Charen Daniel A, Markowitz Jonathan S, Cheung Zoe B, Matijakovich Douglas J, Chan Jimmy J, Vulcano Ettore
Orthopedics. 2019 Jan 1;42(1):e138-e143. doi: 10.3928/01477447-20181206-06. Epub 2018 Dec 13.
Metatarsalgia can be viewed as more of a symptom rather than a distinct diagnosis. Timing of forefoot pain during the gait cycle and evaluation of whether the pain is from anatomic abnormalities, indirect overloading, or iatrogenic causes can suggest a specific metatarsalgia etiology. A thorough physical examination of the lower extremity, especially evaluation of the plantar foot, and weight-bearing radiographs are critical for diagnosis and treatment. Nonoperative treatment consists of physical therapy, orthotics, shoe wear modification, and injections. If conservative treatment fails, surgical options may be considered. [Orthopedics. 2019; 42(1):e138-e143.].
跖痛症更多地可被视为一种症状，而非一种明确的诊断。步态周期中前足疼痛的时间以及对疼痛是源于解剖学异常、间接负荷过重还是医源性原因的评估，可提示特定的跖痛症病因。对下肢进行全面的体格检查，尤其是对足底的评估，以及负重位X线片对诊断和治疗至关重要。非手术治疗包括物理治疗、矫形器、鞋具改良和注射治疗。如果保守治疗失败，可考虑手术选择。[《骨科学》。2019年；42(1):e138 - e143。]
