The more mainstream treatments for plantar fasciitis in Taiwan are shock wave therapy and endoscopic surgery. Generally speaking, there are not many opportunities for plantar fasciitis to be treated with surgery, and the proportion is about 10%. If conservative treatment is still ineffective for 3 to 6 months, you can consider performing “endoscopic plantar fasciotomy”. The fascia is incised and relaxed. The wound is only about 1 cm in length. The treatment effect is significant, but the disadvantage is that the post-operation Scar pain may last from 3 months to half a year. Therefore, in addition to patients with particularly severe symptoms, it is often seen that postoperative patients are not very satisfied with the results of endoscopic surgery. Another type of treatment is to use the “skeletal shock wave therapy device” to promote microangiogenesis. This was originally an extracorporeal shock wave lithotripter used in the urology department. Later, after shortening its focal length and increasing its force, it was found that plantar fasciitis was affected. , Tennis elbow has a real effect. The advantage of shock wave treatment is that there is no need for surgery, hospitalization, or special rest. Unfortunately, shock wave treatment does not have the same anti-inflammatory effect as taking medicine and steroids. Therefore, patients will not feel the effect until more than 2 or 3 months. After receiving the shock wave treatment, a patient came to Xingshi to ask why it was not effective and then sought traditional treatment on his own. After applying the ointment for 3 months, the plantar fasciitis healed and went back to the hospital for choking shock wave treatment. It didn’t work at all, and the doctor was extremely wronged. The patient did not expect that the plantar fasciitis is cured, precisely because the shock wave treatment worked within the past 3 months, instead of putting on the dog skin plaster for 2 or 3 months.
Plantar Fasciitis | Expert Guide to the Best Shoes for Plantar Fasciitis  Relief - Family Footwear Center
Although endoscopic surgery is not the only treatment for plantar fasciitis, and shock waves are not “artifacts” that must be done, Taiwanese people generally have the mentality of looking for “the elixir” when seeking medical treatment, expecting quick results and radical cures. Once they fail to meet expectations He sneered at the therapy, dismissed the doctor’s advice, and ended up just having trouble with his health, and he asked the patient to be more patient. Some doctors will call plantar fasciitis “plantar bone spurs” because plantar fasciitis has a long time, biochemical irritants will increase, the irritated fascia will become inflamed, and calcification will occur after inflammation. , X-rays are taken from the side, and you will see a traction spur like a spur. Many people think that this spur is the cause of plantar fasciitis. If the bone spur is pulled out, the plantar muscles Meningitis will not be painful. This is a misconception. The bone spur itself is only a symptom, not the cause of the disease. Plantar fasciitis is not caused by a bone spur on the sole. Think about it, everyone, the calcified fascia should be a whole piece, how could it be a thorn? Therefore, if the bone spur is removed, the difference after surgery is that the bone spur is no longer visible on the X-ray film, but the symptoms of plantar fasciitis will not be alleviated. Even if the symptoms will alleviate, it will only get more in other parts. Painful. Just imagine, a wound with an endoscopic surgery that is less than 1 cm in length may have the possibility of scarring for up to half a year, let alone to open a wound of more than 5 cm in length and remove the bone spurs! The magic formula for quick relief: wear high heels “The shortest effective way to treat plantar fasciitis is to take steroids or wear high heels right away!” Whenever patients hear me say this, they always open their eyes and look unbelievable. This is true.
How You Can Treat Plantar Fasciitis at Home | OrthoBethesda
The symptoms of plantar fasciitis are mainly heel pain. If you put on high heels immediately, your weight vector will move forward, and the pressure on the hind feet will naturally decrease, and the pain of plantar fasciitis will follow. Lighten up. So you don’t have to give high heels too much sin, you can wear them for social occasions where you should wear high heels. But that’s not to say that it’s not advocating that women love to wear high heels more often. If you wear high heels too often, the Achilles tendon of the hindfoot may be shortened, causing the pressure on the plantar fascia to be changed when you step on the flat ground when you are not wearing high heels. Plantar fasciitis is often misdiagnosed There was a patient who was referred by other hospitals for shock wave treatment because of heel pain, but his pain was a bit wrong. Generally speaking, plantar fasciitis is the most painful when stepped on, and it will be relieved after a few steps. , But the patient stepped on too much and started to feel pain, even if he did not move. It was discovered by X-ray that there was a tumor in the calcaneus. Fortunately, it was discovered that there was no shock wave treatment, but a surgical excavation. Because the tumor in the heel may evolve into a pathological fracture, causing the instability of the foot structure, performing shock waves, in this case, will only aggravate the condition. Another patient was diagnosed with plantar fasciitis in the outer hospital. Upon questioning, he knew that the patient had a history of diabetes. The guess was that he stepped on a hard object and had a hematoma in the heel. Because the diabetes resistance was not good, it caused bacteria. Invasive, the real diagnosis is necrotizing fasciitis. As a result, as soon as the knife was opened, the pus would flow out, and the tissues inside had been infected and necrotic. Fortunately, it was treated as soon as possible. Although most patients with heel pain are plantar fasciitis, patients also need to undergo a detailed differential diagnosis to rule out necrotizing fasciitis, calcaneal fractures, plantar tumors, or ankylosing spondylitis in the heel Symptoms, etc., so as not to cause misdiagnosis and delay treatment.

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