Heel spur treatment with x-rays. X-ray joint treatment Recovery and care

A rather important role in the work of the human musculoskeletal system is given to fascia - connective tissues, a membrane that forms cases for various muscles.

There are many groups of fascia in the body, for example, plantar. It is characterized by a disease - plantar fasciitis (heel spur). It is especially familiar to people over 40 years old (a child rarely suffers from such a problem). The disease manifests itself in the form of severe pain in the heel bone. Over time, a sick person, if treatment is not received in a timely manner, loses his ability to work due to limited movements.

Heel spur radiotherapy is one of the common treatments.

The method of conducting the transillumination procedure depends on the type of suspected pathology. There are only two ways, in any of which the heel spur is visible on the x-ray:

lying position - the patient bends the legs at the knee joints, and the feet rests on the table;
load - the patient stands on one leg and with all his weight rests on the examined limb.

The method of conducting the transillumination procedure is chosen by the doctor. A heel spur radiograph does not require special preparation. It is only necessary to remove all metal foreign objects that can adversely affect the quality of the image.

What does a heel spur look like on an x-ray? It is defined as a bony growth on the surface of the largest calcaneus, the talus, usually in the region of the tubercle. It increases due to flat feet, excessive physical exertion.

A calcaneal spur is immediately visible on an x-ray.

Do not confuse X-ray therapy with X-ray diagnostic methods

Fluoroscopy, like radiography, refers to radiodiagnosis. This branch of medicine is based on the use of the beneficial properties of X-rays, allowing them to pass through the thick tissues of the human body. A doctor can see during his lifetime what is incomprehensible to an ordinary eye - morphological and functional processes in structures and organs. It is not in vain that such diagnostic methods are called "lifetime autopsy without a knife."

Radiation therapy, in turn, refers to physiotherapeutic treatment options, and not to diagnostic measures. The principle of operation is based on irradiation of the affected area with rays. Most often it is prescribed in combination with the use of anti-inflammatory drugs.

X-ray therapy is performed using special equipment.

What is the essence of the difference between radiography and another diagnostic method - fluoroscopy?

During X-ray examination, the image is projected onto a paper or film carrier, and in new equipment - onto a film cassette or matrix carrier. The radiation gradually weakens when penetrating through the tissues of the body, which have a different structure. As a result, the irradiation beam is scattered and an image with varying degrees of intensity is projected onto the final carrier. This averaged image, which is the sum of the shadows of all structures, through which the x-ray had to “break through”. A radiograph is a flat display of a three-dimensional object, therefore this type of diagnosis is most often carried out in 2 projections. Only in this way can the doctor accurately determine the location of the pathology.

The fluoroscopic image is transferred to a fluorescent screen. This is a kind of cardboard sheet on which a fluorescent substance is applied. Today, equipment, the principle of operation of which is based on X-ray television transmission, has become more widespread. During such an examination, the rays are transmitted to the x-ray image amplifier. The finished picture is redirected to the monitor display. This image can then be processed and printed. One of these methods is used in medical institutions for diagnosing by comparing the image with the norms of bone fracture, concussion and other pathologies.

What is the therapeutic effect of this type of radiotherapy

A similar treatment technique has a positive effect on the damaged heel, namely:

relieves inflammation;
removes pain;
kills affected cells;
helps cells renew themselves.

It is worth mentioning right away that the treatment of a heel spur with X-ray therapy cannot completely eliminate the bone growth.

According to statistics, it was possible to remove the problem only in some cases, in the early stages of the lesion, the growth of a small size was destroyed under the force of irradiation.

However, therapy is still not useless. It eliminates the inflammatory process and pain, which is the first step towards healing. Moreover, the growth does not harm the human body in any way. Unpleasant feelings during movement are caused by something else: the spur, when exposed to surfaces, infringes on connective tissues. This leads to pain, which X-ray exposure copes with.

If the growth has been growing on the body for too long, then with increased loads on the legs, choosing shoes that are not the right size, using heels or not thick enough soles, the inflammation may return again. It is possible that in such a situation you will again need to sign up for an x-ray procedure. If the doctor decides that applying this method again will not help, you will need to resort to surgery to remove the growth.

Radiation therapy is aimed at eliminating the symptoms of the disease.

It is difficult to talk about the effectiveness of the method. Most doctors argue that shock wave therapy is more effective than radiation in the treatment of heel spurs, since the cost of this procedure is higher and there is a large list of contraindications.

X-ray therapy techniques

A heel spur on x-ray looks like a hook-shaped or polished formation in the posterior or lower surface of the tubercle. It is these characteristic signs that help to distinguish the spur from gout, arthritis and a number of other diseases.

The general essence of X-ray therapy is reduced to the use of radiation for medical purposes. In practice, a beam strength of 10 to 250 kilovolts is used. Also, the methods are divided into two types, depending on the type of irradiation:

The method of radiotherapy is chosen by the doctor after collecting an anamnesis and conducting a diagnosis.

short throw

With this treatment option, the amount of force used is not more than 60 kilovolts. This form of radiation is prescribed for the treatment of malignant or benign neoplasms, as well as other growths in the human body, which are located relatively shallow from the skin surface (5-7 centimeters). A close focus lens is used.

long focus

The situation is similar, but the penetration depth of the X-ray beam is within 30-60 centimeters, and the energy is 60-250 kilovolts.

Two types of x-ray tubes are used, differing in the strength of the x-ray beam. The treatment technique and the effect of exposure are based on the suppression of the increase in the size of the affected cells, as well as the activation of the destructive processes of these same structures. The mechanism of therapy is due to the "absorption" of the rays by some tissues (especially in the zone of the focus of the disease).

The results of X-ray exposure will depend on:

Bodies.
The state of the patient's body.
Doses.
frequencies.
Disease stages.
Severity of the general symptoms of a spur on the heel.

Advantages and disadvantages

Advantages:

painlessness;
the procedure does not cause inconvenience to the patient;
almost no side effects;
the total duration of one session is ten minutes, the course of treatment is not long;
usually only ten procedures are enough to obtain the desired result;
there are practically no contraindications;
anti-inflammatory action;
X-ray therapy courses do not imply hospitalization of the patient in a hospital;
analgesic effect;
low cost.

Flaws:

low efficiency, especially in comparison with shock wave therapy;
mild effect - X-ray therapy does not remove the spur, but only relieves the symptoms.

X-ray therapy has many advantages, but is inferior to ultrasound therapy in terms of effectiveness.

Description of the procedure

The duration of one session is from 8 to 10 minutes. The doctor individually determines how many sessions are required. The characteristics of the patient and the size of the build-up are taken into account.

An axial x-ray beam is directed to the calcaneus (it also covers from the sides), instantly closing the nerve endings and eliminating pain. It is they who are the main problem, because irradiation greatly facilitates the life of patients. It is not required to lay the patient on the couch.

Heel spur radiotherapy is one of the modern methods of treatment, in fact, the method is a kind of radiation therapy (radiology) and is used in oncological practice. The ability of ionizing waves to have a detrimental effect on atypical cells has also found its application in the destruction of exostosis tissue (bone outgrowths). And the successful localization of the calcaneus, located far from the organs and life support systems, made the technology practically harmless.

It is known that the cells of the body under normal conditions have very different sensitivity to x-rays. Pathological tissues with increased metabolism, accelerated growth and reproduction of cellular elements show a higher sensitivity to ionizing influence than adjacent healthy ones. When exposed to low doses of radiation, pathogenic tissues lose their ability to multiply and die, and the growth of the osteophyte stops.

X-ray therapy is based on the selective suppression or complete destruction of pathological cells.

The result of the therapeutic effect is the blocking of nerve receptors in the periosteum and the cessation of pain. Against the background of local exposure, blood circulation improves, as capillaries expand and vascular permeability normalizes, trophism is gradually restored. Instead of dead tissues, new, healthy cells begin to appear.

For the treatment of inflammatory processes, the minimum wave strength is selected

In the treatment of diseases of non-oncological etiology, the dose of radiation is selected individually, but does not exceed 75-80 kV, which is an extremely low level of exposure. In the treatment of calcaneal fasciitis, this frequency of radiological waves is very effective and relieves pain in 80% of patients. At the same time, every third person has a noticeable improvement in their condition after 3 procedures.

The positive effect of therapy persists for several months. With a relapse of the pathology, a second course is prescribed, but only if the previous procedures have brought relief.

Advantages and disadvantages

Often, patients suffering from heel spurs refuse radiotherapy, believing that during the procedure they receive radiation that is hazardous to health. Of course, minimal radiation is present, otherwise there would be no therapeutic effect. But it is so small that it poses absolutely no threat to health. Thus, there are practically no drawbacks to the procedure.

The list of advantages of ray waves includes the following provisions:

X-ray therapy does not require the patient to be in the hospital and limit his performance;
treatment is completely painless and does not take much time;
to get a lasting result, it is enough to take a course of 8-10 sessions;
in addition to the analgesic effect, irradiation reduces inflammation and accelerates tissue repair:
the procedure helps to avoid surgery.

X-ray therapy of the heel spur is painless and is performed strictly locally.

Speaking about the advantages of the procedure, one cannot fail to note the clearly directed effect of ionizing radiation, which completely eliminates the adverse effect on other organs and systems.

Application Methods

X-ray radiation has a fairly wide range. For therapeutic purposes, waves with a length of 20 to 300 kV are used. Depending on the type of disease, two methods of treatment are used:

Long-focus therapy (voltage 60-300 kV). It is carried out from a distance of 30-60 cm from the skin surface. The waves penetrate the cells 6 cm and deeper, reaching the bone tissue.
Short-focus action (voltage 20-60 kV). A close-focus lens is placed 7 cm above the lesion, while the depth of entry of the rays does not exceed 5 cm. The therapeutic effect is on the skin, ligaments and muscle fibers.

The severity of the spur plays a major role in determining the optimal method of X-ray irradiation.

The choice of technique depends on the age of the patient, the presence of concomitant diseases, the degree of deformation of the periosteum and the severity of the growth of exostoses.

How is the procedure

Sessions are conducted on an outpatient basis. The patient at the appointed time is in the radiotherapy room and after 30 minutes leaves the hospital. The event does not require special preparation and is performed in comfortable conditions.

The radiologist asks the patient to take a horizontal position and fix the leg on a special roller. A radiation source is brought to the heel at a selected distance and voltage is applied.

In most cases, the procedure takes about 10 minutes. It is completely painless and does not cause discomfort.

The number of sessions and their frequency is selected by the doctor. In the usual manner, the patient is recommended to visit the X-ray room at least 10 times, coming for treatment every 3 days.

When the symptoms of the disease disappear, radiotherapy should not be interrupted. You must complete the entire course. Only in this case, the therapeutic effect will be persistent and long-lasting.

Contraindications

Despite the relative harmlessness of the procedure, there are a number of limitations that you need to be aware of.

X-ray therapy is not carried out in the following pathological conditions of the body:

blood diseases;
radiation damage;
the presence of pronounced infectious and inflammatory processes;
pneumonia;
sepsis;
peptic ulcer during exacerbation;
damage to the liver, kidneys, myocardium in the stage of decompensation.

Do not prescribe radiotherapy to women at any stage of pregnancy and breastfeeding. Even a small dose of radiation can adversely affect the body of the mother and child.

Side effects from treatment are often minimal. If the patient complains of nausea, general weakness, lethargy, drowsiness, the appearance of subcutaneous hemorrhages in the sole area, this indicates an incorrectly chosen procedure for the procedure. Therefore, you should visit the doctor again to prescribe an adjusted radiation regimen.

Answers on questions

Radiotherapy of the plantar fascia is of great interest and many questions.

Which doctor should I contact for treatment?

If you are concerned about pain in the heels, you need to visit a traumatologist or orthopedist. After collecting the analysis, examination and laboratory examination, the doctor will decide on the advisability of using radiation waves. Usually, medical and physiotherapeutic treatment of the disease is first used. If all methods of therapy were unsuccessful, before consulting a surgeon to decide on an operation, specialists prescribe a course of X-ray therapy.

The process of X-ray therapy takes place under the strict supervision of a doctor.

Is exposure dangerous?

Any radiation adversely affects the body. To reduce the negative impact to a minimum, the patient is carefully examined, the presence of contraindications is identified, and the location and size of the bone growth are clarified. Based on the data obtained during a comprehensive examination, the doctor selects the optimal treatment regimen, where the intensity of the waves does not exceed 80 kV. This is a completely safe indicator that does not harm human health.

How much does radiotherapy cost and where is it performed?

The price for irradiating a heel spur depends on the region of the country and the status of the clinic. On average in the Russian Federation, one session costs from 1,000 to 9,000 rubles. The highest tariffs are offered by regional medical centers equipped with modern equipment, where highly qualified specialists work. In offices at city hospitals and polyclinics, the cost of the service is much lower, but both the equipment and the training of personnel may be worse.

What is the opinion of those who have undergone the procedure?

It should be noted that reviews of X-ray treatment are rather contradictory. Many patients note a good therapeutic effect after 3-4 procedures, other people were not helped by a course of 10 sessions. It all depends on the individual characteristics of the body and the chosen treatment regimen. In most cases, patients note the positive effect of x-rays: pain and inflammation disappear, fasciitis does not bother for many years.

Conclusion

When prescribing radiotherapy for heel spurs, the procedure should not be abandoned. Wave irradiation is optimally suited for the treatment of a local inflammatory process and allows you to forget about the disease for many years.

A heel spur can be painless and asymptomatic. A person may not be aware of the presence of a heel spur. When symptoms appear, the patient is not to be envied. The treatment is long, and you want to get rid of the pain as soon as possible. There is no universal way in medicine today. Doctors don’t even name the exact cause of the occurrence - several factors affect. Some patients use folk methods, others turn to professionals who recommend X-ray therapy. What does this procedure imply, is it suitable for everyone suffering from a heel spur?

Medicine has stepped far forward, it uses various methods of treatment. In the treatment began to use x-rays. The dosage is regulated, it does not harm the body. However, stereotypes prevent turning to X-ray therapy. Patients believe that X-rays are irradiated, threatening with radiation sickness. It's a delusion.

X-ray therapy implies that an x-ray beam of the required power is directed to the heel area. Ionizing radiation affects damaged cells, strong healthy cells are not sensitive to radiation. Weak, unhealthy cells of ionization do not withstand. X-ray exposure has an anti-inflammatory effect and anesthetizes. X-ray therapy is often found in the practice of surgery. No one gets sick from radiation sickness from small doses.

How is the procedure given?

With X-ray therapy, a beam of ionizing rays is sent to the heel or to the Achilles tendon. One session is not enough. The dose, the number of sessions is prescribed by the doctor, a professional consultation is required. The minimum dose of radiation for effective treatment is selected individually, depending on the severity of the disease, symptoms.

Duration of radiotherapy

The course of radiotherapy lasts 3-5 weeks. For a month, the patient visits x-ray therapy every two days. This procedure does not take much time. The duration of the session is about 10 minutes (7-9), the time is determined individually. Appointed from 6 sessions. Less - ineffective, will not affect the progress of recovery.

X-ray therapy for heel spurs: short distance

Short-distance therapy is prescribed when resorption of the surrounding ligaments is required. The procedure is carried out from a short distance - 6-7 cm from the heel. The disadvantage of therapy is that it does not affect salt deposits (spike). Radiation does not affect bone formation. Short-focus beams pass to a shallow depth, so they are ineffective.

Remote radiotherapy treatment

To destroy the bone spike, a strong impact on the foot is required. Need more radiation. The voltage on the tube reaches 250 kV. Radiation is made from 30-50 cm from the heel or Achilles tendon. The therapy helps in the treatment of salt deposits in the heel - they will dissolve. Dose and correct technique are important. This type of X-ray therapy is done with care, carefully choosing the radiation power and the time of therapy. If the rules are taken into account, recovery occurs in the near future, the heel spur no longer bothers the patient. Side effects are rare.

Is radiotherapy effective in the treatment of heel spurs?

According to professionals in the field of radiotherapy, improvement in the condition of patients after treatment with radiotherapy occurs in 80-90% of cases. This is a high figure. If the patient chooses surgery, the chance of improvement is lower. Complications are possible after the operation. Not all patients are allowed anesthesia. In X-ray therapy, anesthesia is not needed.

People who turn to X-ray therapy are satisfied with the result. They are not worried about pain and discomfort, they do not have to use folk remedies, visit doctors, take pills.

Over time, the pain may return, radiotherapy is prescribed again. An x-ray is taken, then a doctor is visited to prescribe the dosage of radiation.

Important! After the last X-ray therapy, at least six months should pass.

Advantages of radiotherapy

Heel spur requires quality treatment, a guarantee that the disease does not occur again. Is this therapy suitable? What are its benefits?

The procedure is painless.
In the elderly, operations are poorly tolerated, radiotherapy is a good option for the treatment of heel spurs.
The speed of the procedure (no longer than 10 minutes).
More efficient than other methods.
No hospitalization needed. It is enough to come to the hospital or medical center at a convenient time. You can take time off from work, the procedure is fleeting.

The negative side of X-ray therapy is a psychological factor. After the procedures, people think about whether the body is at risk. Complete safety of X-ray therapy has not been proven. Patients will need to be monitored for several years. Therefore, safety is conditional.

Contraindications

X-ray therapy has contraindications, individually discussed with the doctor. Relative contraindication - age up to 40 years. Most often, a heel spur occurs after 35-40 years. If it occurs before 40, it is better to choose a different method of treatment.

There are a number of contraindications in which it is strictly forbidden to turn to X-ray therapy. Serious contraindications include:

low weight (ratio calculated),
the person was sick with radiation sickness or is sick now,
pregnancy (there is a high probability of miscarriage or the development of pathologies in the fetus),
general unsatisfactory condition,
heart disease, other organs (discussed at a consultation with a doctor),
anemia, other blood diseases.

Before X-ray therapy, the doctor prescribes a complete examination to the patient, identifying diseases. According to the results of examinations and analyzes, the doctor allows therapy, selects safe radiation, the number of sessions.

Radiation therapy has recently been used in the treatment of heel spurs. This is a disease that is difficult to treat. And patients want a speedy recovery. Not everyone agrees to X-ray therapy, fearing negative consequences. Those who agree are satisfied with the result - the thorn does not interfere with walking, does not hurt, does not abscess. You can return to normal life.

Prevention

To avoid the inconvenience caused by a heel spur, think about prevention in advance. Then it will not affect you, saving your nerves, health, time and money. What to do for prevention?

Proper nutrition. A balanced diet reduces the likelihood of heel spurs. It is important that the body mass index is within the normal range. Having excess weight, a person automatically falls into the risk group. Activity and nutrition are the main components of prevention.
Shoes. Wear comfortable shoes, no high heels, no flats. A small heel is optimal.
Flat feet. With flat feet, you need to knead, massage the feet. Plus orthopedic insoles. People with flat feet are at risk. Now many people have flat feet, but there is no need to run it.
Timely treatment of diseases of the spine and joints. Visit doctors regularly, following their recommendations. Banal curvature of the spine should be observed, do exercises, and other exercises.

Radiation therapy is not often prescribed by rheumatologists and surgeons, so patients do not understand the effect of this therapy on the foot and on the body in general. Many are afraid of X-ray therapy, endure discomfort in the feet until it becomes unbearably painful. This is the wrong approach. Consult a doctor, he will select a treatment option. No one is forcing you to go for X-ray therapy or surgery. The choice remains with the patient.

The doctor will tell the patient about all aspects of the procedure used. The higher the degree of the disease, the more difficult and longer to treat. In the first stages, they are almost not expressed, therefore, once a year, a comprehensive examination is necessary to identify the disease.

X-ray therapy is one of the methods of radiation therapy, in which it is used for therapeutic purposes with an energy of 10 to 250 square meters. With an increase in voltage, the radiation energy increases, and at the same time its penetrating power in tissues increases from a few millimeters to 8-10 cm.

Modern industry produces two types of X-ray therapy devices. Some are for short-focus X-ray therapy with radiation energy from 10 to 60 kV for irradiation from short distances (up to 6-7.5 cm) of superficially located pathological processes of the skin and mucous membrane. Others for deep X-ray therapy with radiation energy from 100 to 250 kV for irradiation from a distance of 30 to 60 cm of deep-seated pathological foci. X-ray radiation arising in an X-ray tube is always inhomogeneous in its energy. To obtain a more or less homogeneous beam, filters are used that absorb soft rays. For low-energy radiation, filters made of light metals (aluminum, brass 0.5-1-3 mm thick) are used. For high-energy radiation (180-200 kV), radiation uniformity is achieved by using filters made of heavy metals (copper, 0.5-2 mm thick). For restriction and convenience of centering during X-ray therapy, cylindrical or rectangular tubes are used, providing the skin-focal length necessary for each individual patient. The exit window of the tubes of devices for short-focus X-ray therapy has a diameter of up to 5 cm and for a deep area of 16-225 cm 2 . Short-focus X-ray therapy is successfully used in the treatment of skin cancer, cancer of the upper and lower lips of I and II stages of the disease, and when the process is more widespread, it is combined with curie-therapy or remote methods of radiation therapy. Short-focus X-ray therapy in combination with remote methods is used in the treatment of both early and more common cases of cancer of the oral mucosa, cervical cancer, rectal cancer. Short-focus X-ray therapy can be used during surgery in early cases of cancer of the bladder, larynx, stomach.

X-ray therapy at a voltage of 160 to 250 kV until the 50s of our century was the only method of remote irradiation of deep-seated pathological processes of both an inflammatory and dystrophic nature, and malignant tumors. With cancer of the internal organs, which is characterized by low and requiring large doses of radiation for its destruction (in the range of 6000-7000 rad), X-ray therapy turned out to be ineffective. Somewhat better results can be obtained with X-ray therapy through a lead grating, which makes it possible to increase the focal dose and reduce radiation exposure in normal tissues.

Currently, in the treatment of deep-seated tumors, X-ray therapy has been replaced by remote therapy, the use of high-energy bremsstrahlung and electronic radiation. X-ray therapy can be used in the treatment of radiosensitive tumors (Ewing's sarcoma, lymphogranulomatosis,). A good result is obtained with X-ray therapy of acute inflammatory processes, using small single doses of the order of 10-15 rad and a total dose not exceeding 100 rad.

X-ray therapy is a medical discipline that studies the theory and practice of using X-ray radiation for therapeutic purposes. It is a private section of radiation therapy (see).

The use of X-ray therapy began in 1897, however, X-ray therapy received scientific foundations only with the development of physics, dosimetry, radiobiology and the accumulation of clinical experience.

There are remote radiotherapy (focus distance - skin 30 cm or more) and close-focus (focus distance - skin does not exceed 7.5 cm). In turn, remote X-ray therapy can be carried out in the form of static irradiation (the X-ray tube and the patient are motionless during irradiation) and mobile irradiation (the X-ray tube or the patient is in a state of relative motion).

Numerous forms of static and mobile X-ray exposure are known. Various elements of exposure conditions, radiation quality, focus-skin distance or swing radius, number of fields or swing angle, size, shape and number of fields or exposure zones, single and total radiation doses, irradiation rhythm, dose rate, etc. can vary.

X-ray radiation generated in x-ray tubes using high-voltage electrical devices (see X-ray devices), when exposed to tissues and organs of the human body, causes suppression of the functions of individual cells, inhibition of their growth, and in some cases their destruction. These phenomena turn out to be a consequence of absorption and scattering, the primary physical processes of the interaction of X-rays with a biological medium (see diagram).

Scheme of the interaction of ionizing radiation with matter (according to Ruderman and Weinberg).

The primary physical processes are followed by physicochemical and biochemical processes that determine the development of the therapeutic effect. A feature of X-ray radiation is its continuous energy spectrum, in which there are radiation quanta with any energy, up to the maximum value corresponding to the highest generation voltage. The latter at present in X-ray therapy usually does not exceed 250 sq.

The energy spectrum of the working radiation beam is affected by the features and layout of the X-ray therapy apparatus, the type of supply electric current, the design and materials of the X-ray therapy tube, as well as subsequent filtration.

For rational X-ray therapy, it is important to correctly use the basic physical features of the propagation of X-rays: the law of inverse proportionality to the square of the distance and the law of absorption of radiation in matter. The latter is characterized by a linear attenuation coefficient and depends on the chemical composition of the substance, its density, and also on the radiation energy. Each component of the energy spectrum, when interacting with a given substance, changes in different ways. Therefore, along with the attenuation of the X-ray beam, its qualitative composition also changes. The assessment of the quality (penetrating power) of the working X-ray beam used in external X-ray therapy is carried out using a half-attenuation layer (D) and is expressed in millimeters of the thickness of the layer of the delaying substance (lead, copper, aluminum, etc.).

In close-focus x-ray therapy using soft radiation, this quality assessment is made by determining the half-dose layer (HLD) and is expressed in millimeters of the thickness of the tissue layer in which the radiation propagates.

The most important physical factor affecting the value of absorbed doses in X-ray therapy is scattered radiation. The contribution of scattered radiation depends on the irradiation conditions - the size of the surface field, the focus-skin distance, and the radiation energy.

The therapeutic effect of X-ray therapy is associated with the absorbed dose of radiation in the area of the pathological focus. The value of the optimal absorbed dose, its fragmentation, the rhythm of irradiation are determined in each case by the nature of the pathological process. The degree of concomitant reactions of healthy tissues and organs surrounding the pathological focus, as well as reactions of the whole organism, is affected by the value of integral doses in these individual anatomical structures and throughout the patient's body.

The effects of exposure to X-ray therapy are not unambiguous for different histological structures, which is associated with different sensitivity of the latter to ionizing radiation (see Radiobiology).

However, the sensitivity of irradiated tissues in the human body also depends on a number of other numerous factors - age, gender, body temperature and the irradiated area, the location of the latter, its hydrophilicity, blood supply, oxygen saturation, its functional activity, the intensity of metabolic processes, and many others. etc., including the initial state, as well as the reactivity of the organism. The biological effects of X-ray therapy are influenced by the nature of the distribution of the radiation dose over time. Fractional irradiation is less damaging than single irradiation. In this case, the differential sensitivity of tissues and the so-called therapeutic interval are better revealed - the difference in the sensitivity of normal and pathological histostructures.

Radiation therapy can cause various effects. Depending on the magnitude of the absorbed dose of radiation, the rhythm of exposure, the object of exposure, the nature and stage of the disease, and, finally, the reactivity of the patient's body, anti-inflammatory, desensitizing, destructive, analgesic and other effects may occur.

Although the general patterns of the biological action of ionizing radiation have been studied quite well, however, a number of links in this complex process (the interaction of radiation with pathologically altered tissues) still remains unclear. In particular, the change in the nature of cellular reactions, intermediary metabolism, the production of immune bodies, the reactivity of connective tissue, and many others require further study. others

Recently, with the deepening of knowledge about the biological effect of ionizing radiation, there has been a desire to limit the use of X-ray therapy to oncological practice. In non-tumor diseases, radiotherapy is recommended only in the early stages of acute inflammatory diseases and in cases where there are no other equivalent methods of treatment or if the latter are ineffective in people over 40 years of age. In non-tumor diseases in children, radiotherapy should not be used.

X-ray therapy should be used only if there are scientifically justified indications for such treatment and only in patients with an impeccably proven disease. “The rarest exception to this rule can only be some rapidly growing tumors of the mediastinum, when X-ray therapy should be used as the only forced emergency method of decompression effect on the vital organs of the chest cavity” (S. A. Reinberg).

When prescribing radiotherapy, it is necessary to clearly formulate, on the basis of clinical data, the problem that radiation therapy should solve. Delivered
the task determines the methodology, technique of X-ray therapy, the amount of doses. The choice of X-ray radiation among other types of ionizing radiation must be justified. The latter is done by analyzing the depth of the pathological focus, the dose fields created by radiation of different energies with different types of irradiation. Depending on the nature, shape, size, localization and stage of the pathological process, as well as on the condition of the surrounding tissues and the general condition of the body, a plan for conducting x-ray therapy is drawn up.

The absorbed doses of radiation in the focus for the procedure, session, the entire course of treatment, as well as, respectively, the permissible surface doses of radiation, are calculated, the size, number and location of fields or irradiation zones, the conditions for centering and forming the radiation beam, the rhythm of irradiation, etc. are determined.

The X-ray therapy session should be preceded by: 1) precise localization and determination of the size of the pathological formation and its projection on the skin; 2) adjusting the X-ray apparatus for irradiating this patient; 3) beam centering. During a X-ray therapy session, it is necessary to continuously monitor the correct execution of a given irradiation program by direct visual observation or using special devices.

The general requirement of radiation therapy is to obtain a positive result with minimal damage to healthy tissues surrounding the pathological focus.

The cause of many radiation injuries in the form of trophic ulcers, tissue atrophy, etc. (see Radiation damage), sometimes occurring during X-ray therapy, is ignoring this requirement.

In connection with the expansion of the possibilities of using high-energy radiation sources, X-ray therapy is used mainly with a relatively shallow location of the pathological focus and with the possibility of using small doses of radiation.

X-ray therapy is used alone or as an element of combined (with surgery), complex (with chemotherapy) or combined (with other types of radiation) treatment (see Radiation therapy). As a rule, it should be supplemented by a number of concomitant therapeutic measures (hemotransfusion, vitamin therapy, drug, hormonal treatment, etc.).

Remote X-ray therapy is indicated for round cell sarcomas, especially for lymphosarcomas, for lymphoepithelial and reticuloendothelial tumors, early stages of cancer of the vocal cords; close-focus radiotherapy - for skin cancer, squamous cell carcinoma of the mucous membranes, primary malignant melanomas. The optimal total absorbed dose, depending on the nature and localization of tumors, as well as a number of other factors, can vary between 3000-12000 rad. Single absorbed doses are often 150-200 rad. With close-focus X-ray therapy, they are approximately twice as high. The rhythm of irradiation depending on the nature of the tumor may be different.

In X-ray therapy of non-tumor diseases, single doses in the focus should not exceed 25-80 rad, and the intervals between exposures should not exceed 3-7 days. A more acute inflammatory process requires smaller single and total doses and longer intervals between exposures. Sometimes 1-2 exposures are enough to provide a resolving effect or stimulate abscess formation. In subacute and chronic processes, large doses and somewhat shortened intervals between exposures are used. The total absorbed dose and the number of exposure sessions are determined by the course of the disease. More often spend 4-6 exposures.

The reaction of the body (see Radiation sickness) with conventional X-ray therapy, as a rule, is more pronounced than when exposed to radiation of higher energies. Sometimes these radiation reactions become a severe complication requiring special therapeutic measures. The severity of reactions often serves as a criterion in assessing the advantages or disadvantages of one or another variant of radiotherapy.

Try calling hospitals. There are no X-ray therapy units in polyclinics.

Wearing insoles with a heel spur reduces injury to soft tissues in the pain area of the heel, they are convenient to use with any shoes. After the use of correctly and high-quality insoles, the need for taking hormonal drugs, or using shock wave therapy for heel spurs, usually disappears completely.

Treatment of heel spurs with radiotherapy

X-ray therapy of a spur on the heel is performed on an outpatient basis and is absolutely painless. This procedure has no contraindications and is aimed at blocking the nerve endings, which leads to a decrease in pain. A low-dose X-ray beam is directed to the spur, which is clearly fixed in the place of the heel where the spur is located. The treatment of heel spurs with X-ray therapy lasts only ten minutes. The spur itself does not disappear after X-ray therapy, but the pain ceases to torment the patient. Usually ten sessions are enough.

Another folk remedy is a grated onion compress. Grate one small head of onion, place the mass in a plastic bag and lower your leg into it. From above, it is necessary to tie a bag of onions to the leg with something warm, preferably a downy scarf, so that the warming process begins. The compress is done at night, in the morning the leg is not washed, but simply wiped with a handkerchief. The procedure must be done 2-3 times.

A paid clinic specialist or your doctor will talk about how to treat a heel spur with medicines, and folk remedies for the disease are presented below. Also, the specialist will recommend a set of procedures aimed at treatment, such as mud applications or mineral baths, and the symptoms of heel spurs will go away. An ultrasound and x-ray will help determine how to cure a heel spur so as not to bring it to surgery.

Pronounced analgesic, desensitizing and anti-inflammatory effects.

X-rays are directed to the heel bone, which immediately block the nerve endings and reduce pain. Since in this disease the main symptom is pain, the effect of X-rays greatly facilitates the movement of patients and improves the quality of life.

analgesic effect. Irradiation reduces pain sensitivity and relieves pain.

The effectiveness of the method in the treatment of heel spurs

In general, X-ray therapy refers to radiation methods that use X-ray radiation (energy from 10 to 250 kV) for therapeutic purposes. Moreover, two types of X-rays are used:

short irradiation sessions - one treatment takes only 10 minutes

With a properly selected irradiation scheme and the absence of contraindications to treatment, side effects do not develop.

X-ray treatment is becoming popular again due to the advent of modern innovative equipment, with which it is possible to accurately calculate and dose the radiation load on the patient.

Advantages and disadvantages of radiotherapy

When choosing medications for treatment, be sure to consult a doctor and do not self-medicate.

In recent years, preference has been given to the method of treating heel spurs with ultrasound. During the procedure, the most painful areas on the heel are warmed up, but not higher than two degrees from the natural temperature of the body. This allows you to speed up metabolic processes and regenerate damaged tissues. Ultrasound improves the process of blood microcirculation, has an antispasmodic and resolving effect.
From a heel spur, a folk remedy or medicine made from chicken eggs and lard also helps. 100 g of lard must be poured with 100 g of vinegar essence, then add 1 chicken egg with shell and mix well. Next, the medicine should be put in a dark place for 10 days, while periodically stirring it. Having steamed out the sore leg, it is necessary to put a swab dipped in the present medicine for 5-6 hours on the sore spot. If a burning sensation occurs, it is recommended to stop treatment.
The operation - as a method of getting rid of a heel spur - is tried to be used very rarely, since it does not eliminate the causes of the disease and thus cannot give full confidence in a complete cure. Even in the absence of this disease at the moment, you should know everything about it. This knowledge is necessary in order to subsequently take quick measures on how to cure an unpleasant sensation in the heel.
The course does not require hospitalization.

But you need to know that X-ray treatment is not a panacea for the treatment of heel spurs. It is the complete unloading of the foot and the combination with other methods of treatment that will lead to relief of the condition. If you do not remove the main causes of the disease (uncomfortable narrow shoes, high heels, excess weight, and so on), then you will have to return to the need for treatment again and again.

Desensitizing effect. Eliminates signs of hypersensitivity of tissues.

Contraindications

Short focus therapy, in which the energy used does not exceed 60 sq. This type of X-ray therapy is used to treat tumors, as well as other growths of body tissue, located shallow from the surface of the skin (6-7 cm);

high efficiency, good analgesic effect

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Treatment with x-rays

Modern scientific research and practical experience in clinical use have shown that low-dose X-ray therapy has a very high therapeutic effect. According to some reports, the elimination or significant reduction of pain in heel spurs is observed in 70-90% of cases. Approximately a third of patients notice an improvement in their condition after 3-4 sessions.

X-ray therapy uses a narrow beam of ionizing radiation. It is well known that such radiation destroys cancer cells and stops the growth of benign tumors. But few people know that irradiation is also successfully used to treat many non-tumor diseases, including surgery. The idea is to use low doses of radiation that only affect diseased tissue. Healthy tissue is less sensitive and is not destroyed as a result of such exposure. It has been proven that radiation exposure has a high anti-inflammatory and analgesic effect.
Video about the treatment of spurs:

Excellent results are noted in the treatment of heel spurs with medical bile, a purified product is used. The patient can use medical bile with a heel spur even at home. It is readily available at any drugstore and is dispensed without a doctor's prescription. The procedure is carried out at night in the form of applying a lotion to the area of the sore heel. A piece of cotton cloth or gauze is moistened with bile and applied to the heel, then it should be covered with polyethylene on top and secured with a tubular bandage of the appropriate size. For better warming, it is recommended to wear a sock on the foot. In the morning, the lotion must be removed, and the heel should be wiped with boric alcohol or lotion, it is better not to wash it. The use of medical bile in the treatment is recommended for at least 20 procedures. It is not advisable to take a break in treatment. The use of medical bile for heel spurs helps to completely get rid of the disease, subject to the full course of treatment.

Birch bark is an excellent folk remedy for heel spurs.

The effect of radiotherapy

All types of treatment can be divided into three groups: folk remedies, drug therapy and other types of treatment. It is worth considering each of the groups.
If necessary or if the disease worsens, X-ray treatment can be repeated after 2-3 months. The method itself is inferior in effectiveness to shock wave therapy, and this is its minus. But, on the other hand, this is an extreme measure, which is resorted to in cases where all other methods of treatment have not had the desired effect. In practice, it turns out that an orthopedic doctor can resort to such treatment before prescribing surgery.
It is impossible to carry out the method of X-ray therapy only during pregnancy and during breastfeeding. In other cases, the method has no contraindications.
Treatment of heel spurs with X-rays is carried out as part of complex therapy and in most cases gives a positive effect. In patients, after several sessions, signs of inflammation are removed, bone growths are destroyed, and pain at the site of soft tissue injury decreases, and then completely disappears.

long-focus therapy, when the penetration depth of the rays is from 30 to 60 cm, and the length of the rays is from 60 to 250 sq.

How is the treatment

X-ray therapy may be the only treatment option in elderly patients

Dear readers! Our articles talk about typical treatments, but each case is unique. Do not self-medicate. We have a rating of doctors on our website who can help treat heel spurs.

The use of radiotherapy in the treatment of heel spurs is possible due to the fact that the inflamed tissues of the foot are easily accessible for targeted exposure. X-rays are directed to the sore spot from the side of the sole, back of the foot, or Achilles tendon.

Carrying out the procedure

Victoria Andriadi

We will describe in detail the main groups of medicines for the treatment of heel spurs:

It is necessary to twist the birch bark flagellum, wrap it with a bandage and place it in the shoes in the form of a pretzel. The heel should fit exactly into the resulting hole, which will significantly reduce the load on the inflamed area.

For the treatment of heel spurs, folk remedies use ordinary natural products that can be found at home or bought in a store.

Advantages of the method

Reviews for heel spur radiotherapy are always positive. And in the course of research, it was proved that exposure to small doses of radiation from X-rays does not cause any harm to the body and does not cause side effects.
The procedure is absolutely painless and does not cause discomfort to the patient.
The physiotherapeutic effect that is carried out during the treatment of heel spurs is very useful and gives good results. Before the advent of shock wave treatment, the X-ray method was almost the only method that gave good results in conservative treatment.
Depending on the depth of exposure to the rays, two types of X-ray tubes are used. The mechanism of action and the effect of therapy are based on the suppression of cell growth processes, as well as the processes of destruction (destruction) of some cells. These processes are due to the absorption of rays by certain tissues (in the region of the focus of pathology).
The main and fundamental disadvantage of the method is its potential health risk due to the harmful effects of ionizing radiation on the human body. The safety of radiotherapy for heel spurs can hardly be considered conclusively proven, since this requires extensive long-term follow-up of patients. Another important disadvantage is the lack of standard treatment protocols depending on the clinical picture of the disease and other factors. This means that the treatment is prescribed subjectively, which does not guarantee the choice of the most effective and at the same time the safest radiation regimen.
The success of the treatment is assessed after several months, since the effects of radiation are observed even after the completion of the entire course.

The technique uses radiation generated at an X-ray tube voltage of 10 to 250 kV. The choice of a specific method of exposure (short-distance or deep remote therapy), doses and number of sessions should be selected strictly individually. The strategy and tactics of treatment depend on the timing of the onset of the disease, the degree of damage to the joints and ligamentous apparatus, and the severity of clinical symptoms. Ideally, the doctor should choose the minimum dose of radiation that has a therapeutic effect.

In 132 p-ke they did until recently, VAO. Call.

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Heel spur: treatment, therapy and folk remedies

Non-steroidal anti-inflammatory drugs. The most common drug Ibufen - improves microcirculation, is used in the form of gels and creams. Flexen (Ketoprofen) is also used after meals in the form of gelatin capsules and Voltaren (Diclofenac) is used in the form of tablets once a day.

In fact, there are a huge number of folk methods of treatment and it is simply impossible to tell about all of them. The main thing to remember is that treatment with folk remedies is a long process, and the effect is not visible immediately, but after a few weeks.

One of the folk remedies for heel spurs is a curd bandage

Heel spur is a degenerative-inflammatory disease of the soft tissues of the foot, a bone growth that looks like a wedge or spike that forms on the sole in the calcaneus, it is necessary to treat the heel spur in a timely manner.

The duration of the session is no more than 10 minutes, which reduces the time for the course of treatment.

In the treatment of the disease, short-focus and long-focus therapy are used. With the help of short-focus exposure, the area of \u200b\u200bthe skin is treated, as well as the adjacent fascia and ligaments. With the help of long-focus radiation, bone tissue and the growths present on it are irradiated.

Folk remedies for heel spurs

The results of X-ray treatment depend on the age, general condition of the patient, dose, radiation rhythm, as well as on the stage of the disease and the severity of clinical symptoms.

Possible negative psychological aspects should also be mentioned, which are associated with a completely understandable fear of any radiation exposure. If after some time the heel starts to hurt again, repeated X-ray therapy is prescribed only if the first course is effective and not less than six months after its completion .

Usually, several sessions of irradiation are prescribed with intervals between them from 1-2 to several days. On average, the course is designed for 3-4 weeks, and one session lasts about 10 minutes.

Topical anti-inflammatory drugs. The treatment of heel spurs with Dimexide (Dimethyl sulfoxide) is very popular. This drug penetrates deeply to the focus of inflammation through the skin and has an analgesic and anti-inflammatory effect. It is used in the form of gauze applications moistened with Dimexide solution. The duration of the procedures is 1-2 weeks.

In the treatment of heel spurs, many conservative methods are used. These include several types of therapy, which we will discuss in more detail. . Place three tablespoons of fresh cottage cheese on a bandage rolled up in several layers and apply overnight to a sore spot. The procedure is carried out for three nights in a row.

The disease is accompanied by sharp burning pains when walking or simply resting on the heel. The reasons can be: flat feet (high load on the heel area), age-related bone changes (more often after previous injuries), rheumatism, vascular or neurodystrophic disorders. Often spurs are formed as a result of inflammation of the mucous bags (achilobursitis) or inflammation of the muscle tissues of the soles (fasciitis).

Therapy for heel spurs

To achieve a therapeutic effect, a course of 10 procedures is usually enough.

Shock wave therapy for heel spurs

From the point of view of the convenience of exposure, the heel spur is located away from other organs and systems, therefore, with short-term irradiation of bone growths, no harm is done to other organs. How to get rid of a heel spur using x-ray treatment?

X-ray therapy for heel spurs

Anti-inflammatory effect. X-rays suppress inflammation well and relieve its symptoms.

Heel spur treatment with ultrasound

Relative contraindications for radiotherapy for spurs include age up to 40 years.

Other Treatments for Spurs

We list the advantages of the method. These include:

With short-range X-ray therapy, irradiation is carried out from small distances (6-7.5 cm from the skin surface). Such an effect is prescribed for resorption of inflammation of the surrounding tissues, fascia and ligaments. This method of irradiation practically does not affect the bone spike itself.

at the regional clinic
Hormonal preparations: Hydrocortisone - is used in the form of a cream or gel, reduces the lumen of capillaries and vascular permeability. The course does not exceed 14 days; Diprospan (Betamethasone) - is used as an injection at the site of inflammation with a dosage of 0.5 ml.
Shock wave therapy for heel spur treatment (HTS) - helps to reduce pain sensitivity, loosen and reduce ossified areas, and improve blood circulation. Installed on the patient's skin, the device sends impulses to the inflamed area and reduces pain. Treatment of heel spurs with shock wave therapy gives amazing results in a short time.
The use of table salt is also one of the traditional methods of treatment. To relieve pain, it is recommended to walk on the spilled salt with a bare heel for 15 minutes.
When choosing a method for treating a heel spur, all factors, including the cause of the disease, should be taken into account. To determine the best methods to get rid of heel spurs, you need to consult with your doctor. Many are afraid to do this, because they think that the disease will only have to be treated surgically. However, there are various treatments for this disease. As a rule, it is more effective to treat the disease in a conservative way, that is, with the help of massages, physiotherapy procedures, and reducing the load on the inflamed area.

A minimum of contraindications (except for pregnancy and lactation) and no side effects.

One treatment lasts only 8-10 minutes. The number of necessary procedures is determined only by an orthopedic doctor and depends on the individual characteristics of the patient and the severity of the disease. The average number of sessions is 9-10.

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Where in Moscow you can do X-ray therapy for heel spurs

destructive action. Old cells are destroyed and the process of cell renewal starts.

Absolute contraindications for use are:

absolute painlessness

For remote X-ray therapy, more intense radiation is used, generated at a voltage on the tube from 60 to 250 kV. In this case, irradiation is carried out from a distance of 30 to 60 cm and can reach deep pathological foci, as well as directly affect the bone spike. This type of radiotherapy should be used with extreme caution.

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Local anesthetics: Novocain blocks impulses in nerve endings, removes pain.