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"Doctor, does my heel pain require surgery?"

BY Iris Wheatley 2020-08-01

  By understanding Liu Xiang’s injury, many people have paid more attention to the heel diseases. Recently, patients in orthopedics clinics often ask: “Doctor, my heel pain, is it the same as Liu Xiang? Disease, do you need surgery?"

< p>   Achilles tendon end point disease is generally more common in gymnastics, skill, high jump and other athletes. In 1928 Patrick Haglund first proposed the clinical manifestations of the disease. In 1948, Hohmann advocated the swelling and pain of the heel, collectively known as Haglund''s disease. The main indication for surgery for this disease is that pain is not significantly relieved after 6 months of non-surgical treatment. The purpose of the operation is to relieve the pressure of the bony protrusions and relieve the pain.

   Generally speaking, after the operation, the brace is fixed for 3 to 4 weeks, and then the brace is removed, muscle training is started, larger shoes are worn, the heel is padded, and it is gradually flattened after 3 months. According to the situation, gradually resume various sports.

   Usually, this disease only occurs in athletes and sports enthusiasts, and it is rarely affected in the general population. Why do many patients in daily orthopedic clinics also complain about heel pain? Achilles tendon end point disease is different. The main causes of heel pain in daily orthopedic outpatients are:

  一. Heel pain

  Heel pain refers to a variety of chronic diseases Pain under the calcaneus occurs mostly in middle-aged male obese patients, with the onset on one or both sides. Common inducing factors are: heel fat cellulitis, plantar fasciitis, calcaneal bone spurs, etc., generally after local physical therapy, external application of drugs or closed treatment will be significantly relieved.

  Second, calcaneal hypertension

  This is a kind of heel pain caused by increased pressure in the calcaneus, which is common in middle-aged and elderly people, mainly due to blood in the calcaneus The circulation is affected, causing blood stasis or congestion in the bone, and pain. Unlike calcaneal pain, this disease has tenderness and percussion pain on the medial, lateral, and metatarsal sides of the calcaneus, and some patients need to "perforate" the calcaneus to reduce pressure before it can be completely relieved.

   Therefore, you can rest assured that most patients with heel pain clinically do not need surgery. Although no surgery is required, if you ignore it for a long time and let it develop, it will also cause harm to our health. So if you find that you are unwell, you still need to go to the hospital to check it.

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