In Iran, we offer you the perfect solution with the latest medical technologies that guarantee your recovery in the shortest possible time. In the cities of Shiraz, Tehran, Mashhad and Yazd, we can help you get rid of heel corns quickly and effectively thanks to our specialized medical team and advanced technologies. Get ready to return to your daily life pain-free with non-surgical foot corn treatment in Iran.
Table of contents
- Introduction.
- What is a foot corn?
- Causes of foot corns (Heel Spurs).
- Initial signs of foot corns.
- Methods of diagnosing heel corns.
- Ways to treat heel corns from home to the hospital.
6.1. Adequate rest and use of cold compresses.
6.2. Use of shoes and medical devices.
6.3. Shockwave therapy.
6.4. Ozone injection therapy.
6.5. Monotherapy (radio frequency waves).
6.6. Acupuncture (Chinese traditional medicine)
6.7. Laser treatment.
6.8. Injectable anti-inflammatory medications.
6.9. Surgery. - Conclusion.
- References.
1. Introduction
Heel corns often occur when calcium deposits build up in the heel bone, a process that usually takes several months. After these complications, severe pain occurs in the heel when standing or walking. Heel spurs are more common in middle-aged people who are overweight or who have underlying diseases such as rheumatism, diabetes, etc. In mild cases, heel spurs can be managed with home care and the use of orthopedic insoles. However, the definitive treatment for heel corns, especially in severe cases, is through sound waves. If treatment is not done on time, its complications lead to disruption of a person’s daily activities.
2. What is a heel Corn?
The heel spur is actually a calcium deposit that can be seen as a bony attachment at part of the edge of the heel or the beginning of the plantar fascia attached to the heel bone. The plantar fascia is a thick tissue that runs across the sole of the foot, connects to the heel bone, and forms the arch of the foot. Inflammation in the plantar fascia can lead to heel spurs and eventually pain in the heel area.
It should be noted that pain symptoms may only occur with plantar fasciitis and without heel spurs.
Heel corn do not form suddenly and develop over time, after jumping, running for a long time and repeated pressure on the heel.
The heel spur is divided into two categories based on the location of its formation:
- Formation of the track on the dorsal surface of the heel bone: often associated with Achilles tendonitis.
- Formation of the foot track on the lower (plantar) surface of the heel bone: associated with plantar fasciitis.
3. Causes of heel spur
- Wearing inappropriate shoes, such as high-heeled shoes that do not have medical insoles.
- Practicing strenuous sports activities such as running and jumping.
- Heel strikes, bruises and torn plantar fascia.
- Obesity and excess weight increase pressure on the soles of the feet.
- Contracture (shortening) of the Achilles tendon and muscles behind the leg after injury.
- Over-arched foot or flat foot.
- Background and hereditary diseases such as:
1. Gout.
2. Joint rheumatism.
3. Plantar fasciitis.
4. And diffuse osteoarthritis of unknown cause.
4. Initial signs of heel corn
Many people do not have any specific symptoms. In most cases, heel pain is the most obvious symptom of a heel corn, and in some people, the following symptoms are also observed.
- Sharp, stabbing pain under or above the heel (especially early in the morning after waking up and when standing).
- Mild pain in the heel during the day.
- Feeling pain and dryness in the soles of the feet when taking the first steps after sitting for a long time.
- Feeling tired in the soles of the feet at the end of the day.
- Pain in the heel when walking on a hard surface, especially when walking barefoot.
- Heel pain worsens when lifting heavy objects.
- Inflammation and swelling in front of the heel.
- Protrusion of the heel bone, which often cannot be seen with the eye.
- Heel heating.
5.Methods of diagnosing heel corns
The best way to diagnose and evaluate heel corns is to conduct a clinical examination of the patient by a doctor. As well as X-ray imaging to see the corn formed in the heel. If a person has plantar fasciitis, an MRI or ultrasound should be used for diagnosis; Because this inflammation is not visible on X-ray imaging.
6. Ways to treat heel corns from home to the hospital
The goal of treatment is to reduce plantar fasciitis to improve function and return the foot to its normal state. The treatment process varies for each patient depending on his condition, and there is no single type of treatment. In most cases, patients respond to treatment and do not require surgery. In fact, surgery is the last treatment option. Below, we will examine the different treatment methods for heel spur:
6.1. Adequate rest and use of cold compresses
In fact, the first step to treating heel spurs is rest. By numbing the affected area, cold compresses reduce inflammation and swelling and slow blood circulation, followed by pain relief. Cold compresses work better at relieving acute, short-term pain than chronic pain. Adequate rest, avoiding strenuous activities, and massage with cold compresses are useful for reducing inflammation. Cold compresses are used three times a day for 20 minutes each time.
6.2. استخدام الأحذية والاجهزة الطبية
In cases where the heel spur is mild, it can be controlled using medical shoes and insoles. Types of heel spur orthotics include:
- Medical shoe.
- Medical slippers
- Silicone heel pad.
- Stud heel socks.
- Night splints.
- Stretching exercises and physical therapy
6.3. Shockwave therapy
Shockwave therapy is known as the most effective treatment for heel spurs. Shockwave is a modern, non-surgical treatment method that uses high-energy sound waves in the heel area. These waves, with their high frequency and strength, cause the heel spur to break and disappear. In this method, in addition to relieving pain, the range of motion of the leg is also restored. Sometimes doctors use this method to avoid surgery.
6.4. Ozone therapy
Ozone therapy helps reduce pain and inflammation and strengthen the body’s immune system. Ozone therapy, as an external procedure, improves the patient’s quality of life without side effects. By injecting ozone gas into the heel, the supply of oxygen to this area increases, and as a result, inflammation and pain decrease. Also, using this method, the healing process of the heel area can be enhanced with a natural regimen.
6.5. Monotherapy (radio frequency waves)
It is one of the treatment methods used in physical therapy. In this method, by sending radio frequency waves and creating electromagnetic currents within the affected tissue, blood flow increases uniformly and deep into the tissue. This method is considered an appropriate technique to reduce adhesion in the heel spur. This method is not recommended in the early stages of this disease, which causes severe pain.
6.6. Acupuncture (Chinese traditional medicine)
Dry needling is a common treatment method in physical therapy and a special type of acupuncture. It helps improve pain in the lower muscles and the soles of the feet, as well as improve foot function. Acupuncture and Chinese methods treat heel spurs in many people.
6.7. Laser treatment
In laser therapy, high-intensity light beams are sent to the painful area and penetrate deeper into the tissue. In addition to the therapeutic effect on muscle and tendon injuries, this method also leads to the treatment of chronic pain and disc inflammation.
6.8. Injectable anti-inflammatory medications
Corticosteroids are anti-inflammatory medications that reduce inflammation and swelling caused by injury. In cases where the pain is very severe, the doctor will prescribe injectable medications such as corticosteroids. Cortone injections can help reduce pain and swelling caused by heel spurs. Usually, the medication is injected under local anesthesia.
6.9. Surgery
Usually, and in many cases, heel corns heal without surgery and with the mentioned conditions. But in some people, non-surgical treatments are not effective and surgery is required to separate the plantar fascia from the heel bone.
7. Conclusion
Many people who suffer from heel corns are searching for which doctor they should visit for treatment. Patients are definitely looking for ways to relieve pain without the need for surgery or any invasive procedures.
As a result, we suggest that you consult a pain specialist for heel spur treatment in Iran in Shiraz to treat heel spurs without surgery.
8. References:
Kirkpatrick J, Yassaie O, Mirjalili SA (June 2017). “The plantar calcaneal spur: a review of anatomy, histology, etiology and key associations”. Journal of Anatomy. 230 (6): 743–751
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