Совсем не шутки! Боль и жжение в стопе — почему так бывает!


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Наша стопа — сложное анатомическое образование с большим количеством костей, связок, мышц.

Стопа выдерживает большие нагрузки и совсем неудивительно, что она может болеть. Причины понятны, когда ноги гудят после целого дня на ногах или в неудобной обуви.

Но бывает так, что боль в стопе возникает даже в покое и не имеет объяснимых причин.

Вместе с Олегом Гетманенко, травматологом-ортопедом Кунцевского центра Evolutis clinic, обсуждаем главные ситуации, почему может болеть стопа в самых разных областях: от пятки до пальцев.

Почему болят стопы

Поиск причин стоит начинать с наиболее возможных и часто встречающихся вариантов. Основные варианты, если дело не в тесной или неудобной обуви и больших нагрузках, читайте ниже.

№ 1 — плоскостопие

Это деформация продольного или поперечного свода стопы, когда свод деформируется, а стопа становится плоской. Плоскостопие может развиваться из-за травм или перенапряжения, больших нагрузок, лишнего веса.

№2 — травмы стопы

Причиной боли могут стать самые разные травмы:
♦ переломы костей — сопровождаются отеком и гематомой, есть заметная деформация стопы, боль сильнее при движении и опоре на ногу;

♦ вывихи суставов
♦ травмы связок: растяжения, разрывы.
Травмы возникают после падений, ушибов, больших физических нагрузок.

№ 3 — артриты

Это воспаления суставов (в стопе их более 30), которые возникают из-за инфекций, аутоиммунных заболеваний, нарушения обмена веществ и других причин.

Воспаленный сустав может болеть, опухать, краснеть. Без лечения артрит может привести к разрушению защитного хряща на окончаниях костей, ограничению подвижности.

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№ 4 — пяточная шпора

Это костный нарост на пяточной кости, который возникает в месте прикрепления подошвенных фасций к пяточной кости.

Возможны внутренняя шпора или внешняя (ахиллова) в месте прикрепления ахиллова сухожилия.

Главная причина заболевания — долгое воспаление подошвенной фасции, ее травмы, укорочение и избыточное отложение кальция. Подробнее о проблеме мы уже рассказывали здесь.

№ 5 — подагра

Воспаление суставов на стопе (обычно начинается с большого пальца) из-за отложений солей мочевой кислоты в суставе.

Беспокоит сильная боль, которая чаще всего возникает ночью, сустав краснеет, отекает, становится более горячим на ощупь, ограниченным в движении.

Приступы длятся несколько часов, а без лечения проблема распространяется на другие суставы. Для лечения назначают медикаментозные препараты, коррекцию диеты (главным образом отказ от мясных продуктов, алкоголя).

№ 6 — остеомиелит

Это воспаление костных тканей из-за бактериальных или грибковых инфекций (самые частые возбудители золотистый стафилококк или гриб Candida). Требуется срочное лечение, чтобы избежать распространения воспаления.

№ 7 — диабетическая стопа

Так говорят о характерном для сахарного диабета поражении периферических нервов. Обычно, оно начинается со стопы, позже распространяется на ноги и руки.

Для этого состояния характерны боли (усиливаются ночью), чувство «мурашек», онемение и ухудшение чувствительности в пораженных участках. Подробнее о диабетической стопе можно узнать здесь.

№ 8 — тендовагинит

Это самая частая причина боли в подъеме стопы, когда воспаляется синовиальное влагалище сухожилий, которые идут от передней большеберцовой мышцы к пальцам.

Беспокоит тянущая боль в стопе, кожа краснеет, может быть хруст при движениях. Причина в неправильной обуви, перегрузках, долгих тренировках.

Это не полный перечень возможных причин боли в стопе. Список можно продолжить воспалениями мышц, невромой Мортона (утолщение общепальцевого нерва), артрозом суставов и другими патологиями.

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Рекомендуем не гадать о причинах и не экспериментировать с лечением, а обратиться к травматологу-ортопеду. После постановки диагноза назначается комплексная терапия.

В нее могут входить ношение удобной обуви и индивидуально изготовленных ортопедических стелек, ЛФК, физиотерапевтические процедуры, лечебный массаж, медикаментозная терапия и другие методы.

Рекомендуем не затягивать с консультацией, если:
♦ боль возникла после травмы, ушиба;
♦ боль не прошла за несколько дней или появляется неоднократно;

♦ смена обуви и уменьшение нагрузок не дали результата;
♦ на стопе есть отек, синяки, покраснения, участки с повышенной температурой;
♦ ухудшилась чувствительность ноги.

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