Anestesiología, Pontificia Universidad Javeriana, Bogotá DC, Colombia.
Dolor y Cuidado Paliativo, Hospital Universitario San Ignacio, Bogotá DC, Colombia; Departamento de Anestesiología, Pontificia Universidad Javeriana, Bogotá DC, Colombia.
Rev Esp Anestesiol Reanim (Engl Ed). 2022 May;69(5):306-309. doi: 10.1016/j.redare.2022.05.001. Epub 2022 May 13.
Plantar fasciitis is recognized as the leading cause of talalgia worldwide. In the vast majority of cases it can be controlled with the use of appropriate footwear, stretching exercises and changes in the sport activity, while a few cases require infiltrations or surgical interventions. The latter puts the patient at greater risk, and is reserved for the most severe cases. We propose using pulsed radiofrequency ablation of Baxter's nerve to treat this painful symptom in patients who do not respond adequately to conventional treatment. We present the case of a patient with refractory plantar fasciitis in whom surgery had been ruled out. The patient underwent pulsed radiofrequency treatment with satisfactory results in the short and medium term.
足底筋膜炎被认为是全球导致足跟痛的主要原因。在绝大多数情况下,通过使用合适的鞋子、伸展运动和改变运动方式可以控制疼痛,只有少数情况下需要注射或手术干预。后一种方法会使患者面临更大的风险,并且仅适用于最严重的病例。我们建议使用脉冲射频消融 Baxters 神经来治疗那些对常规治疗反应不佳的患者的这种疼痛症状。我们介绍了一位患有难治性足底筋膜炎的患者,该患者已排除手术治疗。该患者接受了脉冲射频治疗,短期和中期效果令人满意。