▲ Heel pain should be diagnosed and treated by a doctor as soon as possible, and do not force yourself; the picture is a photo of the situation, and the characters in the picture have nothing to do with this article.

(Photo credit: shutterstock)

Text/Xu Weijing

40-year-old Mr. Li recently signed up for 3 marathons, and stepped up his training whenever he had time. However, he accidentally touched the ground with his heel while running on a mountain road, which caused him to feel pain in his heel during subsequent practice. ", but the pain was so painful that I couldn't even put on my shoes. After medical examination, it was confirmed that it was "subcutaneous calcaneal bursitis" and "retrocalcaneal bursitis". Fortunately, after treatment, I was able to continue training and finally finished the race smoothly.

Due to the easing of the epidemic, many runners are gearing up, but because they have not practiced for a long time, many people's muscle strength and endurance have dropped a lot. In order to barely keep up with the training schedule, Mr. Li injured his heel, but he had to grit his teeth Support, recently there have been many cases of similar medical treatment in outpatient clinics. Some people interrupted training because of this, and some finished the race with unsatisfactory results, and the pain became worse after the race.

Please read on...

The "heel" is one of the most frequently injured parts of athletes. It can be subdivided into "behind the heel" and "sole of the heel" according to the injury site. The former injury disease includes Achilles tendonitis or laceration, retrocalcaneal synovial bursitis, etc., while the latter includes subcutaneous calcaneal bursitis, fat pad contusion, and plantar fasciitis (as shown in the figure).

Among them, "subcutaneous calcaneal bursitis", "retrocalcaneal bursitis", and "Achilles tendonitis" are common causes of heel pain; the original function of the synovial bursa is to provide lubrication and reduce tissue loss. friction between feet, but excessive friction can lead to inflammation, leading to swelling, heat, and pain in the heel and ankle area.

▲The doctor checks whether the patient's heel is injured through ultrasound.

(Photo courtesy/Xu Weijing)

Extracorporeal shock waves can shorten the course of treatment

However, heel pain is difficult to distinguish due to its symptoms or appearance. It is necessary to seek medical attention and undergo ultrasound examinations to diagnose it correctly. If the symptoms persist and are difficult to relieve, or if you need to resume training as soon as possible, you can consider receiving extracorporeal shock wave therapy, which may shorten the treatment time. Mr. Li used this to relieve the pain and successfully completed the race.

However, if degeneration or tearing of the Achilles tendon has been observed under ultrasound, it is necessary to take a complete rest and wait for the symptoms to be relieved before moderate stretching exercises, combined with core and lower limb muscle strength and muscular endurance training, can gradually return to Train normally and get back on the track in good health.

Remind the public to exercise step by step, avoid short-term excessive exercise, warm up fully beforehand, and choose sports shoes that fit your feet and have proper arch support. In addition, weight is also one of the killers of ankles. If you can cooperate with weight loss, you can reduce the weight of your feet. Take the burden on your body and reduce the chance of injury. Finally, remember that if you have symptoms of discomfort, do not hold on hard, so as not to aggravate the symptoms, but the loss outweighs the gain.

(The author is an attending physician at the Department of Rehabilitation, Affiliated Hospital of Asia University)

▲The "heel" is one of the most commonly injured parts of athletes.

(Photo courtesy/Xu Weijing)

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• Bursitis

• muscular endurance

• heel

• heel

• Health Net - Bones

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