A heel spur is a calcium formation located at the bottom of the heel bone. Calcium deposits do not always cause inconvenience and can be completely painless, however, in some cases people experience excruciating pain in the heel area. Sometimes the pain is so strong that a person cannot step on his foot.
The phenomenon of heel spurs has not yet been fully studied. It is known that formations can be a consequence of arthritis, diffuse hyperosterosis and ankylosing spondylitis. Often, the presence of a heel spur is discovered accidentally during an X-ray examination. In this case, the prerequisites for the development of calcium formation may not be identified. On an x-ray, a heel spur is recognized by the presence of a protrusion on the bone, ranging in size from 5 mm to 1 cm.
The cause of heel spurs is the long-term process of calcium deposition in the lower part of the heel bone. The spur does not form quickly: the calcium deposit is formed over a long period of time - several months, years. Other causes of deposits include muscle and ligament sprains, ruptures of the membrane covering the heel bone, and stretching of the plantar fascia. These injuries occur especially often in athletes who are actively involved in running and jumping.
The appearance of spurs is often observed in patients suffering from plantar fasciitis. According to researchers, at least 12% of the adult population have heel spurs. Of these, 5% of people experience pain in the foot area, most often in the heel. In most cases, surgical removal of the spur is not required.
Heel spurs, as a rule, have fairly specific symptoms that are almost impossible to confuse with manifestations characteristic of other diseases. It is worth noting the fact that in some cases the disease may occur without any symptoms.
Often a person learns about the presence of a heel spur as a result of an x-ray examination, the need for which arises if a fracture or dislocation is suspected. However, in the vast majority of cases, people suffering from heel spurs experience the following symptoms of the disease:
Over time, the growth injures the tissues bordering the spur, which become scarred. Thus, further accumulation of insoluble calcium compounds occurs. An increase in the volume of calcium deposits leads to irritation of bone elements, mucous membranes of joints, that is, all nearby tissues.
As a result of the process described above, local inflammation appears - the second symptom of a heel spur, which not only significantly increases pain, but also provokes an increase in pain even in the absence of the load characteristic of its occurrence.
Experts call difficulty when trying to move for the first time after a night's sleep a sure symptom of a heel spur. During the day, with constant walking, the pain subsides, however, as evening approaches, the unfavorable sensations return. The reason for the increased pain is the accumulation of fatigue from all movements during the daytime.
Another symptom that may indirectly indicate the presence of a heel spur is a change in gait. Often, such a manifestation is clearly visible to outside observers rather than to the person himself who has a growth on the heel bone. Gait changes as a result of natural human behavior: pain in the heel forces you to shift your center of gravity, which sometimes happens involuntarily. If you move systematically in this way, you may develop transverse flat feet.
Patients initially characterize pain due to inflammation as a result of the pressure of the heel spur on the soft tissues as a pin sticking out from the bottom of the foot. As the load increases, the pain becomes dull and aching. After a sharp rise from a sitting or lying position, after a long stay at rest, the pain becomes acute again.
At the initial stage of diagnosing a heel spur, the doctor clarifies the patient’s complaints, studies his medical history and conducts an initial examination of the limb, which allows him to identify the symptoms and factors causing the spur:
In some cases, to confirm the diagnosis and prevent complications in advance, specialists resort to instrumental research methods, one of which is radiography. An X-ray image shows a clear image of bone tissue, looking at which an experienced doctor can immediately exclude a fracture or arthrosis from the supposed causes of spur formation.
Another informative research method widely used in diagnosing heel spurs is MRI. Unlike X-rays, magnetic resonance imaging visualizes not only bones, but also soft tissues in good quality. Obtaining information about the condition of the ligaments and cartilaginous tissues in the foot makes it possible to diagnose damage to the Achilles tendon, plantar fascia, and, possibly, damage to cartilaginous tissue due to arthritis resulting from the formation of a heel spur.
In terms of image quality, another method for diagnosing heel spurs, ultrasound, is significantly inferior to MRI, but is absolutely harmless. The guarantee of complete safety allows the use of ultrasound at the stages of testing the effectiveness of treatment measures.
Treatment of heel spurs is currently carried out by conservative methods and surgical intervention (removal). Surgical treatment methods are used only if there is no effect from conservative treatment within a year.
Among the medications that are used as part of the medical treatment of spurs on the heel bone, it is worth noting one of the drugs from the NSAID group - ibuprofen. The medication can be taken and used both in the form of tablets internally and externally - in the form of gels and ointments. Other medications may be used as directed by your doctor.
An effective treatment for heel spurs is extracorporeal shock wave therapy or ESWT. This procedure may also be called shock wave therapy. This procedure involves the creation of powerful pulses of sound waves aimed directly at the site of calcium formation. Under the influence of impulses, the calcium deposit is crushed, that is, the heel spur is destroyed. The ESWT procedure in some cases allows one to avoid surgical treatment and also promotes tissue regeneration of the plantar fascia.
Physiotherapy methods such as laser therapy, cryotherapy and electrophoresis can significantly reduce the inflammatory process and reduce pain in the plantar fascia.
Preventive measures aimed at preventing the occurrence of heel spurs have a primary goal of stopping premature wear and tear of bones and joints. Currently, the prevention of heel spurs involves the following active actions:
Comfortable shoes are of decisive importance in preventing the development of calcium deposits. Shoes with a heel of no more than 4 cm, which do not compress the foot, do not have a traumatic effect on the feet. It is important to maintain a balance: you cannot always wear high heels or shoes with completely flat soles. In both cases, serious consequences are possible in the form of not only heel spurs, but also plantar fasciitis and flat feet.
A heel spur , or plantar fasciitis , is a chronic microinjury of the plantar ligament that connects the heel bone to the forefoot.
Most often the disease develops after the age of 40 years. One of the first signs of a heel spur is pain when pressing on the heel . The first steps after getting out of bed in the morning or after long breaks in movement are especially painful - the so-called “ starting pain ”. During the day, when walking, the pain subsides somewhat, and in the evening, with the accumulation of fatigue and stress, it intensifies again. Essentially, a heel spur looks like a small, very unpleasant, pointed growth on the sole of the foot and is an osteophyte (bone growth) on the surface of the heel bone. This growth acts as a thorn and, when loaded, compresses the soft tissues of the foot. This causes characteristic excruciating pain. Often, especially in the early stages of the disease, such a spur is difficult to detect. Sometimes this only happens during an X-ray examination.
(In 90% of cases) With flat feet, the distribution of the load on the bones of the feet becomes incorrect, which entails too much tension in the tendons. The result is mild trauma to the tendons, especially when walking - with small stones or uneven soil. After an injury, inflammation and pain occur. Where the ligament is torn, scar tissue appears - not elastic and not strong. Due to which the next tears will occur here, in this exact place. In particularly severe cases, certain tendon fibers may even be completely torn from the bones to which they are attached. As a result, inflammation affects not only the tendons themselves, but also the surface layer of bone tissue located underneath them.
Sharp, burning pain when placing weight on the heel, a feeling of “a nail in the heel.” In this case, the intensity of pain depends little on the shape and size of the growth. Often, sharp and large heel spurs are not felt by a person, but flat and small ones turn out to be very painful. The intensity of pain is related more to the location of the growth than to its size. In addition, the closer to the nerve endings of the foot the spur is located, the stronger the pain will be.
In the future, pain may occur without load. This is due to the fact that scar tissue that forms at the site of injury over time begins to accumulate insoluble calcium compounds. These deposits cause irritation of the surrounding tissues, mucous membranes of the joint capsules, bone elements and, as a result, inflammation, which is also accompanied by a characteristic pain syndrome.
The pain may spread over the entire surface of the foot or be present only on the inside of the heel. Therefore, the patient involuntarily tries to unload the heel area, which affects his gait. In this case, the transfer of the center of gravity from the heel to the outer edge and forefoot causes improper distribution of body weight and leads to the development of transverse flatfoot. In cases where heel spurs develop on both feet, it becomes especially difficult for such a person to move. An additional factor that increases pain with a heel spur is the thinning of the subcutaneous fatty tissue on the heel, since this layer acts as a natural shock absorber when walking.
Reduced pain after the first procedure. Positive effect of treatment in 98% of cases.
This result is ensured by the use of the European medical protocol.
Treatment of heel spurs at CRB Clinic is comprehensive and is based on the principle: “Eliminate not only the pain, but also the cause of its occurrence.” This approach eliminates the risk of relapse and the disease disappears forever.
But this is not the main danger. Heel spur is a disease that affects our lives from the very first day the main symptom appears - acute, burning pain. Pain changes the patient’s lifestyle, he forgets about sports, walking, becomes sedentary, which ultimately leads to other diseases and premature aging of the body.
As is known, the initial stage of the disease is characterized by the greatest pain. Over time, the pain subsides. If treatment is not carried out, the disease becomes chronic, and the pain intensity increases again. This is the tip of the iceberg.
How does the disease actually progress, what should we expect in advanced cases?
“A needle in the heel”, “stepped on a nail” - this is how patients describe heel spurs. Acute pain with every step is the main symptom that forces you to see a doctor.
But even before pain appears, you should pay attention to rapid fatigue of the legs, muscle pain, a feeling of torsion of bones, etc.
Are there factors influencing the development of the disease?
Definitely yes. It has been proven that heel spurs (plantar fasciitis) are a consequence of another, serious disease - longitudinal flat feet.
Middle-aged women 40-60 years old are at risk. People who are overweight, have spinal problems, or who like shoes with high heels or no heels should be especially wary.
Cleanses tissues from fibrous formations and calcifications, eliminates pain and inflammation. Due to the effect of angiogenesis (the formation of new capillaries), blood circulation and metabolic processes are restored, tissues “come to life”, and are saturated with nutrients and oxygen. The pain syndrome is significantly reduced after the first procedure. It is used to treat bunions on the feet, heel spurs, joint diseases, and to eliminate severe muscle spasms.
The device used is the Swiss company Storz Medical.
The classes combine elements of yoga, vibration training and spinal traction.
As a result, a strong muscle corset is formed that supports the spine, and beautiful posture is acquired. To treat leg diseases, a kinesitherapy program for the legs is used.
Myostimulation imitates the natural impulses of the nervous system, causing muscles to contract and accelerating blood circulation in the problem area. It is used to treat bunions in the legs, diseases of the joints, and back.
It is used in the treatment of almost all diseases of the musculoskeletal system. Massage relieves excessive tension in some muscles while toning others. As a result, muscle tone is completely normalized and becomes uniform. A special technique allows you to eliminate strong muscle spasms that hold bones and joints in an incorrect position (for example, with scoliosis). Blood circulation improves, pain decreases, and the feeling of heaviness and stiffness disappears.
The procedure involves the use of germanium ceramics (heat therapy). Infrared heat rays penetrate to a depth of 6-7 cm, increasing the effectiveness of the massage by 2-3 times.
Active kinesitherapy is a training system used for the prevention and treatment of spinal diseases. The program was developed at medical universities in Europe and the USA and includes the use of special tools Flexi-Bar, Thera-Band, Ledragoma, Airex (quality certificates AGR, German Healthy Back Association, Medical devices 93/42 CEE).
Used to normalize muscle function and improve blood circulation. It is especially important for restoring the tone and elasticity of small deep muscles that cannot be worked out in the gym.
Separately, it should be noted the high effectiveness of myostimulation in the treatment of cellulite.
Compensates for the effects of flat feet. Insoles force the foot to take the correct shape. Individual manufacturing makes it possible to completely correct all defects of each specific foot. The “bone” on the big toe decreases as the metatarsal bone gradually returns to its place and does not protrude from under the skin. The load on the heel is eliminated, which not only helps to avoid fascia tears due to heel spurs, but also makes walking easier and reduces pain.
This section contains reviews from our clients (reviews about the treatment of heel spurs at the CRB clinic, reviews about the doctors at the CRB clinic). All reviews were written by real patients who were treated at the clinic. All texts are reprinted from the book of reviews and suggestions. Next to the text you can see a photo of the original review.
I appreciate the kind attitude of the staff, the equipment is well-appointed, and the welcome is welcome. Thank you for your help with this problem.
Many thanks to the massage therapist Pavel Ivanovich for his professionalism, attentiveness and sensitive attitude to the problem. Recovery is directly proportional to the positive emotions that this specialist emits. Thanks to the entire team for their attentiveness and sensitivity, in particular Yulia and Olya. I wish everyone good health.
The young team communicates very pleasantly and attentively. Methods and methods of treatment produce results, and this is the main thing! Good luck and prosperity to your team.
Thank you very much to Ruslan Viktorovich! Light hand! After his sessions it becomes much easier. Good luck and health to the doctor!
8 (9887) 70-10-05 — Adult department
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8 (8617) 79-59-00 — Adult department
8 (9887) 70-10-55 — Children’s department, physiotherapy
8 (9887) 70-10-95, 8 (8617) 72-99-05 — Diagnostics department
If you know about this disease only by hearsay, you are lucky, and you do not have to read this material. But for the “initiated” - those sufferers who tried all the medications, all kinds of folk remedies, endured hellishly painful injections in the heel, but could not cope with this cruel scourge - for them our information is of paramount interest. We hasten to inform you: in the physiotherapy department of the First Family Clinic, heel spurs and many other ailments are successfully treated using ultrasound procedures.
— Heel spur (scientifically known as osteofasciitis) is an inflammatory disease caused by a spike-like growth on the bone of the heel. This growth injures the soft tissues, they become inflamed, causing acute pain. Non-steroidal anti-inflammatory drugs (NSAIDs) help in the acute stage, but like all drugs, they have side effects, and many people now have problems with the stomach, liver, and simply cannot take chemical medications for a long time, says Elena Anatolyevna, a physiotherapist of the highest category. Awl. — Our treatment is a course of physiotherapeutic procedures aimed at relieving inflammation, pain, and subsequent rehabilitation after an attack of illness. We use contact bischofite cream-gel or cream-gel "PELOID-EX" - it contains an extract of sapropel mud from Siberian lakes (a product of the Tomsk PA "Geotechnology"), and thanks to the ultrasonic effect, inflammation, pain and swelling are relieved. The biologically active substances contained in the cream gels enter the tissues, which I consider to be a kind of bonus of this type of treatment: thus their nutrition and condition are improved, and degenerative processes are stopped. Heel spur is a “tough nut to crack”: it is an insidious disease, it can last for months, and in order to achieve stable remission, treatment must also be quite long - we usually prescribe 10-20 procedures. Our treatment is not only effective, but also safe (no chemicals are ingested), and, what is important now, inexpensive: our prices are affordable for everyone. Of course, you will have to travel for the procedures, but they themselves do not cause any painful sensations, one might say, they are light and pleasant! In essence, we provide the treatment that is offered in sanatoriums. But not everyone today can buy a ticket to a sanatorium and go for proper treatment.
Unfortunately, many people now believe only in the power of the pill, for some reason not trusting non-drug treatments. But let me remind you: physiotherapy has existed for 200 years, it has been well studied and “tested”, and you should not be afraid of it. Yes, medications help relieve pain in the acute stage, but diseases such as heel spurs or problems with joints and spine (which, by the way, we also treat in our physical department) are chronic conditions, the cause of which is degenerative processes in the bones and cartilage, ligaments. And all these diseases require long-term, persistent treatment and rehabilitation. Chemicals alone cannot do this.
— Of course, for physiotherapy, as with any type of treatment, there is a list of contraindications, but it is small and has long been known. And if a person has an old health problem, if he has known his diagnosis for a long time, but has some doubts and concerns, you can come to us and immediately decide on the spot whether physical treatment is indicated for him: the doctors of our clinic will consult and give advice. If necessary, you can also be examined in the diagnostic department of our clinic. We are currently treating a patient with long-standing arthrosis of the knee joint. She took medications for a month, the pain subsided, but her leg still hurts, it is impossible to walk normally, and she simply cannot take medications anymore. And our procedures help her very well,” said Elena Anatolyevna.
In addition to heel spurs, the First Family Clinic also successfully treats joints and the spine using physiotherapy. Arthrosis, osteochondrosis, including those complicated by a herniated disc - today these are no longer age-related diseases; they are often diagnosed in young people. This may come as news to some, but these days a herniated disc can be treated without surgery! In the physiotherapy department of the First Family Clinic, patients with this diagnosis are treated with a course of electrophoresis with a caripazim solution. This is a relatively new, but already well-proven herbal preparation - an extract of the milky juice of papaya - which has already helped thousands of patients recover. A course of procedures with a Karipazim solution on the affected area of the spine gives an excellent result: the hernia begins to soften, freeing the nerve endings, and the disc itself becomes less fragile. Galvanic mud on the joints or spine is also very effective - another type of physiotherapy, which is also successfully used in the clinic today. Galvanic mud is a course of electrophoresis procedures with a napkin soaked in therapeutic mud from the lakes of Siberia, which contains a lot of valuable microelements and biologically active substances. During the treatment process, they penetrate into the tissues, nourishing and restoring their structure. Thus, patients here receive full mud therapy at their place of residence, without leaving anywhere, and for many this is a big plus!
Director of the First Family Clinic Yulia Kosyakova became a laureate of the V regional public recognition competition “Woman of the Year”! To become a pioneer of family medicine in the city of Novorossiysk, to say a new word in medical care for Novorossiysk residents - such ambitious goals were set by Yulia Borisovna when she founded our clinic! And she was not mistaken, already in 2015 she became the winner of the “Woman of the Year” competition for the first time in the “Project of the Year” category. Past […]
This is an amazing method with a wide range of uses: -used to remove toxins and waste -has a positive effect on the lymphatic system, which allows you to strengthen defense mechanisms, increase immunity, as well as general tone - normalizes metabolism -used to tonify and strengthen blood vessels and in the fight with varicose veins, for the prevention of thrombosis - relieves heaviness in the legs In addition […]
20% discount on all types of ultrasound for residents of houses on Malozemelskaya street
Appointment with a therapist, injections, ECG with a 50% discount!
This is a relatively new method of treating plantar fasciitis, a disease that is popularly called heel spur. For the first time, doctors from Germany tried to influence osteophytes using waves in the 90s of the 20th century. The very first clinical trials showed confident results, thanks to which the technique spread throughout the world and began to be actively used in the treatment of bone growths on the heel. UVT allows you to get rid of pathology without surgical intervention. At the same time, the impact on healthy bones and soft tissues is minimal. Shock wave therapy for heel spurs is considered one of the gentlest, which predetermined its popularity in the post-Soviet space.
The waves used in treatment are acoustic. Thanks to the short pulse and greater force, they effectively affect the problem area. Advantages of the technique:
This technique is used if conventional physiotherapeutic treatment does not lead to the expected results. Despite a fairly large percentage of those who have recovered, shock wave therapy for heel spurs is not always effective. A course of procedures is usually prescribed for mild stages of fasciitis, when the size of the bone process does not exceed a few millimeters, and the osteophytes themselves do not cause serious deformations of the foot and soft tissues. Simply put, the technique is most effective at an early stage. If the patient comes too late, then surgical intervention cannot be avoided.
SWT for heel spurs is not suitable for everyone. Patients with:
To identify possible contraindications, the patient undergoes a preliminary examination. It consists of consultations with specialized specialists and tests: general, blood clotting, radiography or MRI. Only on the basis of these data does the doctor decide on the advisability of shock wave therapy.
The procedure is carried out in a specially equipped room. No special preparation is needed. The patient arrives at the appointed time, removes shoes and clothes from the sore leg. Then he lies down on the couch on his stomach. The leg is elevated using bolsters or pillows. A special gel is applied to the heel, which improves the conductivity of ultrasonic waves. A sensor is placed directly above the heel spur and turned on. The heel is exposed to waves of 3-4 bars. The duration of the procedure is 10-30 minutes. On average, you need to attend 7-8 sessions. This amount can be increased on the recommendation of a doctor. The interval between each procedure is 4-7 days, depending on the intensity of the impact. Such pauses are necessary for the soft tissues to recover.
In rare cases, shock wave therapy for heel spurs is accompanied by severe pain. Patients compare this feeling to the feeling of a nail driven into the heel. This goes away at the end of the session. Each subsequent procedure causes less and less discomfort.
A lasting positive effect after the procedure is noted in 8-9 patients out of 10. That is, almost all patients who have undergone a course of shockwave therapy report a decrease in pain. The pain goes away already during the first exposure to the waves. When attending all procedures, unpleasant sensations leave a person for a long time, if not forever. A person gradually regains his former mobility - he can fully step on his heel, without fear that the load on his legs will cause an attack of pain. Thanks to improved blood circulation, soft tissue inflammation is reduced. Heaviness and other unpleasant sensations go away. Under the influence of shock wave therapy, the disintegration of bone processes does not occur immediately, but gradually. Sometimes this process takes 6-8 weeks.
Treatment of heel spurs with shock wave therapy is largely popular due to its affordable cost - the price for one procedure will be in the range of 1-2 thousand rubles. Thus, the entire course of treatment, together with the cost of preliminary examination, amounts to 15-20 thousand rubles - a significant amount for most patients.
Plantar fasciitis or heel spur is a disease characterized by acute pain in the heel that occurs during exercise. Occurs due to inflammation of the tissues that support the arch of the foot (plantar fascia) or inflammation of the Achilles tendon. Effective treatment of heel spurs in St. Petersburg is carried out by specialized clinics.
The most common causes of heel spurs are:
A number of reasons have been identified that lead to the development of heel spurs:
Suspicion of the presence of plantar fasciitis arises:
How is a heel spur treated?
Several effective methods for treating plantar fasciitis have been developed:
SM-Clinic doctors treat heel spurs only in the department on Udarnikov Avenue, 19.
The procedure involves the targeted impact of powerful sound waves on the affected area. This eliminates the negative impact of heel spurs on the plantar fascia and promotes its recovery.
Before performing an ultrasound therapy procedure, an orthopedic doctor must examine the patient and palpate to identify the most painful area of the heel. It is at this point that the shock wave will be directed.
The skin of the patient's heel is covered with a special gel, on top of which a sensor-applicator is installed. Ultrasonic pulses are sent through it. The procedure is absolutely painless. Lasts from 10 minutes to half an hour. To completely get rid of the problem, you need to undergo five to seven procedures.
Contraindications to ultrasound treatment
Ultrasound should not be used during pregnancy, hypotension, cardiac arrhythmias, infectious diseases in the acute phase, thrombophlebitis of the leg veins, malignant neoplasms at the site of the disease, fragility of the vascular wall, and diseases of the nervous system.
Treatment of heel spurs with PRP therapy at SM-Clinic
Modern orthopedics has proposed a unique method for relieving inflammation of the foot area, which has no obvious contraindications. This method of treating heel spurs in St. Petersburg is based on the introduction of one’s own active blood plasma and its formed elements into the affected area.
Platelet-rich plasma stimulates the process of regeneration of damaged tissue due to enhanced cell recovery. This effect is achieved due to special biologically active substances and growth factors that platelets contain. By filling the damaged area, platelets trigger many restoration processes. Rapid healing occurs, restoration of motor function lost or limited due to injury.
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A heel spur is an awl-like formation on the heel bone. As it grows, it begins to cause severe pain and discomfort when walking. After diagnosis, conservative treatment is usually used, but if it does not give the desired results within six months, then they proceed to surgical removal of the heel spurs.
A heel spur occurs due to a chronic inflammatory process that provokes pathological growth of bone tissue.
People over forty years of age, more often women, are at risk. People with obesity, flat feet, athletes, and those who spend a lot of time on their feet are especially susceptible to the pathology.
In addition, the development of the disease is facilitated by wearing uncomfortable shoes, foot injuries, and various vascular diseases of the lower extremities.
Typically, heel spur symptoms occur after a hard day on your feet. Patients complain of severe heel pain, the intensity of which depends not so much on the stage of the disease, but on the location of the nerve endings. After a period of rest, the pain disappears, but reappears after exercise.
Without proper treatment, painful sensations in the foot will occur even with the slightest body movements, reducing performance and interfering with normal life.
It is not uncommon for people with heel spurs (in medicine the disease is called “plantar fasciitis”) to have a specific gait that rests on their toes. This is how patients consciously or unconsciously try to prevent pain when walking. As a result of improper gait, other joint-related complications arise.
The diagnosis should only be made by a qualified specialist, because With self-diagnosis, there was a chance of confusing this pathology with another foot disease.
First, the doctor will collect the patient’s complaints and study the medical history. Then, to clarify the diagnosis, the patient will be sent for instrumental and laboratory tests, including a biochemical blood test and x-ray.
In modern medicine, there are many ways to remove heel spurs. The specific technique is selected by the doctor depending on the degree of bone damage.
Methods for removing heel spurs:
At the SM-Clinic surgery center in St. Petersburg, they mainly use the endoscopic method for removing heel spurs, since it is low-traumatic and safe, and, unlike microsurgery, is completely controlled by a doctor using a special optical system. Access to the operated area is through two small punctures in the heel.
Heel spurs cause serious discomfort and reduce quality of life. However, modern surgery allows you to get rid of this pathology in a short time and without complications. Make an appointment at SM-Clinic to learn more about the procedure.