Plantar Fasciitis 足底筋膜炎(英文) | 衛教單張 - 中國醫藥大學 ...
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Plantar Fasciitis 足底筋膜炎(英文). 2020/12/24. Young or mid-age people often suffer from “pain in the sole”. We see many casesevery day, which indicates ...
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PlantarFasciitis足底筋膜炎(英文)
2020/12/24
Youngormid-agepeopleoftensufferfrom“paininthesole”.Weseemanycaseseveryday,whichindicatesitsprevalence.
Itisusuallyrelatedtotheshoesonewears,buthighheelsorshoeswithshortheelsdonotoftencausethepain.
StructureandLocation
Plantarfasciaisconsistedofmanylayersofthickfibrousfascia.Itstartsattheheelandfansouttoattachontotoebones.Thecenterpartisthemostobviousandisdividedintosuperficiallayeranddeeplayerwithfunctionsoftighteningheelboneandfoottomakeanarchonthebottomofthefoottoprovidepressureenduranceandflexibilitywhilewalking.
Besides,thebottomandsurroundingsofheelbonearecoveredwiththicklayersoffatandfiberstoformasoftcushion.
WhyDoesthePainintheSoleOccur?
Paininthesoleoccursmostlyduetoexcessiveuse,suchasstandingorwalkingfortoolong,jogging,walkingonmassagepathtoooften,orwalkingonunevengravelsurfacefortoolong.Moreover,thethicknessofthesoleofshoesmaybeoneofthetriggers.
Theactivitiesmentionedabovemayleadtoplantarfasciainjuryandfurthercauseacuteorchronicinflammation.
Patientswithplantarfasciitisoftenfeelthedramaticpainwhentheyputtheirfeetonthefloorinthemorningandthepainsubsidesafterwalkingaroundforashortwhile.However,theonsetofpainoccursagainintheafternoonorwhenstandingfortoolongwithexcessiveactivities.Thepaincomesandgoesandmaycontinueforanextendedperiodoftime.
Diagnosis
Thepainisusuallylimitedtothesolenearthestartingpointofplantarfascia.Itisverypainfulwhenpressedwithhands.Patientsoftenthinktheyhaveaspurintheheel.However,X-rayindicatesthatspurdoesnotalwayscausepain.Instead,peoplewithoutspursoftenfeelthepaininthesole.Patientsaretroubledwithdifficultyinwalkingandtheyusuallysitdowntorestforawhiletorelievethepainalittlebit.
PreventionisBetterthanTreatment
Reduceweightburden.
Reducetheuseofsole,avoidstandingfortoolong,stophiking,walkingonmassagepath,andjoggingtemporarilyuntilthepaindisappearscompletely.
Switchtoothersports,suchasswimmingwhenplantarfasciitisoccursanddonothikeorjog.
Controldietandloseweight.
Chooseshoescarefullyandwearrightsizeofshoes.Theinsoleisveryimportantaswell.Thickandsoftinsolescanbetterpreventplantarfasciafromreceivingtoomuchtensionthatcausesinflammation.
Treatments
ThebestwaytostarttreatmentsistogotoanorthopedistforaccuratediagnosiswithinterviewandX-ray,ifneeded,andforprescriptiondrugs.
Hotcompress,elevatingfeetandlettingcalvesrestmayrelievesomepain.
Smalldoseofsteroidinjectionisrecommendedifthemethodsmentionedabovedonotworkafterafewweeks.Foursteroidinjectionsinayearasinstructedbythedoctorwillnothavesideeffects.
Folktherapies,traditionalmassage,acupuncture,orcuppingmayworsenthesymptomsifnotdoneproperly.PleasegotoacertifiedChinesemedicineorthopedist.
Surgicaltreatmentisrecommendedwhenthetreatmentsmentionedabovedonotwork,usuallyafter1yearoftreatment.Theinflamedplantarfasciaisremovedandspurwillberemovedaswellifthereisone.Infewcases,thebranchesofnervemayneedtobecutofftoreducethepain.Patientswillneedtorestforaperiodoftimeaftersurgeryforcompleterecoveryandshouldwatchoutforthepossibilityofreccurrence.
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