علاج الخط الأول لالتهاب اللفافة الأخمصية: نهج إدارة منظم

References

DOI: 10.47102/annals-acadmedsg.2023211

• The following should be instituted as first-line interventions in all cases of plantar fasciitis: I. Explanation by the doctor on the biomechanical etiology of plantar fasciitis, to enhance compliance to the management plan II. Activity modification III. Analgesia IV. Ice massage V. Plantar fascia stretching VI. Footwear education
• Analgesia, including paracetamol and non-steroidal anti-inflammatory drugs, can be offered for short-term pain relief.
• Appropriate footwear with good arch support and cushioned heels prevents exacerbation of PF by ensuring adequate support of the medial longitudinal arch.
• The following may be instituted as initial interventions in all cases of plantar fasciitis: I. Gastrocnemius/soleus and Achilles tendon stretching II. Antipronation taping
• If one or more of the indications below are met, a referral to the podiatrist for prefabricated or customised orthoses should be considered. Indications include: I. Moderate to severe plantar fasciitis II. Increased pain from using off-the-shelf insoles III. Significant foot deformity, including pes planus or pes cavus IV. High body mass index
• A trial of night splint as an adjunct therapy may be considered for patients who are symptomatic despite 6 weeks of first-line interventions.
• At the initial doctor's visit and at each doctor's follow-up visit, the following should be documented: I. VAS pain score II. Functional score III. Activity level