PAINFUL HEEL SYNDROME - RESULTS OF NONOPERATIVE TREATMENT

被引：158

作者：

DAVIS, PF

SEVERUD, E

BAXTER, D

机构：

[1] Moline Orthopedic Associates, Ltd., Moline, Illinois

[2] University of Kansas, Wichita, Kansas

[3] Department of Orthopaedic Surgery, Baylor College of Medicine, 6550 Fannin, Suite 2625, Houston

来源：

FOOT & ANKLE INTERNATIONAL | 1994年 / 15卷 / 10期

关键词：

D O I：

10.1177/107110079401501002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

One hundred five patients (70% female and 30% male; average age, 48 years) with 132 symptomatic heels were treated according to a standard nonoperative protocol and then reviewed at an average follow-up of 29 months. The treatment protocol consisted of nonsteroidal anti-inflammatory medications, relative rest, viscoelestic polymer heel cushions, Achilles tendon stretching exercises, and, occasionally, injections. Obesity, lifestyle (athletic versus sedentary), sex, and presence or size of heel spur did not influence the treatment outcome. Ninety-four patients (89.5%) had resolution of heel pain within 10.9 months. Six patients (5.7%) continued to have significant pain, but did not elect to have operative treatment, and five patients (4.8%) elected to have surgical intervention. Despite attention to the outcome of surgical treatment for heel pain in the current literature, initial treatment for heel pain is nonoperative. The treatment protocol used in this study was successful for 89.5% of the patients.

引用

页码：531 / 535

页数：5

共 34 条

[1]

Ahstrom J.P., Spontaneous rupture of the plantar fascia, Am. J. Sports Med., 16, pp. 306-307, (1988)

[2]

Ali E., Calcaneal spur, West Indian Med. J., 29, (1980)

[3]

Amis J., Jennings L., Graham D., Graham C.E., Painful heel syndrome: radiographic and treatment assessment, Foot Ankle, 9, pp. 91-95, (1988)

[4]

Baxter D.E., Pfeffer G.B., Thigpen M., Chronic heel pain: Treatment rationale, Ortho. Clinics N. Am., 20, pp. 563-569, (1989)

[5]

Baxter D.E., Thigpen C.E., Heel pain—Operative results, Foot Ankle, 5, pp. 16-25, (1984)

[6]

Blockey N.J., The painful heel: a controlled trial of the value of hydrocortisone, Br. Med. J., 1, pp. 1277-1278, (1956)

[7]

Bordelon R.L., Subcalcaneal pain: a method of evaluation and plan for treatment, Clin. Orthop., 177, pp. 49-53, (1983)

[8]

Campbell J.W., Irman V.T., Treatment of plantar fasciitis and calcaneal spurs with the UC-BL shoe insert, Clin. Orthop., 103, pp. 57-62, (1974)

[9]

DuVries H.L., Heel spur (calcaneal spur), Arch. Surg., 74, pp. 536-542, (1957)

[10]

Furey J.G., Plantar fasciitis: the painful heel syndrome, J. Bone Joint Surg., 57A, pp. 672-673, (1975)

← 1 2 3 4 →