足底筋膜炎
Plantar fasciitis.
作者信息
Tahririan Mohammad Ali, Motififard Mehdi, Tahmasebi Mohammad Naghi, Siavashi Babak
机构信息
Department of Orthopedics, Kashani Hospital, Medical University of Isfahan, Iran.
出版信息
J Res Med Sci. 2012 Aug;17(8):799-804.
Abstract
Heel pain, mostly caused by plantar fasciitis (PF), is a common complaint of many patients who requiring professional orthopedic care and are mostly suffering from chronic pain beneath their heels. The present article reviews studies done by preeminent practitioners related to the anatomy of plantar fasciitis and their histo-pathological features, factors associated with PF, clinical features, imaging studies, differential diagnoses, and diverse treatment modalities for treatment of PF, with special emphasis on non-surgical treatment. Anti-inflammatory agents, plantar stretching, and orthosis proved to have highest priority; corticosteroid injection, night splints and extracorporeal shock wave therapy were of next priority, in patients with PF. In patients resistant to the mentioned treatments surgical intervention should be considered.
摘要
足跟痛主要由足底筋膜炎（PF）引起，是许多需要专业骨科护理的患者的常见主诉，他们大多患有足跟下的慢性疼痛。本文综述了杰出从业者关于足底筋膜炎的解剖结构及其组织病理学特征、与足底筋膜炎相关的因素、临床特征、影像学研究、鉴别诊断以及多种治疗方式，特别强调了非手术治疗。抗炎药物、足底伸展和矫形器被证明是治疗足底筋膜炎患者的首要选择；皮质类固醇注射、夜间夹板和体外冲击波疗法次之；对于对上述治疗有抵抗的患者，则应考虑手术干预。
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