足底筋膜炎是引起足底、足跟疼痛的最常見誘因之一,每年約有數百萬人罹患本病[1]。足底筋膜炎又名賽跑者足跟、足跟疼痛綜合徵,常見於運動員、長時間站立的體力勞動者、體重指數(BMI)>30 kg/m2的超重者、糖尿病患者和年齡>40歲的成年人[2-3]。足底筋膜炎的主要臨床症狀為足跟疼痛,主要發生於晨起下地、停止活動一段時間後走路時,隨著活動量增加疼痛可減輕,但連續或劇烈運動後疼痛再次發作[4]。足底筋膜炎可影響患者的運動能力,進而給患者的工作生活、心理健康及社會功能等帶來顯著影響。
[1] Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: A national study of medical doctors [J]. Foot & ankle international, 2004,25(5):303-310.
[2] McClinton SM, Cleland JA, Flynn TW. Predictors of response to physical therapy intervention for plantar heel pain [J]. Foot & ankle international, 2015,36(4):408-416.
[3] Nahin RL. Prevalence and pharmaceutical treatment of plantar fasciitis in united states adults [J]. The journal of pain, 2018,19(8):885-896.
[4] Fleischer AE, Albright RH, Crews RT, et al. Prognostic value of diagnostic sonography in patients with plantar fasciitis [J]. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2015,34(10):1729-1735.
[5] Gariani K, Waibel FWA, Viehöfer AF, et al. Plantar fasciitis in diabetic foot patients: Risk factors, pathophysiology, diagnosis, and management [J]. Diabetes, metabolic syndrome and obesity : targets and therapy, 2020,13(1271-1279.
[6] Hotta T, Nishiguchi S, Fukutani N, et al. The association between plantar heel pain and running surfaces in competitive long-distance male runners [J]. The Journal of sports medicine and physical fitness, 2016,56(9):1021-1025.
[7] Waclawski ER, Beach J, Milne A, et al. Systematic review: Plantar fasciitis and prolonged weight bearing [J]. Occupational medicine (Oxford, England), 2015,65(2):97-106.
[8] Donley BG, Moore T, Sferra J, et al. The efficacy of oral nonsteroidal anti-inflammatory medication (nsaid) in the treatment of plantar fasciitis: A randomized, prospective, placebo-controlled study [J]. Foot & ankle international, 2007,28(1):20-23.
[9] Crawford F, Atkins D, Young P, et al. Steroid injection for heel pain: Evidence of short-term effectiveness. A randomized controlled trial [J]. Rheumatology (Oxford, England), 1999,38(10):974-977.
[10] Rathleff MS, Mølgaard CM, Fredberg U, et al. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up [J]. Scandinavian journal of medicine & science in sports, 2015,25(3):e292-300.
[11] 張曉倓, 張立寧, 肖紅雨. 衝擊波治療足底筋膜炎的臨床研究進展 [J]. 解放軍醫學院學報, 2015,36(06):631-633.
[12] Monto RR. Platelet-rich plasma efficacy versus corticosteroid injection treatment for chronic severe plantar fasciitis [J]. Foot & ankle international, 2014,35(4):313-318.
[13] Ahmad J, Ahmad SH, Jones K. Treatment of plantar fasciitis with botulinum toxin [J]. Foot & ankle international, 2017,38(1):1-7.
[14] Cazzell S, Stewart J, Agnew PS, et al. Randomized controlled trial of micronized dehydrated human amnion/chorion membrane (dhacm) injection compared to placebo for the treatment of plantar fasciitis [J]. Foot & ankle international, 2018,39(10):1151-1161.
[15] 劉瀟, 張瓏, 張浩, et al. 足底筋膜炎相關危險因素的研究進展 [J]. 解放軍醫學院學報:1-6.
[16] Yeung EW, Yeung SS. A systematic review of interventions to prevent lower limb soft tissue running injuries [J]. British journal of sports medicine, 2001,35(6):383-389.
朝陽藥師在您身邊
作者:吳位東
稽核:於曉佳
編輯:王 鑫
主編:王子惠