臨床整形外科59巻3号

2024年03月発行

特集 知ってると知らないでは大違い　実践！ 踵部痛の診断と治療

足底腱膜症の診断と治療

著者： 田中博史¹

所属機関： ¹百武整形外科・スポーツクリニック

ページ範囲：P.233 - P.238

足底腱膜症は踵部に疼痛を生じる疾患で最も頻度が高く，中高年やランナーに多い疾患である．発症要因は踵部に生じる力学的ストレスによる退行変性病変とされており，発症には多くのリスク因子が存在する．診療にあたって重要なポイントは，①圧痛点を確認し，鑑別疾患も念頭に入れながら正確に診断すること，②治療の中心は保存療法であり，特にストレッチや足部内在筋の筋力訓練などを自宅でも毎日できるように指導すること，③難治例に対しては体外衝撃波療法や手術療法などを提案すること，などである．

参考文献

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