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
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
