足底 筋膜炎
Overview
The plantar fascia is a thick layer of connective tissue that originates from the heel and fans out to the underside of each toe. It provides support to the arch of the foot and serves as a shock absorber during activities like running and walking that require extension of the toes. As the toes extend, the plantar fascia tightens and elevates the arch of the foot.
When a person suffers from plantar fasciitis, the bottom of the foot gets irritated and swells.
原因
肥胖, 体重突然增加, prolonged standing or weight-bearing and overtraining in runners are risk factors for plantar fasciitis. All these activities place increased, repetitive tensile forces on the plantar fascia.
Other risk factors include flat feet and reduced dorsiflexion (upward flexion of ankle) because of improper distribution of load on the fascia.
Heel spurs are found in 50 percent of those with plantar fasciitis, although the mechanism with which they produce fascial damage is unclear. Systemic diseases such as diabetes mellitus and rheumatic disease have also been linked to plantar fasciitis as they lead to changes in the muscular and bony structure of the feet.
我们治疗足底筋膜炎的方法
足底筋膜炎的治疗方法是休息, 伸展和强化练习, 特殊装置支撑脚部, 以及其他非侵入性措施. Surgery is considered only if the case is severe and hasn't responded to other treatments.
Our team includes highly trained orthopedic surgeons who specialize in the ankle and foot, 还有足科十大赌博平台排行榜, physical therapists and pedorthists (specialists in modified footwear and supportive devices for the lower leg). 我们的目标是减轻疼痛，恢复活动能力, so patients can return to their normal lives and the activities they enjoy. We offer doctor's appointments, medical imaging and physical therapy in one convenient location.
奖 & 识别
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是全国顶尖的十大赌博平台排行榜之一
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全国最好的骨科护理之一
迹象 & 症状
足底 fasciitis is a degenerative condition that results from repetitive stress that causes micro-tears in the fascia. 如果这些眼泪经常发生, 身体失去了自愈能力, 于是慢性炎症就出现了. The hallmark symptom of plantar fasciitis is heel or arch pain in the sole of the foot. This pain is often worse at the beginning of the aggravating activity and lessens as the foot warms up. With severe plantar fasciitis, pain may be also be worse at the end of the day.
诊断
诊断 of plantar fasciitis is made based on the patient's 症状 and a physical examination by a clinician. Tenderness experienced by the patient may be reproduced by the clinician with flexion of the toes and ankle as well as upward and palpating the length of the fascia.
Plain X-rays may be taken to rule out the presence of heel spurs and other causes of inferior heel pain — like a stress fracture or a bone malformation. Magnetic Resonance Imaging should be taken to rule out soft tissue disease in cases of intractable plantar fasciitis that doesn't get better after conservative management.
治疗
足底筋膜炎需要6到18个月才能消退. Treatment begins with conservative management such as weight reduction and avoiding activities that irritate the foot. Mechanical support for the foot can be achieved through arch supports, 后跟杯, night splints and orthotics that can relieve pressure off the plantar fascia. Stretching and strengthening are also important aspects of the treatment. Stretching the soleus and gastrocneumius muscles and the plantar fascia can be accomplished with the stair and ball-rolling stretches along with cross-friction massage. 加强锻炼可以改善足部肌肉.
Ice and anti-inflammatory medications can help manage foot pain. Longer-lasting anti-inflammatory medication such as corticosteroid injections may be used for chronic heel pain. 多个注射, 然而, 会增加筋膜无力或破裂的风险吗, 导致脂肪垫萎缩和脚跟骨感染. Although these side effects can be prevented, steroid injections are reserved for persistent cases.
In the most severe cases, surgery may be an option to release the pressure off the fascia. 新的治疗形式, 比如声波疗法和肉毒杆菌毒素, may be more widely available in the future but currently there is limited evidence of efficacy.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
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