Talalgia. Revisión bibliográfica

Objective

To analyze the general concepts of heel located pain that might be related to the irritation of the plantar fascia or bone of the heel, which require pain epidemiology, pathogenesis, clinical manifestations reported by the patient and imaging studies that would help its diagnosis.

Methods

Treatment should begin with simple measures and with low probability of side effects recommending patients; subsequently indicating pain medication and / or non-steroidal antiinflammatory and physical rehabilitative measures as thermotherapy, ultrasound, magnetotherapy, hydrotherapy, laser, iontophoresis, low and medium frequency analgesic currents, extracorporeal shock waves, bracing, plantar insoles, appropriate footwear, plasters, massage and stretching exercises of the plantar fascia, and in some cases anesthetic blockade ofthe posterior tibial nerve, steroid infiltration and if necessary or indicated, surgical treatment.

Conclusions

The early diagnosis and treatment, pain, discharge from the tension of the plantar fascia, the correction of forefoot and rearfoot anomalies are contributing factors to ease discomfort in the patient and to reduce the disability that causes this disease to whom suffer.