Mud therapy
  • Magnet therapy
  • Paraffin Wraps
  • Electrophoresis with drugs
  • Various massages
  • UHF warming up
  • Exercise therapy

Operative intervention

In these cases, frequent disabilities. If there is bursitis on the heel, but treatment is impossible, and also inflammation is associated with the formation of purulent exudate, you can not do without surgery.

In severe cases, it is impossible not to resort to excising a part of the bag and removing calcium deposits, if any. After that, antibacterial drugs are injected into the bursa cavity and the patient is sent to be treated on an outpatient basis.

Treatment of achillobursitis with folk remedies

How and how to treat heel bursitis at home? Folk remedies will help only at the beginning of bursitis. It is strictly forbidden to try to treat without the instructions of a doctor. Purulent calcaneal bursitis and alternative treatment are incompatible. Before heel treatment, you must visit a doctor. Treatment with folk remedies includes compresses, home ointments, herbal lotions.

How to cure bursitis – it is enough to take a fresh leaf of a cabbage head or burdock, which is first washed and slightly crushed, greased with honey and applied to the damaged area. Cellophane is placed on top and insulated, bandaged with a warm scarf.

Kalanchoe leaf compress is also popular as a remedy. Aloe stalks, alcohol and honey are taken. The alcohol is diluted with water, add aloe pulp and honey to this. After mixing, let it brew for one night, then apply it to some fabric and apply it to the heel, wrapping it with cellophane, fix it and warm it (you can also use a scarf). You need to do this compress daily.

Another compress – black radish, is applied to the heel, wrapped in polyethylene, fixed with a bandage and insulated, continue until the pain subsides. To achieve maximum effect, it is advised to use different compresses or alternate them.

Here are sample ways to treat calcaneal bursitis at home.

Preventive measures

Specialists who know their job will definitely advise on any issue. Knowledge of the things that provoke the disease is the basis of prevention.

Doctors’ advice for foot health is as follows: it is necessary to switch to PP (proper nutrition), to abandon products containing an increased concentration of purines. It is forbidden to eat fatty meat, ocean herring and sprats in large quantities. The key to health for a person is good weight, maintaining an active lifestyle.

Leg loads should not be debilitating, it is necessary to reduce them. Taking vitamins, doing warm-ups, foot massage – all this positively affects the feet.

Using a cooling cream after a hard day will help relieve fatigue and stress. High-quality and comfortable shoes made of breathable materials, or rather an orthopedic sole, should be a priority.

If you often wear flat shoes, achillobursitis can form. If you wear high-heeled shoes every day, bunion may develop. When walking everyday in uncomfortable shoes, deformation of the foot occurs. To avoid various diseases, you need to buy orthopedic shoes, or buy regular orthopedic insoles to the usual one. All for leg health!

The condition of the joints worsens if a person is sick with tuberculosis, brucellosis. Bursitis in the foot area is a dangerous consequence after colds.

Forgotten injuries also provokes deformation of the foot, the appearance of bursitis of the foot. Acute achillobursitis in the initial stages is easily treatable. But in the case of the transition of the disease into a chronic form, then surgical intervention cannot be avoided, and this is the most common cause of relapses.

In order to avoid bad consequences, both the doctor and the patient should treat the treatment with due seriousness. With proper, timely treatment, recovery is possible without bad consequences.

Heel bursitis treatment, tips and tricks

Be examined before starting treatment

Before prescribing treatment, a full examination should be performed. The orthopedic surgeon should diagnose heel bursitis by examining the leg, examining the anamnesis and taking into account the symptoms of the disease. Calcaneal (Achilles bursitis) and calcaneus bursitis are diagnosed and treated equally.

Sublingual bursitis is characterized by severe skin damage (cracks in the heels). Achillobursitis is a disease accompanied by an inflammatory process with an accumulation of serous fluid in the bursa. Symptoms of pain, inflammation, swelling and slight redness are present in both cases.

To assess the degree of damage, confirm the diagnosis, it is necessary to carry out diagnostic imaging of the heel using x-rays or MRI. After which treatment is prescribed.

The purpose and treatment options for the disease

The goal of treatment is to alleviate pain, improve range of motion by reducing inflammation. The podiatrist will tell you a treatment plan based on your symptoms and signs. Treatment may include:

  1. Drug therapy, including a short course of painkillers and anti-inflammatory drugs.
  2. The technology of cold wrapping is designed for regular use to reduce pain, swelling.
  3. Stimulating therapy to improve soft tissue elasticity and restore blood circulation. The podiatrist will show several exercises that you can perform at home. Targeted exercises can help restore blood circulation and increase flexibility by loosening muscles and tendons.
  4. Treatment of folk remedies.
  5. Orthopedic appliances. Special orthopedic insoles are used to reduce inflammation. Insoles provide additional support, distributing weight to the entire foot and giving the heel the opportunity to recover.

Drug therapy of the disease

Nonsteroidal anti-inflammatory drugs – a group of drugs that reduce inflammation that do not contain corticosteroids. Topical NSAIDs for heel bursitis:

  1. Ibuprofen (Motrin, Advil, Nuprin).
  2. Naproxen (Naprelan, Naprosin, Anaprox).
  3. Ketoprofen (Orudis, Actron).

Treatment with these drugs can cause side effects:

  • headache;
  • nausea;
  • heartburn;
  • blood in the stool;
  • itching;
  • rash;
  • diarrhea;
  • отёк;
  • visual disturbances;
  • vomiting;
  • drowsiness.

Precautions while taking the above drugs:

  • combination with alcohol may increase the likelihood of stomach ulcers and bleeding;
  • individuals with heart failure, kidney disease, asthma, cirrhosis should use drugs with extreme caution.

No less popular are corticosteroid injections. However, with achillobursitis, injections of corticosteroids are not recommended. Because there is a high risk of tendon rupture. With heel bursitis, corticosteroid injections (Cortisone) will reduce pain and inflammation. You should be aware that the following side effects are possible:

  • infection;
  • aseptic necrosis;
  • injections do not always work.

Surgeons recommend no more than 1-2 injections in the same area. If such treatment does not bring the desired result, it is recommended to perform an operation.

Cold wrap technology

Heal bursitis can be treated with a cold wrap. The use of cold will help reduce swelling, redness. Cold compression therapy will drown out heel pain and help control inflammatory processes. Cooling treatment should be carried out several times a day, giving the procedure 15-20 minutes.

ColdCure ® Freezie Wraps ® technology has proven its worth. The use of technology will prevent inflammation and support injured bursa. Wrapping in this way will also prevent swelling. In addition, it stabilizes the damaged bursa. It is used with a special cooling gel – RigiGel. The gel package is placed in the refrigerator until it cools completely, then the heel is wrapped, adjusting the desired compression ratio.

The use of cold wraps is the first step in treating heel bursitis. To speed up the healing process, after the inflammation has been removed with cold wraps, stimulatory therapy is used. Needed to improve blood circulation and restore elasticity of soft tissues.

Stimulating therapy after relieving inflammation

After inflammation has been significantly reduced, stimulatory therapy is needed. Why is stimulating therapy necessary?

When movements were limited, blood flow decreased, the soft tissues lacked nutrients and oxygen, they starved. To bring motor functions to normal, it is necessary to restore blood circulation of soft tissues and tendons.

Consider the procedure on the example of a flower. Have you seen what happens to a flower if you stop watering it and feed it with useful ingredients? It is drying up. The same thing happens with an injured bursa. It looks like a “wilted flower”, in order to heal it you need to restore blood circulation and supply of nutrients. In addition, the blood removes toxins and cellular waste, healing the affected area faster. Without good blood supply, the bursa and surrounding tissues will not heal properly. Which will increase the recovery time of functions.

Regular physical procedures, exercise, and proper nutrition will improve blood flow. Restoring blood circulation in an injured bursa is important for healing.

If you treat achillobursitis and heel bursitis as prescribed by a doctor, observing all the rules and regulations, performing the exercises, you can reduce the risk of recurrence.

Treatment of heel bursitis with folk remedies is carried out at the rehabilitation stage, after the relief of inflammation and the destruction of pathogenic microorganisms. To accelerate the resorption of the seal, crushed leaves of white cabbage, burdock, and dandelion are applied to it. Traditional healers recommend mixing them with a small amount of honey to enhance the healing effect.

It is necessary to drink a lot of liquid to remove the accumulated toxic products of the inflammatory process from the body. The greatest cleansing effectiveness is characteristic for cranberry juice, green and ginger tea, propolis dissolved in hot milk.

Heel bursitis lends itself well to conservative treatment methods. But with severe damage to the tendon or joint, an operation is performed to excise the inflamed structures. Avoid surgery only by going to the doctor for the first symptoms of pathology.

What is heel bursitis. Causes, symptoms and treatment of inflammation

What is heel bursitis? This is an acute, subacute or recurring disease, accompanied by inflammation of the inner lining of the synovial sac. The pathological process can affect both the joint itself and the Achilles tendon located in the immediate vicinity. The causes of the disease are increased loads, congenital or acquired abnormalities of the anatomical structure of the foot. Bursitis often accompanies articular pathologies that occur against the background of degenerative-destructive tissue changes.

It is diagnosed with exacerbations of arthritis, gout, osteoarthritis. To identify pathology, a number of instrumental and laboratory studies are performed: radiography, MRI, CT, arthroscopy. Heel bursitis treatment is usually conservative, using glucocorticosteroids, antibiotics, NSAIDs, physiotherapy. If such therapy is ineffective, the patient is shown to undergo surgery.

Pathogenesis and etiology

The synovial bag located in the cavity of the joint or tendon protects their surfaces from premature wear. It produces a small amount of viscous liquid with shock-absorbing properties. Under the influence of adverse factors, the production of synovial fluid increases. This leads to a decrease in the functional activity of the joint or tendon and inflammation of the synovial bag. What can cause the development of a pathological process:

  • excessive loads on the heel: obesity, wearing narrow, tight shoes with a flat sole or high heels, lifting weights, walking long distances;
  • chronic diseases of the heel joint. Arthritis, arthrosis, osteoarthritis of the joints of the foot are accompanied by a gradual destruction of cartilage and bone tissue, ligaments and tendons;
  • diseases occurring against the background of metabolic disorders. Calcaneal bursitis often accompanies gout, in which uric ac >

A common cause of the disease is infection of the joint or tendon by pathogenic microorganisms (staphylococci and streptococci). Bacteria penetrate the heel from the foci where their primary reproduction took place. They can be located in the urinary or respiratory tract, digestive tract. After bacteria enter the heel joint, they quickly form secondary inflammatory foci. In the process of life, microorganisms secrete toxins that adversely affect the state of periarticular structures.

Heel bursitis can develop with gonorrhea, syphilis, trichomoniasis, brucellosis, bone tuberculosis. The causative agents of infection are spread by blood flow throughout the body, provoking inflammatory processes. The treatment of bursitis is carried out simultaneously with the therapy of the main venereal or intestinal disease.

clinical picture

Symptoms of heel bursitis begin to manifest gradually, usually with increased loads on the foot. At first, the pain syndrome is weakly expressed, but with the development of inflammation, the intensity of uncomfortable sensations increases. The acute form of pathology signals a sudden, sharp pain – both when walking and at rest. In the morning hours, the joint can swell noticeably, and the range of motion in it is significantly limited. During the day, a person “paces”, does not feel pain.

Improving well-being is due to the development of hormone-like compounds in the body that have anti-inflammatory effects. Heel bursitis often accompanies plantar fasciitis and calcaneal spur. A person complains of pain when resting on the heel or during prolonged walking. Orthopedists also highlight the following symptoms of heel bursitis:

  • the formation of a small round seal localized over the inflamed tendon or joint;
  • the skin over the site of inflammation swells, swelling quickly spreads to the periarticular structures;
  • due to the accumulation of excess fluid, irritation of the nerve roots increases, significantly increasing the intensity of the pain;
  • with chronic bursitis, the skin in the area of ​​inflammation becomes dry, hot as a result of overflow of blood vessels.

Purulent bursitis of the heel is especially difficult. When you try to lean on it, a person feels a severe cutting pain, radiating to the entire foot, and sometimes to the ankle joint. At night she assumes a tugging, gnawing character. The appearance of pus impurities in the exudate provokes symptoms of general intoxication of the body. The patient’s body temperature rises sharply, sweating increases. Hyperthermia leads to gastrointestinal upsets, weakness, apathy, and psycho-emotional instability.

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Symptoms of chronic calcaneal bursitis are manifested during periods of exacerbations that occur during acute respiratory viral infections, hypothermia, relapses of chronic diseases. But this form of pathology is considered the most dangerous – due to the lack of severe pain, a person is in no hurry to see a doctor, and at this time joints, ligaments and tendons are destroyed in the foot.

Diagnostics

Before starting treatment for heel bursitis, diagnostic measures are performed. An orthopedist can suspect pathology on the basis of patient complaints and examination of the foot. Swelling, pain, and redness of the skin indicate an inflammatory process in the leg. But such external signs are characteristic of many articular pathologies, therefore, differential diagnosis is carried out:

  • radiography;
  • ultrasonography;
  • CT scan;
  • Magnetic resonance imaging.

General blood and urine tests are necessary to assess the patient’s health status. Their results help to identify exacerbations of chronic diseases – common causes of bursitis. If heel infection is suspected, a biochemical study of punctate is performed to determine the type of pathology pathogens and their resistance to antibiotics.

The main methods of treatment

Treatment of calcaneal bursitis begins with the immobilization of the affected foot inflammation. For this, a plaster cast is used, which completely immobilizes the limb. Fixing the joint in an anatomical position also helps wearing hard or semi-rigid orthoses. Immobilization is necessary throughout the entire therapeutic course – from 10 days to 1 month. Cold compresses with ice cubes, which are applied with half-hour breaks for 15 minutes to the heel, quickly eliminate swelling and inflammation.

In the treatment of bursitis, various groups of pharmacological preparations are also used. With a strong inflammatory process, injectable solutions are prescribed to patients. And the disease at the initial stage lends itself well to treatment with ointments and tablets. How to treat bursitis on the heel, only an orthopedist or traumatologist decides. Patients are prescribed such drugs:

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Clinical manifestations of heel bursitisDrugs used to eliminate them
Pain during movement and at restNonsteroidal anti-inflammatory drugs in the form of ointments and tablets – Diclofenac, Nimesulide, Ibuprofen. Ointments with a warming effect after stopping inflammation – Capsicam, Apizartron, Finalgon, Viprosal
Compaction formationCompresses with Dimexide, balsamic liniment according to Vishnevsky, ointments with NSAIDs – Ketorolac, Nimesulide, Meloxicam, Diclofenac, Ibuprofen
Swelling and morning swelling of the jointsNSAIDs in the form of ointments, gels, creams, balms – Ortophen, Voltaren, Fastum, Indovazin, Arthrosilen
General intoxication of the bodyAntibacterial and antimicrobial agents – Azithromycin, Clarithromycin, Amoxicillin, Ofloxacin, Metronidazole. Antipyretic drugs – Nurofen, Efferalgan, Panadol, Paracetamol

Treatment of heel bursitis with folk remedies is carried out at the rehabilitation stage, after the relief of inflammation and the destruction of pathogenic microorganisms. To accelerate the resorption of the seal, crushed leaves of white cabbage, burdock, and dandelion are applied to it. Traditional healers recommend mixing them with a small amount of honey to enhance the healing effect.

It is necessary to drink a lot of liquid to remove the accumulated toxic products of the inflammatory process from the body. The greatest cleansing effectiveness is characteristic for cranberry juice, green and ginger tea, propolis dissolved in hot milk.

Heel bursitis lends itself well to conservative treatment methods. But with severe damage to the tendon or joint, an operation is performed to excise the inflamed structures. Avoid surgery only by going to the doctor for the first symptoms of pathology.

Morozov Georgiy

Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.

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