跗管综合征一例的保守治疗
Conservative management of a case of tarsal tunnel syndrome.
作者信息
Hudes Karen
机构信息
168 Sheppard Avenue West, Toronto, Ontario M2N 1M8.
出版信息
J Can Chiropr Assoc. 2010 Jun;54(2):100-6.
OBJECTIVE
This case study was conducted to evaluate the treatment and management of a patient presenting with chronic foot pain, diagnosed as tarsal tunnel syndrome.
CASE
61 year old female presenting with plantar and dorsal foot pain and burning sensation of 6 months duration.
TREATMENT
Treatment was initiated using custom orthotics only for the first ten weeks of care as the patient did not follow up or initially respond to follow up calls placed by the practitioner. A course of high-velocity, low-amplitude adjustments using a toggle board to the cuboid and the talonavicular joint and fascial stripping was added upon report from the patient that the orthotic therapy alone did not resolve the symptoms. Improvement of pain reported on the Verbal Rating Scale was noted with a complete resolution of the condition at the conclusion of treatment. No pain was reported on a ten month follow up with the patient.
CONCLUSION
Conservative management, including orthotics, manipulation, and fascial stripping may be beneficial in the treatment of tarsal tunnel syndrome.
目的
本病例研究旨在评估一名被诊断为跗管综合征的慢性足部疼痛患者的治疗与管理情况。
病例
一名61岁女性，出现足底和足背疼痛以及持续6个月的烧灼感。
治疗
在护理的前十周仅使用定制矫形器进行治疗，因为患者未进行随访，或对从业者的随访电话最初没有反应。在患者报告仅矫形器治疗无法缓解症状后，增加了使用肘节板对骰骨和距舟关节进行高速、低幅度调整以及筋膜剥离的疗程。根据言语评定量表报告，疼痛有所改善，治疗结束时病情完全缓解。对该患者进行的十个月随访中未报告疼痛。
结论
包括矫形器、手法治疗和筋膜剥离在内的保守治疗可能对跗管综合征的治疗有益。
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