Plantar fasciitt
Sist revidert:
Sist revidert av:Terje JohannessenDefinisjon:
Degenerative forandringer i utspringet for plantarfascien i forkant av kalkaneus. Vanligvis utløst av overbelastning
Forekomst:
Vanligst etter 40 årsalder eller hos yngre idrettsutøvere
Symptomer:
Smerter eller ømhet i eller foran hælen ved belastning mot fotsålen, gangsmerter
Funn:
Ømhet ved palpasjon mot plantarfascien ved utspringet fra kalkaneus
Diagnostikk:
Klinisk diagnose, men bildeundersøkelser kan være aktuelle ved tvil om diagnosen
Behandling:
Behandles individuelt: avlastning, ev. avlastning med ortoser. Fysikalsk behandling med tøyninger. Sjokkbølgebehandling, ev. kortisoninjeksjon er aktuelt
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- Effekt av stötvågsbehandling vid hälsenetendinopati och hälsporre HTA-rapport 2021:58 Metodrådet. Region Stockholm 2021. vardgivarguiden.se
- Othman AM, Ragab EM. Endoscopic plantar fasciotomy versus extracorporeal shock wave therapy for treatment of chronic plantar fasciitis. Arch Orthop Trauma Surg 2010; 130: 1343-7. PubMed
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- Terje Johannessen, professor i allmennmedisin, Trondheim