PDF(Pubmed)
Abstract：
Heel pain is a common complaint in the population, leading to a limitation in daily activities and a poor quality of life. Chronic plantar fasciitis is the most common cause of heal pain. Despite its name, which suggests inflammation, the underlying process is rather a degenerative one. The clinical course is often chronic or relapsing, as a challenge to physicians to find the most effective therapeutically approach. First-line treatment consists of rest, shoe modification, orthosis and physiotherapy. Physical exercise is an important tool which can be combined with other therapeutic options. Medication is usually administered in acute cases, in the form of simple analgesics, non-steroidal anti-inflammatory drugs (NSAIDs) or opioids, in different regimens. For chronic evolution, the use of NSAIDs is controversial. Second-line treatment includes extracorporeal shock wave therapy and corticosteroid local injection. New therapies have emerged, as autologous blood derivatives and prolotherapy, with growing evidence, to be included in clinical practice. The present review article discusses the therapeutic options for patients with chronic plantar fasciitis, to with an aim to shed light on the treatment strategies for this condition.
摘要：
脚跟疼痛是人群中常见的主诉，导致日常活动受限和生活质量差。慢性足底筋膜炎是愈合疼痛的最常见原因。尽管它的名字,这表明炎症，潜在的过程是一个退化的过程。临床过程通常是慢性或复发性，作为医生寻找最有效治疗方法的挑战。一线治疗包括休息，鞋子改装，矫形器和物理治疗。体育锻炼是可以与其他治疗选择相结合的重要工具。药物通常在急性病例中使用，以简单的镇痛药的形式，非甾体抗炎药（NSAIDs）或阿片类药物，在不同的方案中。对于慢性进化，NSAIDs的使用存在争议。二线治疗包括体外冲击波治疗和皮质类固醇局部注射。出现了新的疗法，作为自体血液衍生物和催洛疗法，随着越来越多的证据,纳入临床实践。本综述文章讨论了慢性足底筋膜炎患者的治疗选择，旨在阐明这种情况的治疗策略。
