#MedicalCase

Calcaneal Spur - How to manage it effectively (Orthopedics and Traumatology)

Dr. Ishwar Chandra Rai., B.A.M.S., M.D.(AYURVEDA)

 

Medical Case Details:

Hello Doctors,

A 65 year old female patient came to me with severe pain in both heels since 6 months. She has a X-ray with Calcaneal spur. Kindly share your clinical experiences to manage it effectively.

Thank you.

 


    Discussions


    Dr. Sandeep Singh
    General Practitioner

    Give supportive management frst
    Soft shoes or sandals.. Painkillers., febustat, control blood sugar nd lipids nd most important is regular physiotherapy..

    ▲ 2
    12.May, 11:36pm

    Dr. Ishwar Chandra Rai
    Ayurveda Specialist

    Thank you Doctor to your valuable suggestions.

    Which kinds of physiotherapy we can do?

    ▲ 3
    13.May, 09:31am

    Dr. Anand Vijaykumar Agroya
    Orthopaedician And Traumatologist

    Can you upload the xray image ?
    Is she diabetic ?

    ▲ 1
    13.May, 10:17am

    Dr. Sandeep Singh
    General Practitioner

    Physiotherapy means.. Active foot movements in all directions nd stretching nd strengthening the muscles of limb... Under water exercises for foot preferred mostly.... Due to inflammation there is restricted range of movement leads to constriction nd weakening of muscles....

    ▲ 1
    Best comment
    13.May, 10:27am

    Dr. Jwalant Patel
    Orthopaedician And Traumatologist

    Start with soft sleeper like Ortho rest ....
    Start contrast bath with hot and cold water...
    Start routine analgesics accordingly....
    Reduce weight....

    ▲ 1
    13.May, 10:51am

    Dr. Mohammed Iftekarali
    Orthopaedician And Traumatologist

    It is better to go for calcaneum spur excision

    ▲ 2
    13.May, 11:30am

    Dr. Ishwar Chandra Rai
    Ayurveda Specialist

    I'm attaching here that X-ray photograph

    13.May, 12:04pm


    Dr. Anand Vijaykumar Agroya
    Orthopaedician And Traumatologist

    Analgesic and anti-inflammatory medicines for 15 days ... Check sr.creat first.
    Silicone insole
    Change of sleepers to soft one
    Hot water fomentation twice a day 20 minutes each
    Physio - ankle dorsi and plantar flexion exercises

    Give trail of this therapy for 1 month. If symptoms persists, go for excision if non diabetic.

    ▲ 1
    Best comment
    13.May, 12:29pm

    Dr. Arvind Guru
    General Surgeon

    Hello Doctor

    Try conservative measures for around 6 months (upto a year)---> if not better ---> Surgery

    Conservative measures
    1) Weight loss - Daily walk for 30 min and diet control
    2) Well fitting and padded footwear at most times. - like Dr.Scholl
    3) Take a tennis ball and roll it below the soles 5-10 min in the morning before bearing weight on the feet. Repeat the same twice a day.
    4) Sugar control for diabetes ( will help prevent diabetic foot from minor injuries)
    5) Alternate Warm and Cold fomentation of feel in the evening.

    Hope that helps.

    You took very good x ray pics, by the way.

    ▲ 1
    Best comment
    13.May, 12:30pm

    Dr. Atul Prakash
    Orthopaedician And Traumatologist

    Please treat patients the way that you are trained to treat, if you can't get him better thru Ayurveda please refer him to am Orthopedic Surgeon
    Online learning of Orthopedics is tricky ????

    ▲ 2
    13.May, 02:51pm

    Dr. Ishwar Chandra Rai
    Ayurveda Specialist

    Thanks to all Doctors to provide your experiences and valuable suggestions.

    ▲ 1
    Best comment
    13.May, 03:32pm

    Dr. Pratibha Jain
    Ayurveda Specialist

    Give her hot and cold water dip. Gokshuradi gugglu, and calcium supplement can give u result in 15 days.

    24.May, 06:32pm

    Dr. Vineet Maheshwari
    Orthopaedician And Traumatologist

    Needs Physiotherapy.. 90% patients are benefitted if they do physiotherapy religiously.. most of the patient have plantar fasciitis and complains of early morning heel pain that decreases on activity..
    Basic physio plan that I advice:
    Shld b done 1st thing in morning
    1) Dorsi Flex the ankle hold for 10 sec and realese to neutral x 5times
    2) Plantar Flex the ankle hold for 10 sec and realese to neutral x 5times
    3) Plantar flexion and dorsiflexion at tarsometatarsal joint.
    4) Heel raises
    5) Rolling of foot over a bottle or ball

    Exercise from 1-3 can b performed with foot immersed in warm water..

    23.Mar, 10:11pm



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