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Выступ может иметь шиповидную или клиновидную форму и быть размером от 2 до 13 мм [5](https://www.fdoctor.ru/bolezn/pyatochnaya_shpora/).\n\n\n\n## Причины\nНекоторые причины пяточной шпоры: \n* **Избыточная нагрузка на стопу** — продолжительное стояние, хождение по твёрдым поверхностям, интенсивные тренировки без должной амортизации [6](https://www.VIDAL.ru/encyclopedia/terapiya/piatochnaia-shpora). \n* **Плоскостопие и высокий свод стопы** — нарушают распределение нагрузки, создавая точечное напряжение в месте крепления фасции [6](https://www.VIDAL.ru/encyclopedia/terapiya/piatochnaia-shpora). \n* **Возрастные изменения** — после 40–45 лет эластичность связок снижается, а регенерация тканей происходит более медленно [6](https://www.VIDAL.ru/encyclopedia/terapiya/piatochnaia-shpora). \n* **Травмы и микроразрывы фасции** — возникают при резких движениях или перенапряжении [6](https://www.VIDAL.ru/encyclopedia/terapiya/piatochnaia-shpora).\n\n## Симптомы\nОсновное проявление — **интенсивная боль в пятке**, которая особенно заметна при первых шагах после периода покоя либо длительной нагрузки [6](https://www.VIDAL.ru/encyclopedia/terapiya/piatochnaia-shpora). Характерна «стартовая боль», когда неприятные ощущения сначала сильные, но уменьшаются после расхаживания [6](https://www.VIDAL.ru/encyclopedia/terapiya/piatochnaia-shpora). \n\nТакже возможны: \n* припухлость и краснота кожи в области пятки [13](https://locmr.ru/articles/pyatochnaya-shpora/); \n* болезненность при нажатии в точке прикрепления подошвенной фасции к пяточной кости [13](https://locmr.ru/articles/pyatochnaya-shpora/). \n\nВ запущенных случаях из-за болей человек начинает щадить поражённую ногу и прихрамывать, нарушается походка [13](https://locmr.ru/articles/pyatochnaya-shpora/).\n\n## Диагностика\nТочный диагноз пяточной шпоры может поставить только врач-ортопед после комплексного обследования [13](https://locmr.ru/articles/pyatochnaya-shpora/). Некоторые методы диагностики: \n* **Рентгенография** — позволяет обнаружить характерный костный «шип» и исключить другие заболевания пяточной области — переломы, опухоли [13](https://locmr.ru/articles/pyatochnaya-shpora/). \n* **УЗИ мягких тканей** — визуализирует зону утолщения и воспаления подошвенной фасции, а также сопутствующий отёк [13](https://locmr.ru/articles/pyatochnaya-shpora/). \n* **МРТ** — даёт детальную картину патологических изменений связочно-мышечных структур стопы [13](https://locmr.ru/articles/pyatochnaya-shpora/).\n\n## Лечение\nЛечение пяточной шпоры направлено на уменьшение боли, воспаления и предотвращение повторных травм подошвенной фасции [13](https://locmr.ru/articles/pyatochnaya-shpora/). Некоторые методы: \n* **Ограничение нагрузки на поражённую стопу** — рекомендуется избегать длительного стояния, ходьбы на большие расстояния, ношения неудобной обуви [13](https://locmr.ru/articles/pyatochnaya-shpora/). \n* **Подбор ортопедических стелек и подпяточников** — они поддерживают свод стопы, перераспределяют давление с пятки на другие отделы [13](https://locmr.ru/articles/pyatochnaya-shpora/). \n* **Физиотерапевтические методы** — ультразвуковая, ударно-волновая терапия, лазеротерапия — оказывают противовоспалительное, обезболивающее, рассасывающее действие [13](https://locmr.ru/articles/pyatochnaya-shpora/). \n* **Медикаментозная терапия** — обычно включает нестероидные противовоспалительные препараты (НПВС) для купирования боли и блокировки воспаления [13](https://locmr.ru/articles/pyatochnaya-shpora/). \n\n**Хирургическое лечение** назначают, если консервативное лечение не помогает в течение нескольких месяцев, а повреждения, вызванные пяточной шпорой, вызывают сильный дискомфорт [14](https://gemotest.ru/info/spravochnik/zabolevaniya/pyatochnaya-shpora/). 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