Calcaneal spur and chronic bursitis
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THE PRESENTATION IS FILLED WITH ALL THE INFO ABOUT CALCANEAL SPUR AND CHRONIC BURSITIS , SURGERY TOPIC AT THE END OF THE PRESENTATION HOMEOPATHIC MANAGEMENT OF THE TOPIC IS ALSO INCLUDED WHICH MAKES EASIER FOR THE HOMEOPATHS TO STUDY THERAPEUTICS
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Calcaneal spur and chronic bursitis
- 1. Calcaneal spur and Chronic bursitis
- 2. OBJECTIVES : Introduction Etiology Clinical features Treatment Homoeopathic management
- 3. Calcaneal spur is a spike of bone at the anterior edge of the calcaneal tuberosity. It may be seen on the posterior aspect of the calcaneum also.. and it is called as the Retrocalcaneal spur.
- 4. Causes: Due to repeated attacks of plantar fascitis. Due to repeated trauma. Constant pulls of Shortened plantar fascia. Ill fitting footwear. About 10% of population have asymptomatic heel spurs. Spur has no therapeutic or prognostic significance.
- 5. Clinical features: The patient complains of pain over ball of heel. Tenderness on plantar aspect of heel. Slight swelling at the plantar aspect of fascia. It is due to fibrositis Or traumatic detachment of Plantar fascia and doesnot give any symptoms per se And the pain present is due to causative condition and not due to spur.
- 6. Treatment include Conservative methods like treating the causative factors, rest, NSAIDS, Local infiltration of hydrocortisone. Surgery is indicated when no relief is seen with conservative treatment. Osteotomy of calcaneus. Decompressing operation with multiple drill holes in calcaneus.
- 7. Bursitis: Inflammation in a normally situated bursa or in an adventitious bursa. It may arise from mechanical irritation or from bacterial infections.
- 8. There are two types of bursitis : Irritative bursitis Infective bursitis Irritative bursitis is commoner. It is caused by excessive pressure or friction, occasionally due to a gouty deposit. Inflammation of the bursa results in the effusion of a clear fluid within the bursal sac.
- 9. Treatment include Analgesics, rest, removal of causative factor i. e., friction or pressure. Very rarely, excision of bursa is required. Infective bursitis is due to pyogenic or tubercular infection. It occurs in trochanteric bursa or prepatellar bursa. Treatment is by surgical drainage and antibacterial drugs.
- 10. Common bursites : Prepatellar bursitis Infrapatellar bursitis Olecranon bursits Ischial bursitis On lateral mallelous On great toe
- 12. Homoeopathic management : Calc. flour Rhustox Ammon. Mur Aranea Aurum. Met Mezerium Ruta
- 13. THANK YOU