足底筋膜炎是什么?

足底筋膜炎意味着足底筋膜的炎症(“itis”意味着拉丁文的炎症)。这是成人脚后跟疼痛的最常见原因,早上起床时疼痛通常最严重。疼痛通常会稍微舒缓,然后不间断发生疼痛。

plantar fasciitis graphic
shockwave therapy procedure

Symptoms

The main symptom is sharp pain and stiffness on the bottom of your heel, usually after prolonged rest or activity. However, you may also experience foot burning, tingling, and pain when flexing. Limping is possible as well.

The discomfort is usually worst in the morning, starting right after getting off the bed, and becomes a nagging pain throughout the whole day. Some people may have heel spurs or suffer no symptoms at all. Patients who suffer from this condition are advised to seek plantar fasciitis treatment as soon as possible to avoid increasing pain and daily inconvenience.

评估

在HC Orthopaedic中,我们将了解病人的病历、X光和体格检查以排除足跟疼痛的其他原因,如应力性骨折、疼痛或神经卡压。

治疗

根据严重程度,治疗是个人化的,可分为:

  1. 非手术治疗
    1. 保护性鞋垫,消炎药,伸展运动
    2. 注射抗炎药物(H&L)
    3. 注射富血小板血浆(PRP)
    4. ESWT(体外冲击波疗法)
  2. 手术
    1.  射频消融
    2. 切除

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