千里之行始於 下

淺談足底筋膜炎

復健部 物理治療師 陳振裕

足底筋膜炎是最常見的腳部疾患

Plantar fasciitis

足部位於人體的基部，跟房屋地基一樣

地基如果不穩，則會造成房屋結構不良

Bone=26

Anatomy

韌 帶

足弓

腓腸肌

比目魚肌

脛後肌腱

足底筋膜

3 bands dense connective tissue

Tension Stress

Causes

跟腱緊繃

足底筋膜炎常發生於需要

經常步行、站立、腳部活動量增大或負荷加重

Shoes 不適當鞋子

「下床腳跟痛」→ 診斷指標

Plantar fasciitis commonly causes stabbing pain that usually occurs with your first steps in the morning.

Diagnosis

• Plantar fasciitis is primarily a clinical diagnosis.

• Patients classically describe medial plantar heel pain on weight bearing, which is often most intense during their first few steps in the morning but tends to improve with rest.

• This pain may progress over the course of the day, especially after prolonged standing.

Clinical Evaluation

Classic physical examination findings

1. Reproducible pain with palpation of the

plantar medial aspect of the heel

2. Pain with passive dorsiflexion of the ankle and

toes (windlass test).