Middle-aged women (48-49 years old) will suffer from swelling and pain in their heels after long-term riding. What is the reason? Do you need to see a doctor?

According to western medicine theory, the causes of heel pain are basically divided into the following three situations:

First, calcaneal spur: more common in elderly patients. When heel pain occurs, it can be found that calcaneal spurs of different sizes are formed at calcaneal tubercle after X-ray. But clinically, it is found that bone spur is not the direct cause of pain, but the protruding bone spur is more likely to cause local tissue to be pulled by friction and produce aseptic inflammation. The degree of heel pain is related to the severity of local inflammatory reaction, but not directly related to the size of spur.

Second, the plantar plantar aponeurosis: the plantar plantar aponeurosis is the tendon tissue that maintains the normal arch, buffers the vibration and strengthens the bounce. Long-term walking and overload will cause plantar aponeurosis strain, leading to local aseptic inflammation and pain symptoms.

Third, plantar fat pad atrophy: heel pain in the elderly is more complicated. In addition to the above two possible reasons, there is also the atrophy of the fat pad itself of the elderly, which weakens the role of cushioning vibration and preventing friction, making local injuries and pains more likely.

How to distinguish the causes of heel pain in clinic? Generally speaking, in addition to X-ray and other corresponding auxiliary examinations, after clinical physical examination, it can basically be diagnosed by professional podiatrists. It can also be distinguished by treatment, such as heel pain caused by atrophy of plantar fat pad in the elderly, and local blocking treatment is ineffective.

What method can effectively treat heel pain?

1, try to avoid wearing some soft, thin-soled cloth shoes;

2. Use a thick pad to protect the heel, or use a hollow heel pain pad to make the spur part empty to reduce local friction and injury.

3, often do foot pedal action, enhance the tension of plantar aponeurosis, strengthen its strain resistance, and reduce local inflammation.

4, warm water soaking feet, supplemented by physical therapy when conditions permit, can reduce local inflammation and relieve pain.

5. When persistent pain occurs, some non-steroidal anti-inflammatory and analgesic drugs should be taken orally. If the pain is severe and seriously affects walking, local blocking therapy is the fastest treatment.

6. At present, the most popular corrective insole in the world can relieve plantar aponeurosis tension, strain, local inflammation and pain. This kind of foot pad has a certain bulge in appearance and is placed on the sole of the foot, which mainly plays the role of improving and supporting the longitudinal arch of the medial foot; At the same time, it can stabilize the transverse arch of the foot; Because it is consistent with the sole and has good adhesion to the sole, it can play a good role in evenly distributing the strength of the foot; But also has toughness and can play a role in buffering and damping; Improve the load-bearing line of lower limbs, make the stress of lower limbs more uniform and symmetrical, and play a good therapeutic role in preventing heel pain, flat foot, forefoot calluses pain, early knee pain and low back pain. This treatment is very popular in Europe and America and is considered to be the best and most effective method at present.