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首页> 外文期刊>International Journal of Research in Medical Sciences >Plantar fasciitis: corticosteroid injection versus chiropractic therapy
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Plantar fasciitis: corticosteroid injection versus chiropractic therapy

机译：足底筋膜炎：皮质类固醇注射与脊骨疗法

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The diagnosis of plantar fasciitis is usually clinical and rarely needs to be investigated further. The patient complains of pain in the medial side of the heel, most noticeable with initial steps after a period of inactivity and usually lessens with increasing level of activity during the day, but will tend to worsen toward the end of the day. Symptoms may become worse following prolonged weight bearing, and often precipitated by increase in weight bearing activities. Paresthesia is uncommon. It is usually unilateral, but up to 30% of cases have a bilateral presentation. In our study patients who received chiropractic therapy were treated by rest, heat, ice pack, non-steroidal anti-inflammatory drugs (NSAIDS), heel pads, magnetic insole, night splints, walking cast, taping, ultrasound, plantar and Achilles stretching for a period of 6 weeks scheduled accordingly. Patients receiving corticosteroid injection were administered 80mg methyl prednisolone locally at the heel. Each patient received 3 doses of methyl prednisolone injections on 1st day, 2nd week, and 4th week. The results with corticosteroid injection were better when analyzed with numeric rating scale over a period of 6 weeks.
机译：足底筋膜炎的诊断通常是临床诊断，很少需要进一步研究。患者抱怨脚后跟内侧疼痛，在一段时间不活动之后的初始步骤中最为明显，通常随着白天活动水平的提高而减轻，但到一天结束时往往会恶化。长时间负重后症状可能会变得更糟，并且通常由于负重活动增加而加剧。感觉异常并不常见。它通常是单方面的，但多达30％的病例是双边出现的。在我们的研究中，接受脊骨疗法治疗的患者接受了休息，加热，冰袋，非甾体抗炎药（NSAIDS），脚跟垫，磁性鞋垫，夜夹板，步行石膏，绑带，超声检查，足底和跟腱拉伸治疗。相应安排了6周的时间。接受皮质类固醇注射的患者在足跟局部注射80mg甲基泼尼松龙。每位患者在第1天，第2周和第4周接受3剂甲泼尼龙注射。用数字评分量表在6周内进行分析时，皮质类固醇注射的结果更好。

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