How is plantar aponeurosis treated

summary

Plantar aponeurosis is the deep fascia of the sole. Its main body starts from the calcaneal tubercle to the proximal phalanx of each toe. It is composed of longitudinal fibers. It can protect the muscles, tendons, blood vessels, nerves and joints of the sole, provide the attachment points of some internal muscles of the sole, and help maintain the longitudinal arch of the foot. How to treat plantar aponeurosis? Let me talk about it.

How is plantar aponeurosis treated

First, for most patients, plantar aponeurosis is a self limiting disease, which usually has a good prognosis after non-surgical treatment. It is necessary to inform the patients that 95% of the patients can achieve complete remission of symptoms after up to one year of non-surgical treatment. Therefore, for the first visit of plantar fasciitis, the initial non-surgical treatment should be 6 months to 1 year.

Second, the contents of conservative treatment include: stretching Achilles tendon and plantar aponeurosis 2-3 times a day, especially before exercise; reducing overuse and weight loss; using night brace to maintain ankle joint in back extension position; wearing well padded shoes such as jogging shoes or soft rubber soled shoes; using non steroidal anti-inflammatory drugs; using soft heel pad or heel cup, arch support pad or specially made shoes Brace; physiotherapy (ultrasonic or iontophoresis), tape fixation.

Third, the surgical treatment of chronic plantar aponeurosis is still controversial. The cause of failure of non-surgical treatment must be clarified before operation. When the patients with good compliance are invalid after appropriate conservative treatment, and other diseases such as seronegative arthritis, stress fracture and lumbar spinal stenosis are excluded, surgical treatment can be considered. The operation methods include plantar aponeurosis incision, nerve decompression, calcaneal osteophyte resection, endoscopic plantar aponeurosis incision or combined operation.

matters needing attention

Usually to avoid excessive fatigue, more to ensure adequate sleep. Keep a good mood and avoid being too nervous and depressed. But also to strengthen physical exercise, enhance the body's resistance.