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Plantar fasciitt

Sist revidert:
Sist revidert av:

Definisjon:
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
  1. Trojian T, Tucker AK. Plantar Fasciitis. Am Fam Physician. 2019;99(12):744-750. PubMed  
  2. Latt LD, Jaffe DE, Tang Y, Taljanovic MS. Evaluation and Treatment of Chronic Plantar Fasciitis. Foot Ankle Orthop. 2020;5(1):2473011419896763. PubMed  
  3. Abbassian A, Kohls-Gatzoulis J, Solan MC. Proximal medial gastrocnemius release in the treatment of recalcitrant plantar fasciitis. Foot Ankle Int. 2012;33(1):14–19. PMID: 22381231 PubMed  
  4. Zhang J, Nie D, Rocha JL, Hogan MV, Wang JH-C. Characterization of the structure, cells, and cellular mechanobiological response of human plantar fascia. J Tissue Eng. 2018;9:2041731418801103. PubMed  
  5. Gamba C, Sala-Pujals A, Perez-Prieto D, et al. Relationship of plantar fascia thickness and preoperative pain, function, and quality of life in recalcitrant plantar fasciitis. Foot Ankle Int. 2018;39(8):930–934. PMID: 22381231 PubMed  
  6. Radwan A, Wyland M, Applequist L, et al. Ultrasonography, an effective tool in diagnosing plantar fasciitis: a systematic review of diagnostic trials. Int J Sports Phys Ther. 2016;11:663-671. PubMed  
  7. Mahowald S, Legge BS, Grady JF. The correlation between plantar fascia thickness and symptoms of plantar fasciitis. J Am Podiatr Med Assoc. 2011;101(5):385–389.
  8. McMillan AM, Landorf KB, Barrett JT, Menz HB, Bird AR. Diagnostic imaging for chronic plantar heel pain: a systematic review and meta-analysis. J Foot Ankle Res 2009; 2: 32. PubMed  
  9. Neufeld SK, Cerrato R. Plantar fasciitis: evaluation and treatment. J Am Acad Orthop Surg 2008;16(6):338–346. PMID: 18524985 PubMed  
  10. Whittaker GA, Munteanu SE, Menz HB, et al. Effectiveness of Foot Orthoses Versus Corticosteroid Injection for Plantar Heel Pain: The SOOTHE Randomized Clinical Trial. J Orthop Sports Phys Ther. 2019 Jul;49(7):491-500. PMID: 31130060 PubMed  
  11. Renan-Ordine R, Alburquerque-Sendin F, de Souza DP, et al. Effectiveness of myofascial trigger point manual therapy combined with a self-stretching protocol for the management of plantar heel pain: a randomized controlled trial. J Orthop Sports Phys Ther 2011;41: 43-50. PubMed  
  12. Gollwitzer H, Saxena A, DiDomenico LA, et al. Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am. 2015; 97: 701-8. PMID: 25948515 PubMed  
  13. Celik D, Kus G, Sirma SO. Joint mobilization and stretching exercise vs steroid Injection in the treatment of plantar fasciitis: A randomized controlled study. Foot Ankle Int. 2015. PMID: 26400901 PubMed  
  14. Huang K, Giddins G, Wu LD. Platelet-Rich Plasma Versus Corticosteroid Injections in the Management of Elbow Epicondylitis and Plantar Fasciitis: An Updated Systematic Review and Meta-analysis. Am J Sports Med. 2019. PMID: 31821010 PubMed  
  15. David JA, Sankarapandian V, Christopher PRH, Chatterjee A, Macaden AS. Injected corticosteroids for treating plantar heel pain in adults. Cochrane Database of Systematic Reviews 2017, Issue 6. Art. No.: CD009348. DOI: 10.1002/14651858.CD009348.pub2 DOI  
  16. Huang YC, Wei SH, Wang HK, Lieu FK. Ultrasonographic guided botulinum toxin type A treatment for plantar fasciitis: an outcome-based investigation for treating pain and gait changes. J Rehabil Med 2010;42:136-40. PubMed  
  17. Abbasian M, Baghbani S, Barangi S, et al. Outcomes of Ultrasound-Guided Gastrocnemius Injection With Botulinum Toxin for Chronic Plantar Fasciitis. Foot Ankle Int. 2019. pmid: 31587569 PubMed  
  18. Engkananuwat P, Kanlayanaphotporn R, Purepong N. Effectiveness of the Simultaneous Stretching of the Achilles Tendon and Plantar Fascia in Individuals With Plantar Fasciitis. Foot Ankle Int. 2018; 39: 75-82. PMID: 28985685 PubMed  
  19. Hyland MR, Webber-Gaffney A, Cohen L, Lichtman PT. Randomized controlled trial of calcaneal taping, sham taping, and plantar fascia stretching for the short-term management of plantar heel pain. J Orthop Sports Phys Ther 2006; 36: 364-71. PubMed  
  20. Lewis RD, Wright P, McCarthy LH. Orthotics Compared to Conventional Therapy and Other Non-Surgical Treatments for Plantar Fasciitis. J Okla State Med Assoc. 2015 Dec;108:596-8. PMID: 26855444 PubMed  
  21. Hawke F, Burns J, Radford JA, du Toit V. Custom-made foot orthoses for the treatment of foot pain. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD006801. DOI: 10.1002/14651858.CD006801.pub2 DOI  
  22. Rasenberg N, Riel H, Rathleff MS, et al . Efficacy of foot orthoses for the treatment of plantar heel pain: A systematic review and meta-analysis. Br J Sports Med 2018. pmid:29555795 PubMed  
  23. Orchard J. Plantar fasciitis. Clinical review. BMJ 2012; 345: e6603. BMJ (DOI)  
  24. Roos E, Engström M, Söderberg B. Foot orthoses for the treatment of plantar fasciitis. Foot Ankle Int 2006; 27: 606-11. PubMed  
  25. Lee SY, McKeon P, Hertel J. Does the use of orthoses improve self-reported pain and function measures in patients with plantar fasciitis? A meta-analysis. Phys Ther Sport 2009; 10: 12-8. PubMed  
  26. Yin MC, Ye J, Yao M, et al. Is Extracorporeal Shock Wave Therapy Clinical Efficacy for Relief of Chronic, Recalcitrant Plantar Fasciitis? A Systematic Review and Meta-Analysis of Randomized Placebo or Active-Treatment Controlled Trials. Arch Phys Med Rehabil. 2014 Aug;95(8):1585-1593. PubMed  
  27. Effekt av stötvågsbehandling vid hälsenetendinopati och hälsporre HTA-rapport 2021:58 Metodrådet. Region Stockholm 2021. vardgivarguiden.se  
  28. 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  
  29. Fernández-Rodríguez T, Fernández-Rolle Á, Truyols-Domínguez S, et al. Prospective Randomized Trial of Electrolysis for Chronic Plantar Heel Pain. Foot Ankle Int 2018. pmid:29771148 PubMed  
  • Terje Johannessen, professor i allmennmedisin, Trondheim