Harefuah Pub Date : 2025-02-01
Dana Avraham, Ruslan Sokolov, Izhar Arieli, Oded Stav, Amir Herman, Maria Oulianski
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引用次数: 0

摘要

简介足底筋膜炎是足跟疼痛的常见原因。足底筋膜炎是足跟疼痛的常见原因,是由于足底筋膜肌腱插入小腿骨的结构发生变化而引起的疼痛。危险因素包括肥胖、长时间站立、背屈活动范围受限、过度跑步、扁平足或穴状足。诊断主要依据患者的病史和体格检查。患者会在睡眠或长时间休息后迈出第一步时诉说足跟疼痛,触诊会在小腿足底内侧引起疼痛。医生很少使用影像学检查来确诊。如果疼痛顽固,无论是否采取保守治疗,都可能需要进行影像学检查,以排除导致足跟痛的不同原因。保守治疗对 90% 以上的患者有效。足底筋膜炎慢性疼痛超过 6 个月的患者可考虑接受疼痛门诊或足底筋膜切开手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[PLANTAR FASCIOPATHY - DIAGNOSIS AND TREATMENT].

Introduction: Plantar Fasciitis is a common reason for heel pain. The pain caused by structural changes in the plantar fascia aponeurosis insertion to the calcaneus bone. Risk factors include obesity, prolonged standing, dorsiflexion limited range of motion, excessive running, and pes planus or pes cavus. Diagnosis is based on the patient's history and physical examination. The patient will complain of heel pain during their first steps after sleep or prolonged rest, palpation will provoke pain on the plantar medial aspect of the calcaneus. Physicians rarely use imaging to verify the diagnosis. The use of imaging may take place in cases of intractable pain regardless of conservative treatment in order to eliminate different causes for heel pain. Conservative treatment is effective for over 90% of the patients. Patients with plantar fasciitis chronic pain for over 6 mounts may consider a Pain Clinic or planter fasciotomy surgery.

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