García Garrido M, Formigo Couceiro J, Alonso Bidegaín M
Servicio de Medicina Física y Rehabilitación, Hospital General Universitario Morales Meseguer, Murcia, España.
Servicio de Medicina Física y Rehabilitación, Complexo Hospitalario Universitario de A Coruña, A Coruña, España.
Rehabilitacion (Madr). 2023 Jul-Sep;57(3):100743. doi: 10.1016/j.rh.2022.05.001. Epub 2022 May 24.
Heel fat pad syndrome is the second most frequent cause of heel pain at Rehabilitation services. It is a structure damage of the plantar fat that leads to loss of cushioning in gait and plantar pain. It is due to degeneration or repeated trauma that causes alteration of the structure of the foot pad losing its compressibility and function. The diagnosis of heel fat pad syndrome is made by ultrasound study. Treatment is primarily based on conservative measures. Infiltration with platelet-rich plasma is proposed as a therapeutic option with the aim of improving pain and inflammation of the plantar fat pad. We report the first published case of ultrasound-guided infiltration with platelet-rich plasma as a treatment for heel fat pad syndrome.
足跟脂肪垫综合征是康复服务中足跟疼痛的第二大常见原因。它是足底脂肪的一种结构损伤，导致步态缓冲功能丧失和足底疼痛。这是由于退变或反复创伤导致足垫结构改变，失去其可压缩性和功能。足跟脂肪垫综合征的诊断通过超声检查做出。治疗主要基于保守措施。富血小板血浆注射被提议作为一种治疗选择，目的是改善足底脂肪垫的疼痛和炎症。我们报告首例关于超声引导下富血小板血浆注射治疗足跟脂肪垫综合征的发表病例。
