Kuran Banu, Aydoğ Tolga, Erçalık Cem, Arda Pınar, Yılmaz Figen, Doğu Beril, Öncü Julide, Durlanık Gülgün
Deparmemt of Physiotherapy and Rehabilitation, İstanbul Yeni Yuzyil University Faculty of Health Sciences, Istanbul, Turkey.
Agri. 2017 Jan;29(1):43-46. doi: 10.5505/agri.2015.13540.
Pain heel constitutes 15% of foot pain. Pain may be caused by plantar fasciitis, calcaneal fractures, calcaneal apophysitis, heel pad atrophy, inflammatory diseases or related with nerve involvement. Tibial, plantar and/or medial nerve entrapment are the neural causes of pain. Most of the heel soft tissue sensation is provided by medial calcaneal nerve. Diagnosis of heel pain due to neural causes depends on history and a careful examination. Surgery should not be undertaken before excluding other causes of heel pain. Diagnosis should be reconsidered following conservative therapy.
足跟痛占足部疼痛的15%。疼痛可能由足底筋膜炎、跟骨骨折、跟骨骨突炎、足跟垫萎缩、炎症性疾病或与神经受累有关。胫神经、足底神经和/或内侧神经卡压是疼痛的神经学原因。足跟的大部分软组织感觉由跟内侧神经提供。神经源性足跟痛的诊断取决于病史和仔细的检查。在排除足跟痛的其他原因之前不应进行手术。保守治疗后应重新考虑诊断。
