One definition of plantar fasciitis is aseptic inflammation of plantar tendon, which belongs to a kind of heel pain.

Second, the clinical manifestations are that the soles of the feet are close to the heels or the soles of the feet, and the onset is usually slow. Common in obese middle-aged women and sports enthusiasts, such as professional athletes, dancers and ordinary people who walk long distances. In addition, people who like to wear soft-soled shoes and exercise a lot are also very common. I feel severe pain when I get up in the morning or walk for the first few steps. The pain can be partially relieved after further exercise, but the symptoms can be aggravated after long-term exercise. During the examination, the swelling of the front and inside of the foot can be seen. There is obvious tenderness at the medial calcaneal tubercle and the starting point of plantar aponeurosis 2-3 cm. It is also necessary to observe whether there are abnormal lines of force in the foot, whether there are varus tibia, varus foot, flat foot, high arch foot and achilles tendon contracture. X-ray examination: about 50% patients can see calcaneal nodules with bone spurs on the plantar side. B-ultrasound and MRI showed thickening and edema of plantar aponeurosis.

Common parts of pain.

Some people also show pain in the front foot and middle foot.

The exact cause of etiology and pathology is still unclear, and may be as follows:

(1) When walking, the metatarsophalangeal joint stretches backward, pulling the plantar fascia, thus pulling the calcaneal tubercle. With the increase of age, the strength of foot muscles and ligaments weakens, and the strength of plantar fascia pulling calcaneal tubercle increases. Long-term repeated pulling causes tiny tearing at the starting point of plantar fascia, followed by inflammation and pain.

(2) Calcaneal plantar fasciitis and fatigue fracture of medial calcaneal tubercle.

(3) Inflammation and edema of flexor digitorum brevis and its hyperplastic spur lead to compression of the first branch of lateral plantar nerve.

Other diseases of the foot, such as foot arch descending, tibial varus, Achilles tendon contracture, calcaneal valgus, foot pronation deformity, and the changes of foot arch after tendon and ligament degeneration in middle-aged and elderly people, will make the plantar fascia bear greater stress. Long-term chronic traction can make local aponeurosis slightly torn and local edema produce aseptic inflammation. Recently, someone called plantar fasciitis "tennis shoes".

The five traditional treatments are as follows:

(1) Reduce heel impact, such as losing weight and avoiding strenuous exercise.

(2) Physical therapy, such as ultrasound, electromyography stimulation, cold and hot external application, massage, etc.

(3) Anti-inflammatory, analgesic and local sealing.

(4) gypsum fixation.

(5) extracorporeal shock wave therapy.

(6) Surgical treatment, partial plantar aponeurosis amputation, etc.

Doing this exercise often contributes to the rehabilitation of plantar fasciitis.

Application of arch pad and night splint in foot and ankle surgery

This kind of action also helps.

Professor sun's podiatric viewpoint on treating plantar fasciitis

1 ointment is made of more than ten kinds of Chinese medicines, which has the functions of promoting blood circulation, removing blood stasis, relaxing muscles and tendons, and dredging collaterals. It only needs to be applied to the most obvious pain parts.

Exercise therapy is as described above.

3 Use special insoles. Dr. Sun has developed a special insole for plantar fasciitis, such as sole, which has heel depression and internal and external longitudinal arch. The special material selection has a good effect on the rehabilitation of plantar fasciitis.

The reference price is 68 yuan/pair, which can be used for half a year to 1 year.

Kinesio therapy can rest the muscles of the foot to a certain extent by sticking elastic patches on the ankle. This method is suitable for people who like sports and can effectively protect foot muscles. This patch was first invented by Dr. KASE in Japan, and now it has spread all over the world. Beckham is also one of the users.

The pain points of patients with plantar fasciitis are at the foot root and arch.

Leg traction: push the wall with both hands, with both feet in lunge posture, with the traction feet placed in the rear, feet on the ground, knees straight, and squat down until the calf feels traction, lasting 15 seconds, repeated 10 times, several times a day. This action can relieve the calf and increase muscle elasticity.

The improvement effect of musculoskeletal seismograph is about 70%.

Laser phototherapy can improve the pain problem.

Relax your feet, and press the plantar fascia at the back end of the sole up and down with your thumb until you feel slightly sour, several times a day, 1 time, 2 minutes each time. This action can relieve fascia tension and promote blood circulation at the sole of the foot.

Relax your feet, hold your heels with one hand and your toes with the other. Pull the toes upward until the fascia feels traction, lasting 15 seconds, repeating 10 times, and doing it several times a day. This action can relieve fascia tension and increase fascia elasticity.

In addition to the above treatment methods, patients want to solve annoying plantar fasciitis, and they can also start from daily life to control foot inflammation and relieve pain. Chen Yingzhen and Luo believe that prevention is always more important than cure, so we should pay attention to the basic principles of foot care and shoe selection, and avoid long-distance walking. Exercise should be gradual, not too hasty, and seek medical treatment as soon as possible so as not to delay the illness. The following provide foot protection and oil skimming in daily life:

★ Step 1: Reduce foot impact activities.

If jumping and running, try to step on the hard floor as little as possible and step on the ground hard; Workers who stand for a long time should wear suitable shoes and have an intermittent rest.

★ Step 2: Control your weight

Weight is a big factor, and the weight of the whole body should be borne by the feet; If you can control your weight, the relative burden on your feet will be less. Moving less heavy objects can also reduce the burden on the feet.

★ Step 3: Hot compress

Patients can soak the painful parts in hot water or apply local hot compress several times a day for about 10 to 15 minutes each time, which can relieve the pain.

★ Step 4: Don't do foot massage.

Many people like to find someone to do foot massage, thinking that the more painful the better. Clinically, some doctors have found that many people have plantar fasciitis because of plantar massage. The doctor said that people should never grit their teeth when receiving foot massage. When the pain is unbearable, they must ask the masseur to relax or stop.

★ Step 5: Don't take the road of health.

Patients with plantar fasciitis should never think that taking a healthy path can solve foot pain, but it will aggravate inflammation. Therefore, people with this problem, it is best not to trample barefoot and avoid walking on uneven roads.

★ Step 6: Use foot protection when sleeping.

When sleeping, put a piece of wood under your feet to keep your ankles at 90 degrees, so that the fascia will not be so tight and the first step of getting up will not hurt.

★ Step 7: Choose sports shoes.

To change the habit of wearing shoes, don't wear slippers, because slippers are not folded, wear sports shoes. But there are two key points. First, the heel of the shoe has a bag back, which can shape the adipose tissue at the bottom of the ankle like a plastic waist; Second, the soles should be soft and don't touch pain points.

Choose the right shoes

1. Shoes in shoes should have a structure that supports the arch of the foot.

2. The heel shoe has high flexibility and shock absorption effect.

3. Don't wear high heels or ultra-flat shoes. The optimum height is about 1 inch.

4. There should be enough space in front of the shoes to accommodate the toes. When the toes push hard to the front of the shoes, it is advisable to accommodate a finger at the heel.

Foot exercises

People with plantar fasciitis should do simple plantar lacing exercise every day to help relieve fascia and calf and increase muscle elasticity.

Plantar fascia massage technique

* Relax your feet. Press the plantar fascia up and down with your thumb until you feel slightly sour, several times a day, 1 time, 2 minutes each time. This action can relieve fascia tension and promote blood circulation at the sole of the foot.

* Relax your feet. Press the plantar fascia at the front end of the sole up and down with your thumb until you feel slightly sour, several times a day, 1 time, 2 minutes each time.

Plantar fascia traction

* Relax the foot, fix the heel with one hand, hold the toes with the other hand, and pull the toes upward until the fascia feels traction, lasting 15 seconds, and repeating 10 times, several times a day. This action can relieve fascia tension and increase fascia elasticity.

* Continue the above actions, and then pull the pedal upward until the fascia and calf feel traction, lasting 15 seconds, repeating 10 times, and doing it several times a day.

You'd better ask the doctor, so as not to delay your illness. If it's plantar fascia, it hurts