154718Inflammation

154718

Inflammation

Bruise

One of the most common musculoskeletal diseases. Usually caused by chronic inflammation of the fascia under the feet. The fascia under the foot is part of the normal structure of the foot and is attached from the heel bone. spread over the soles of the feet.

Inflammation or fascia under the feet is one of the diseases The musculoskeletal system is common, usually caused by chronic inflammation of the fascia under the feet. The fascia under the foot is part of the normal structure of the foot , attached from the heel bone. spread over the soles of the feet, then to the toe bone The membrane serves to distribute the weight properly to the soles of the feet while standing or walking. Bruises are more common among overweight people , runners, or middle-aged people.

Symptoms

: In general, plantar fasciitis causes a feeling of pain, tightness, or pain similar to having a sharp point in the heel. Most of the pain occurs on one foot. but sometimes Can occur with both feet. The pain is very intense in the morning after waking up and taking the first 2-3 steps, then the pain will subside if you walk for a while. Then the pain can recur if there is a routine that requires standing or walking for long periods of time. or pain when standing up after sitting for a long time

Causes

At present, the exact cause of bruises cannot be determined. One possible hypothesis is that while feet carry the weight of the body, such as when standing, walking, or running , there is a constant or excessive load on the soles of the feet. As a result, the fascia under the feet was suddenly stretched. Such a mechanism, if repeated, will result in injury to the fascia under the foot, resulting in chronic inflammation .

Risk

Factors There are several risk factors that may be associated with the development of bruises, including:

Age: bruises are more common in people aged 40 to 60 years.
Nature of activity or exercise: Activities or exercise that require constant heel loads, such as running or dancing.
Flatfoot People with flat feet may cause the fascia under their feet to be constantly stretched more than usual. As a result, when standing or walking for a long time The fascia under the feet can be chronically injured and inflamed.
overweight Body weight results in increased pressure on the fascia under the feet.

Complications

if bruises are not treated May result in increased plantar pain. Such pain may affect daily life or work.

Diagnosis

Bruises can be diagnosed by taking a history and physical examination by a doctor. The doctor will take a history of pain position nature of pain activities that cause more pain and activities that cause less pain A physical examination is then performed by looking at the appearance of the feet, moving the feet, and palpating to locate the pain points.

Additional referrals
, in general , patients with bruises no need to do Additional tests, such as a foot X-ray or an MRI of the foot except in cases where the doctor suspects other diseases

Treatment
, in most cases Bruises can be treated without surgery, including medication, exercise. behavior modification physical therapy Shockwave therapy and injections

Medications

oral medications such as paracetamol or NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen, naproxen, miloxicam (Mobic), celecozib (Celebre Etoric 10 (Arcoccia) can help relieve pain from bruises. However, they should only be taken for a short period of time. In addition, topical medications (creams or gels) such as diclofenac gel (Diphenyl Gel) are safer than oral medications and can relieve pain such as: same
Oral medications can have side effects on the kidneys, liver, stomach, or heart and may cause allergic reactions in some patients. In addition, topical medications can cause irritation or allergic skin rashes in some patients. Therefore, before using the drug Patients should always consult a doctor first.

Exercise

The main exercise to relieve pain from bruises is to stretch the fascia under the foot. Achilles tendon and calf muscles

Fascia stretch under the feet

Practice

Sit cross-legged, with the sole of the foot to be extended at the top.
Use one hand to gently pull your toes upward. Do not exert too fast or too much traction.
During stretching, the sole of the foot is slightly stretched, but it doesn’t hurt.
Hold this position for 20 seconds ( count 1 – 20).

Stretching the Achilles tendon and calf muscles

Practice

Use a cloth around your feet.
Two hands hold each end of the fabric.
Pull the fabric toward you with both hands with equal force. Let your ankles bounce up.
During stretching, the sole of the foot is slightly stretched, but it doesn’t hurt.
Hold this position for 20 seconds (count 1 – 20).
Be careful while doing both stretches.
Perform each move gently, slowly, not fast or surges.
Do not stretch too much. because it can hurt You should feel that the soles of your feet or muscles are slightly stretched, not aching.

Behavior modification

Practices to reduce pain from bruises include:

choose the right shoes Avoid wearing shoes that are worn. Thin or hard soles Change the shoes to the size that fit the length and width of your feet. comfortable material Arched support to fit the paws. And the insole cushions the impact of the feet while walking or exercising well.
avoid walking barefoot If there is pain from chronic bruises Barefoot should be avoided both indoors and outdoors.
Control your body weight to be in an appropriate range. Increased body weight risks increasing the pressure on the fascia under the feet. leading to secondary disease Weight should be controlled by diet and aerobic exercises that do not affect the soles of the feet, such as walking, elliptical training, swimming and cycling.
Adjust your exercise or sporting habits. Avoid exercise that puts a lot of pressure on the soles of your feet, such as jogging, dancing with fast foot movements, tennis, badminton, basketball, soccer, etc.

Accessories

The following accessories can relieve foot pain. However, choosing the right equipment should be under the supervision of a physician. Such equipment includes

Heel plate intended to reduce the impact on the foot and increase comfort while standing or walking. May consider using it only for a short time while still having foot pain.

Inner paw support The objective is to loosen the fascia under the foot so that it is not too tight. As a result, the fascia under the foot has proper flexibility. Ready for cushioning while standing or walking.

Insoles: Your doctor may recommend insoles that are appropriate for the shape of your feet to relieve pain. May consider ready-made insoles that are generally available for sale. in some patients that the doctor deems appropriate May consider custom-made insoles In order to make the insoles cut appropriately and shaped to fit the patient’s foot shape. This results in proper weight distribution to the soles of the feet. This reduces foot pain while standing or walking.

Foot support for wearing at night.

While sleeping, the body relaxes causing the ankle to fall, which in turn results in the contraction of the fascia under the foot. when waking up and getting up to walk The fascia under the feet will be stretched sharply, resulting in pain. Foot braces for wearing at night will help keep your ankles from falling. As a result, the fascia under the feet is stretched properly all the time. As a result, it can prevent morning pain. However, doctors may consider using the device in some patients with pain and unresponsiveness to other treatments.

Physical

therapy Physical therapists can reduce pain from bruises by using tools such as warming compresses, using ultrasound waves for treatment, etc. A physical therapist can recommend exercises by stretching the fascia under the feet. Achilles tendon and calf muscles with exercises that are suitable for each patient. When the pain from the bruise is gone A physical therapist can recommend exercises to strengthen your leg muscles to prevent recurrence of bruises.

Shockwave tool therapy or shock wave (Extracorporeal shock wave therapy) or shock wave is a high energy sound wave do not use radiation or electrotherapy The mechanism of such therapy is that the shock wave sends energy deep into the fascia layer under the foot. This energy stimulates the fascia tissue under the foot to repair and rebuild tissue. As a result, it can reduce the tension of the fascia caused by chronic inflammation. Shockwave therapy is currently an effective and safe treatment, especially in chronic or unresponsive cases. by other means

Injections
. Steroid injections into the heel area can relieve pain. Because the drug has an anti-inflammatory effect, however, due to steroid medication if injected incorrectly Serious side effects may occur, for example, the risk of thinning of the fat layer on the soles of the feet. heel bone infection Or the fascia of the foot is weakened or torn, etc. Therefore, the injection is classified as a non-surgical treatment that should be considered as a last resort. And should only be done in cases where the patient has a severe bruise and is not responding to other therapies. from the side effects of steroids The injection should therefore only be performed by a medical professional. The doctor may consider using ultrasound to help make the injection more precise.

Surgery

At present, almost all treatments for bruises can be cured without surgery. Surgery will be considered last. Only when the patient has a severely symptomatic bruise and does not actually respond to other treatments.