足底筋膜炎的問題

sogojokimo 發表於 2008-7-2 21:45:03 [顯示全部樓層] 回覆獎勵 閱讀模式 10 4811
我去年就有足底筋膜癌的問題
一直困擾我
在開刀房上班的我
沒辦法不站著
腳根超痛的說
每天都站到很難受
之前有給醫生打針
但是醫生都說打針不好
但是我每天泡溫水的效果有限
我應該怎做呢

[ 本帖最後由 binni67682001 於 2008-7-3 10:45 編輯 ]

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melkavam 發表於 2008-7-2 23:05
重要:少久站不然神仙也難救
被動一點就買好點的氣墊鞋
熱敷推拿可以減輕脹痛感
拔罐也有不錯的效果
拖延太久容易纖維化
年老會有骨刺方面的問題
另一說法和體重有關
如果體重較重又需久站
就需要二方面下手
希望你早日康復.
fapt 發表於 2008-7-3 16:29
足底筋膜炎
你有先去做過物理治療嗎?  我是建議先去做物理治療,如果2個月沒改善。是應該找醫師做其他治療選擇:手術或是骨震波治療。這部份是需要諮詢醫師的建議,不多做琢磨。

也許你是可以先從工作型態開始著手,例如不要久站。或是改成舒適的鞋子,有墊足弓的鞋子,這都會讓你比較舒服。
經常做冷熱交替的水療,也是不錯的選擇。
之後在腳底做伸展或是放鬆按摩治療等。
binni67682001 發表於 2008-7-3 18:44
以下都是些伸展運動,可以嘗試著做看看,或是請治療師教您!!
但是一個好的減壓鞋墊是有必要的,畢盡護士是要整天站立,
對腳底的壓力是非常大的!!

You may begin exercising the muscles of your foot right away by gently stretching them as follows:

1. Towel stretch: Sit on a hard surface with your injured leg stretched out in front of you. Loop a towel around the ball of your foot and pull the towel toward your body, stretching the back of your calf muscle. Hold this position for 30 seconds. Repeat 3 times. When the towel stretch becomes too easy, you may begin doing the standing calf stretch.


2. Standing calf stretch: Facing a wall, put your hands against the wall at about eye level. Keep the injured leg back, the uninjured leg forward, and the heel of your injured leg on the floor. Turn your injured foot slightly inward (as if you were pigeon-toed) as you slowly lean into the wall until you feel a stretch in the back of your calf. Hold for 30 to 60 seconds. Repeat 3 times. When you can stand comfortably on your injured foot, you can begin stretching the planter fascia at the bottom of your foot.


3. Plantar fascia stretch: Stand with the ball of your injured foot on a stair. Reach for the bottom step with your heel until you feel a stretch in the arch of your foot. Hold this position for 30 to 60 seconds and then relax Repeat 3 times.











After you have stretched the bottom muscles of your foot, you can begin strengthening the top muscles of your foot.

4. Frozen can roll: Roll your bare injured foot back and forth from your heel to your mid-arch over a frozen juice can. Repeat for 3 to 5 minutes. This exercise is particularly helpful if done first thing in the morning.

5. Sitting toe raise: Sit in a chair with your feet flat on the floor. Raise the toes and the ball of your injured foot off the floor while keeping your heel on the floor. Hold for 5 seconds. Repeat 10 times. Do three sets of 10.







6. Towel pickup: With your heel on the ground, pick up a towel with your toes. Release. Repeat 10 to 20 times.


Next, you can begin strengthening the muscles of your foot and lower leg by using a Thera-Band.



7. Resisted Thera-Band exercises for the lower leg:
A. Resisted dorsiflexion: Sit with your injured leg out straight and your foot facing a doorway. Tie a loop in one end of the Thera-Band. Put your foot through the loop so that the tubing goes around the arch of your foot. lie a knot in the other end of the Thera-Band and shut the knot in the door. Move backward until there is tension in the tubing. Keeping your knee straight, pull your foot toward your face, stretching the tubing. Slowly return to the starting position.
Repeat 10 times. Do 3 sets of 10.


B. Resisted plantar flexion:Sit with your leg outstretched and loop the middle section of the tubing around the ball of your foot. Hold the ends of the tubing in both hands. Gently press the ball of your foot down and point your toes, stretching the Thera-Band. Return to the starting position. Repeat 10 times. Do 3 sets of 10.




C. Resisted inversion: Sit with your legs out straight and cross your un- injured leg over your injured ankle. Wrap the tubing around the ball of your injured foot and then loop it around your uninjured foot so that the Thera-Band is anchored there at one end. Hold the other end of the Thera-Band in your hand. Turn your injured foot inward and upward. This will stretch the tubing. Return to the starting position. Repeat 10 times. Do 3 sets of 10.

D. Resisted eversion: Sit with both legs stretched out in front of you, with your feet about a shoulder's width apart. Tie a loop in one end of the Thera-Band. Put your injured foot through the loop so that the tubing goes around the arch of that foot and wraps around the outside of the uninjured foot. Hold onto the other end of the tubing with your hand to provide tension. Turn your injured foot up and out. Make sure you keep your uninjured foot still so that it will allow the tubing to stretch as you move your injured foot. Return to the starting position. Repeat 10 times. Do 3 sets of 10.
wwon 發表於 2008-7-4 14:07
像我個人的經驗,做物理治療和推拿、按摩其實都沒有什麼成果。後來因為其他因素,經常到游泳池游泳,游完之後在那邊的熱水池泡一陣子,過了一兩個禮拜後,發現我的筋膜炎居然不藥而癒!即是到了現在有的時候會有復發的態勢,只要再去泳池報到一陣子,就沒有問題了!!提供給您做參考。
jacky731217 發表於 2008-7-11 17:02
可以在鞋子裡加個足弓墊
另外
復健科裡的超音波對足底筋膜炎效果也是不錯的
再來就是多休息啦(看樣子好像很難^^")
y-shiou 發表於 2008-7-19 22:10
做超音波治療效果不錯喔!
ptsnake 發表於 2008-7-21 15:25
1. 有無受傷過
2.請問是早上痛或下午才痛
3.穿脫鞋就痛嗎?(OP room 都穿脫鞋)
4.當下班後洗完澡還痛嗎?
5.年齡有超過35歲嗎?
跟據妳的主訴
我懷疑是你的鞋跟較高
上班常要惦腳尖作事
又長時間站立
才會造成跟腱擠壓
又使足底筋膜因跟腱的疼痛刺激而變緊
又沒辦法馬上休息
以致久了就成了麻煩的慢性疼痛
不知道對不對!
cedoni 發表於 2008-7-25 11:29
没那麼複雜啦!泡泡行血氣中藥即可
在泡之前不管用推拿或按摩均可
先把藥煮好,揉捏足跟和腳丫子
連續七天大概就好了,尚有其它方法
不過得要有中醫師資格,本人只是傳承技藝而已
行血氣藥約三十元而已,可連用七天,除第一次需煮出藥力外
再就温熱即可,可不要煮開泡,那可傻了
這是頭一回提出,因為護士蠻辛苦的
mars0536 發表於 2008-8-20 14:25
我也被這個問題困擾很久  至少有兩年了
最近右腳跟有變的更厲害一點
在網路上找尋多次足底筋膜炎復建問題
這邊的解答相當詳盡
給了我不少值得參考的資料
真是謝謝各位前輩
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