足底筋膜炎的诊断与管理
Diagnosis and management of plantar fasciitis.
作者信息
Thompson John V, Saini Sundeep S, Reb Christopher W, Daniel Joseph N
机构信息
From the Department of Orthopaedic Surgery at Memorial Hospital in York, Pennsylvania (Dr Thompson); the Rowan University School of Osteopathic Medicine (RowanSOM) in Stratford, New Jersey (Student Doctor Saini); the Department of Orthopedics at RowanSOM in Stratford, New Jersey (Dr Reb); and the Department of Surgery at Jefferson Medical College in Philadelphia, Pennsylvania (Dr Daniel). Dr Thompson is in his second year of residency training, and Dr Reb is in his fifth year of residency training.
From the Department of Orthopaedic Surgery at Memorial Hospital in York, Pennsylvania (Dr Thompson); the Rowan University School of Osteopathic Medicine (RowanSOM) in Stratford, New Jersey (Student Doctor Saini); the Department of Orthopedics at RowanSOM in Stratford, New Jersey (Dr Reb); and the Department of Surgery at Jefferson Medical College in Philadelphia, Pennsylvania (Dr Daniel). Dr Thompson is in his second year of residency training, and Dr Reb is in his fifth year of residency training
出版信息
J Am Osteopath Assoc. 2014 Dec;114(12):900-6. doi: 10.7556/jaoa.2014.177.
Plantar fasciitis, a chronic degenerative process that causes medial plantar heel pain, is responsible for approximately 1 million physician visits each year. Individuals with plantar fasciitis experience pain that is most intense during their first few steps of the day or after prolonged standing. The authors provide an overview of the diagnosis and management of a common problem encountered in the primary care setting. Routine imaging is not initially recommended for the evaluation of plantar fasciitis but may be required to rule out other pathologic conditions. Overall, plantar fasciitis carries a good prognosis when patients use a combination of several conservative treatment modalities. Occasionally, referral to a specialist may be necessary.
足底筋膜炎是一种导致足底内侧足跟疼痛的慢性退行性病变，每年约有100万人因之就医。患有足底筋膜炎的人在每天最初几步或长时间站立后会感到最为剧烈的疼痛。作者概述了在初级保健环境中遇到的这一常见问题的诊断和管理。初步评估足底筋膜炎时不建议常规进行影像学检查，但可能需要进行此项检查以排除其他病理状况。总体而言，当患者综合采用多种保守治疗方法时，足底筋膜炎的预后良好。偶尔，可能需要转诊至专科医生处。
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