Treatment of calcane bursitis: what should you always remember?
Jul 10, 2018
Bursa is a special bag filled with interarticulate fluid.They are necessary to reduce the frictional force that arises between the tendons, muscles and bones.Bursa, located in the heel, is a kind of gasket that protects the foot from injury when walking or running for a long time.However, it can be prone to negative factors, including inflammation.This leads to heel bursitis.
- Heel bursitis: causes
- Symptoms of calcaneal bursitis
- Treatment and prevention
Heel bursitis: causes
Bursitis occurs due to inflammation of the bursa.The reasons for this may be different, arising from the background of injuries, diseases, infection and other causes.On this basis, two types of bursitis are noted: mechanical and infectious.
The most common bursitis occurs due to trauma.These are bruises, abrasions, minor wounds and other injuries.
It is also possible to infect the bursa, which can be carried out in the following ways:
- By lymphatic pathways
- Through the blood
- Directly through a cut or abrasion
Bursitis due to trauma most often occurs among athletes whose legs are injured and regularly exposedLoads.
If the disease occurs against the background of trauma, it often occurs in a chronic or acute form.If microbial flora got into the bursa, then the process quickly flows into a purulent inflammation, called purulent bursitis.
Often the cause of the disease among girls is high-heeled shoes.Unnatural leg position can provoke bursitis, then among the reasons can be shoes with an uncomfortable shoe, inappropriate size and position of the foot.
Often bursitis occurs against the background of stretching.Deformation of synovial bags leads to the accumulation of hemorrhagic fluid.As a result, the bag grows and develops, which leads to a traumatic position and further inflammation.
There are many reasons for the development of bursitis.Often these are bursa injuries that lead to inflammation and an increase in the bag.Such problems arise against the background of playing sports, the unnatural position of the foot and other reasons.However, bursitis can develop on the background of an infection that has got into the bag from the body or the environment.
Diagnosis of bursitis
The diagnosis of bursitis is fairly straightforward with the necessary knowledge from the doctor.It is performed against the background of typical clinical signs of the disease.Diagnosis can be greatly simplified by puncturing the cavity of the bag, which will establish the nature of inflammation, microbial flora and the possibility of antibiotic treatment.
When diagnosing a disease, the first thing to do is to exclude its specificity.Specific bursitis occurs against the background of infections( gonococci, spirochetes and the like).It can be determined through an accurate study of the collected history and biological examination of the puncture.
Diagnostics can use a variety of methods.
- Ultrasonic examination
- Magnetic resonance imaging
Although the X-ray is used very rarely, it is effective for the recognition of deep bursitis.In other cases enough anamnesis and puncture to establish an accurate diagnosis.
In diagnosis, bursitis can be confused with arthritis.Their characteristic difference is the preservation of the motor function of the joint in the first disease.
In the diagnosis it is important to clarify the possibility of infectious bursitis and identify the infection that led to such a disease.This will establish further treatment and the course of antibiotics.
Diagnosis of this disease is fairly simple and is based on the collection of anamnesis and puncture of the affected area.In her process, it is necessary to clarify the cause of bursitis and a possible infection that provoked inflammation.Based on this, further treatment is determined.
Symptoms of calcaneal bursitis
Bursitis is a disease whose development significantly affects the patient's motility.Therefore, his symptoms are simple enough and determined by yourself.The disease is characterized by significant inflammation and accumulation of fluids, so it becomes noticeable a few days after the onset.
The main feature of bursitis is the development of a round limited swelling in the bursa area.The tumor is painful and soft to the touch.Its diameter can reach 10 centimeters, which is especially noticeable in the area of the heel.The patient feels pain in the area of the tumor, the affected area has a low motor function.There may be fever and malaise.
With the development of purulent inflammation, swelling of the tissues around the bag, redness of the skin( hyperemia) is possible, the previously listed symptoms of the disease are substantially exacerbated.With the development of inflammation there may be signs of phlegmon.
Chronic bursitis on symptoms is slightly different from previously listed cases.This form of the disease does not affect the function of the limb, although swelling develops.The chronic process is rather painful, although the pain is tolerable.It is possible to increase the amount of liquid in the bag with exacerbation of bursitis, which leads to the formation of hygroma.
Symptoms of bursitis are typical for the inflammatory process.In the bag area there is a large tumor with a diameter of up to 10 centimeters, which has a rounded shape and a soft-elastic consistency.It is quite painful and significantly reduces the motor function of the site.The patient during this period suffers from the characteristic features of inflammation: malaise and fever.
Treatment and prevention
Treatment of calcane bursitis is a complex of procedures and medications.The paramount task is to create the most comfortable conditions for the leg, so that she is at rest.It is necessary to reduce various loads on the affected area and surrounding tissue.Compliance with these conditions will significantly accelerate recovery.
For the fixation of the foot, the use of fixative dressings is recommended.It is especially effective in acute or serous forms of the disease.
In the treatment of calcane bursitis, a course of procedures is prescribed, among which:
- Shock wave therapy
- Other methods to reduce the tumor
Medication includes analgesics and anti-inflammatory drugs.For mild forms of the disease, they are not prescribed, but sometimes their use is necessary for recovery.For the removal of inflammation use non-steroid drugs, which are taken only according to the doctor's instructions.
For the treatment of the disease, suppressors are used, which make it possible to shorten the duration of treatment.However, their effect affects the entire body, they should be taken only with the permission of the doctor.
Medical treatment methods together with procedures will allow to get rid of bursitis in a few weeks.If they are neglected, the disease can go into a chronic form, the treatment of which is carried out purely surgically.The puncture of the bag and removal of the exudate is carried out, after which the bag is washed with a special solution.
Purulent forms of the disease are treated with punctures, however, with progressive purulent bursitis it is allowed to open the bag and remove the accumulated pus.The healing after such treatment is long and painful, so do not bring the disease to this stage.
Prevention of bursitis is to reduce the risk of injury to the bursa.This is achieved through the use of protective dressings and warm-up while playing sports.Also, as a preventive measure, it is recommended to choose comfortable shoes with a low heel.In the optimal variant, it is worth buying orthopedic footwear, which allows to achieve the optimal position of the foot.
The treatment of bursitis is the passage of procedures and medication.In severe cases, a surgical operation is performed, in which the accumulated fluid and pus are removed from the bag.Prevention of the disease involves the use of protective bandages on the leg, warm-up and the purchase of comfortable shoes.
Learn about the treatment of bursitis from the video.
Heel bursitis significantly affects the leg and deprives the ability to move normally.It occurs due to injuries and infections, and among the symptoms, there is a tumor and pain in the affected area.Treatment of this disease in the lungs is simple, but neglected bursitis can flow into a chronic or purulent form.