Shinz disease is a fairly common disease of people who engage in sports and / or lead an active lifestyle. Such a way of life in terms of getting injuries and problems with tendons and limbs has a lot of risks, but without movement and sport is fully it's impossible to live. Shinz's disease is usually observed in children and adolescence from 7 to 15 years, and most often the nucleus of ossification in the throat of the calcaneus develop in boys from 9 to 11 years, in girls from 7 to 8 years. In the pathological process, both both, and one limb, can be involved.
Shinz's disease is aseptic necrosis of the spongy bone (the bone is destroyed against the background of its insufficient blood supply), leading to a violation of the processes of ossification. The causes of Schinz's disease are not fully determined to date. Most often, this lesion occurs after excessive physical exertion or trauma, with both the girls and boys affected with the same frequency. Unilateral lesion is diagnosed much more often than bilateral
Symptoms of Shinz's disease
The disease can begin either gradually or acutely. In acute course, the disease of Shinz begins with an acute, gradually increasing in the area of the heel of pain, which is especially acute after a certain load (prolonged walking, running, etc.). Above the calcaneal tubercle there is a painful palpation swelling without pronounced signs of inflammation. In the place of attachment to the heel bone of the Achilles tendon, painful sensations are noted, extension and flexion of the foot is difficult. Patients move limp, leaning on the front of the foot.
Diagnosis of Schintz disease is based on the results of radiological (fragmentation and consolidation of the apophysis, roughness of the calcaneus calcaneus) and clinical data. It is necessary to conduct differentiated diagnostics with such diseases as osteomyelitis, periostitis, bursitis , heel bone tuberculosis. If the disease is observed in older people, it is necessary to exclude the so-called "heel spur"
Shinz's disease - treatment
Treatment of Schintz disease is often conservative. The tactic of treatment is the maximum restriction of physical activity. If the pain is markedly increased with support on the heel of the pain, the affected limb should be fixed with a plaster langette. With severe pain, the use of analgesics and physiotherapy is indicated. A fairly good effect gives warm baths and ozocerite applications.
In the aftermath, the manufacture and subsequent wearing of individual orthopedic insoles is recommended to reduce impact loads on the heels and unload the rear of the foot. In case of impossibility of individual manufacture, such insoles can be found in orthopedic shops, or in drugstores.
If your child is diagnosed with Schintz's disease, it should not be frightened, since in the case of proper treatment, the disease always ends in complete recovery.