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[足踝部慢性疼痛病症]

[Chronic pain conditions in foot and ankle region].

作者信息

Kangas Jukka, Flink Anne

出版信息

Duodecim. 2013;129(17):1807-12.

Abstract

New starting points are available for the diagnosis, classification and treatment of prolonged pain conditions in the foot and ankle region. Mechanisms maintaining the pain should be clarified, and a comprehensive patient interview must be conducted. Physical examination shall include static observation, functional tests, passive movement tests as well as provocative and mapping tests. By careful examination and treatment of motor control and movement disorders it is possible to completely refrain from surgical treatment. If surgery has instead been decided upon, the loading defect underlying the problem must also be treated.

摘要

足踝区域慢性疼痛病症的诊断、分类和治疗有了新的切入点。应阐明维持疼痛的机制,并且必须对患者进行全面的问诊。体格检查应包括静态观察、功能测试、被动运动测试以及激发性和定位测试。通过仔细检查和治疗运动控制及运动障碍,有可能完全避免手术治疗。如果决定进行手术,还必须治疗问题背后的负荷缺陷。

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