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足跟痛:一项系统综述。

Heel pain: A systematic review.

作者信息

Agyekum Edward Kwame, Ma Kaiyu

机构信息

Orthopedic and Trauma Surgery Department, Jiamusi Central Hospital, Jiamusi, Heilongjiang 154002, China.

出版信息

Chin J Traumatol. 2015;18(3):164-9. doi: 10.1016/j.cjtee.2015.03.002.

Abstract

Heel pain is a very common foot disease. Varieties of names such as plantar fasciitis, jogger's heel, tennis heal, policeman's heel are used to describe it. Mechanical factors are the most common etiology of heel pain. Common causes of hell pain includes: Plantar Fasciitis, Heel Spur, Sever's Disease, Heel bump, Achilles Tendinopathy, Heel neuritis, Heel bursitis. The diagnosis is mostly based on clinical examination. Normally, the location of the pain and the absence of associated symptoms indicating a systemic disease strongly suggest the diagnosis. Several therapies exist including rest, physical therapy, stretching, and change in footwear, arch supports, orthotics, night splints, anti-inflammatory agents, and surgery. Almost all patients respond to conservative nonsurgical therapy. Surgery is the last treatment option if all other treatments had failed. Rest, ice, massage, the use of correct exercise and complying with a doctor's advice all play important part in helping to recover from this hell pain condition, but getting good quality, suitable shoes with the appropriate amount of support for the whole foot is the most important.

摘要

足跟痛是一种非常常见的足部疾病。人们用多种名称来描述它,如足底筋膜炎、跑步者足跟、网球足跟、警察足跟等。机械因素是足跟痛最常见的病因。足跟痛的常见原因包括:足底筋膜炎、足跟骨刺、塞弗氏病、足跟肿块、跟腱病、足跟神经炎、足跟滑囊炎。诊断主要基于临床检查。通常,疼痛的部位以及无提示全身性疾病的相关症状强烈提示诊断。有多种治疗方法,包括休息、物理治疗、拉伸、更换鞋类、足弓支撑、矫形器、夜间夹板、抗炎药和手术。几乎所有患者对保守的非手术治疗都有反应。如果所有其他治疗都失败了,手术是最后的治疗选择。休息、冰敷、按摩、正确锻炼以及遵循医生的建议在帮助从这种足跟痛状况中恢复方面都起着重要作用,但获得质量好、适合且对整个足部有适当支撑的鞋子是最重要的。

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