Kāhea ʻia hoʻi ʻo ka calcaneal a i ʻole ka iwi kuamoʻo ʻo Lenoir, ʻo ka entaneophyte kalcaneal kahi ulu iwi aia ma ka ʻaoʻao hope o ka calcaneum, kahi iwi ma ke kuʻekuʻe wāwae o nā wāwae. Hoʻokumu ʻia ia e ka mumū mau o ka plantar fascia e hoʻopili ai i ka kuʻekuʻe wāwae i nā manamana wāwae a kākoʻo i ka wāwae holoʻokoʻa. Nā wehewehe.

ʻO ka mānoanoa o ka fascia plantar (kahi membrane fibrous e kuhi ana i ka pio a pau o ka wāwae), kū ka entaneophyte kalana i ke ʻano o ka iwi iwi i aia ma ka hope hope o ka helu. ʻO ia ka iwi o ka hope o ka wāwae ka kuʻekuʻe wāwae.

Hoʻokumu ʻia kēia iwi iwi i ka pae o kahi mumū mau o kēia mea kanu aponeurosis, ma hope o nā microtraumas repetitive e like me ka wā o nā haʻuki e kau ana i nā ukana pinepine i ka kuʻekuʻe wāwae e like me ka jogging, ʻaʻa maikaʻi ʻole i nā kāmaʻa i nā wāwae a i nā piʻi paha ma nā lepo pōhaku. . Kākoʻo kēia fascia i ka pio holoʻokoʻa o ka wāwae a me ka wāwae, mai ka kuʻekuʻe wāwae a i ka manamana wāwae, a hoʻoili i ka ikaika e pono ai e hoʻokuʻu i ka wāwae mai ke kua a i mua. ʻOi i ka koi nui ke holo.

ʻO ka hoʻokumu ʻana o kahi enthesophyte calcaneal no laila ka hopena o kahi maʻi kākoʻo i ka wā e neʻe pinepine ai ka wāwae i hoʻouka ʻia.

ʻO nā kumu o kahi calcaneal enthesophyte he nui:

• overuse o ka kuʻekuʻe wāwae a me ka plantar fascia ke hoʻomaʻamaʻa nei i nā haʻuki e like me ka jogging, ka hele wāwae ʻana ma ka ʻāina pōhaku, ke kinipōpō hīnaʻi, ka holo ʻana e like me ka sprint, a me nā mea pōkole, nā haʻuki i ke kumu o microtrauma hou o ka hui wāwae;
• nā kāmaʻa i hoʻomaʻamaʻa maikaʻi ʻole ʻia i nā wāwae, nā kāmaʻa ākea, ākea loa, me kahi paʻa paʻa loa a i ʻole kūwaho hoʻi, kākoʻo wāwae wāwae maikaʻi, kuʻekuʻe wāwae kiʻekiʻe a lahilahi paha, etc. 40% wale nō o ka poʻe he wāwae "maʻamau", ʻo ia hoʻi, ʻaʻole palahalaha loa, ʻaʻole ʻāwīwī, ʻaʻole i huli nui i loko (pronation), ʻaʻole i huli nui ma waho (supination);
• ʻO ke kaupaona kau e hoʻokau i ka ukana ma nā hono ukana e halihali ai e like me ke kua o lalo (lumbar spine), nā pūhaka, nā kuli a me nā kuʻekuʻe wāwae. Hiki i kēia kaumaha ke kumu, i ka wā lōʻihi, o ka hāʻule ʻana o ka pio o ka wāwae a me ke kaulike ʻole o ke kākoʻo o ka wāwae ma ka honua.

ʻO ka hope loa, i ka poʻe ʻelemakule, ʻo ka hele ʻana o kahi calcaneal enthesophyte i ka kuʻekuʻe wāwae ma muli o nā deformities o ka wāwae (osteoarthritis), kahi paʻa paʻa, maikaʻi ʻole nā ​​kāmaʻa a me ka emi ʻana o ka ikaika o ka ʻiʻo a me nā ligaments.

ʻO ka ʻeha nui o ka kuʻekuʻe wāwae i ke kaumaha ʻana i ka wā e hele ana ka hōʻailona nui. Hiki i kēia ʻeha ke lawe i ke ʻano o ka haehae haehae, kahi ʻeha hoʻolahalaha i ka paʻa o ka wāwae akā ʻoi aku ka nui i ka kuʻekuʻe wāwae, kahi ʻeha ʻoi e like me ke kui i paʻa i ka kuʻekuʻe wāwae.

Hiki ke ʻike ʻia i ke kakahiaka ma hope o ka hele ʻana mai kahi moe, ʻaʻole naʻe i kēlā me kēia kakahiaka, a i ʻole ma hope o ka noho lōʻihi ʻana ma kahi noho a noho paha. Ma hope o kekahi mau ʻanuʻu, maʻa mau ka ʻeha. ʻO ka mumū o ka aponeurosis o ka pio o ka wāwae ka mea e hāʻawi ai i kēia mau ʻehaʻeha i hiki ke ʻike ʻia, a i ʻole e ʻā mai ke kua a i mua o ka wāwae.

ʻAʻohe mau hōʻailona hōʻeha ma ka ʻili o ka kuʻekuʻe i ka pae o ka kuʻekuʻe wāwae. ʻOiaʻiʻo, ʻo ka plantar aponeurosis ka mea ʻeha a ʻaʻole nā ​​kiko o ka kuʻekuʻe wāwae i kona pae. Akā i kekahi manawa hiki ke ʻike ʻia kahi ʻōhū iki o ka wahi i hoʻopilikia ʻia.

ʻIke ʻia ka ʻeha kino me ke kaomi ʻana o ka kuʻekuʻe wāwae a i kekahi manawa he ʻoʻoleʻa o ka kuʻekuʻe wāwae. Hiki ke hohola i ka fascia plantar ma ke kau ʻana i nā manamana wāwae i ka dorsiflexion (i luna). ʻO kāna palpation pololei e hoʻoulu i ka ʻeha nui.

Akā, he X-ray ia o ka wāwae e hōʻoiaʻiʻo ai i ka hōʻailona ma ka hōʻike ʻana i kahi spine calcium liʻiliʻi ma ke kumu o ka calcaneum, ʻokoʻa ka nui. Hōʻike ia i kahi ossification o ka hoʻokomo ʻana o ka mākala ma ka kalena. Eia naʻe, loaʻa kekahi mau maʻi me kēia kākala me ka ʻole o nā hōʻailona ʻeha. ʻAʻole i nā manawa a pau ke kuleana o ka ʻeha.

ʻO ia nō ka mumū o ka plantar fascia ma ke kumu o ka ʻeha. Hiki ke hana ʻia ke Keʻena Resonance Mākēneki (MRI) i mea e hōʻoia ai i kona mānoanoa e pili ana i kona mumū. Akā i ka hapanui o ka manawa, ʻaʻole pono ia no ke kuhi o ka entaneophyte calcaneal.

ʻO ka hana mua i ka mālama ʻana, ʻo ia ka hōʻemi ʻana i nā hana haʻuki e hoʻokau nui loa i ka fascia a me ka pio o ka wāwae. A laila, pono e hana i nā insoles orthopedic ma hope o ka nānā ʻana o podiatry ma kahi podiatrist. ʻO kā lākou hana e hoʻomaha i ka plantar aponeurosis. E loa'a i kēia mau kapua'i kahi pu'upu'u li'ili'i a i 'ole he ku'eku'e ku'eku'e wāwae e ho'emi i ke kāko'o.

Inā hoʻomau ka ʻeha, hiki ke hoʻokō i nā infiltrations corticosteroid kūloko.

Hiki ke kōkua i ka physiotherapy i ka hoʻomaʻamaʻa ʻana e ke kau pinepine ʻana o ka tendo keiki bipi-Achilles a me ka fascia plantar. ʻO ka lomilomi ponoʻī o ka ʻāʻī o ka wāwae me ka hoʻohana ʻana i ka pōpō tennis hiki ke hoʻolōʻihi i ka fascia a hoʻomaha i ka ʻeha. Hoʻoikaika nui ka hoʻoliʻiliʻi ma ke alo o ka momona nui e hōʻemi i ka ukana ma nā kuʻekuʻe wāwae a me ke kiko o ka wāwae.

ʻO ka hope, ʻaʻole i hōʻike ʻia ke ʻoki ʻana. Hōʻole ʻia ia i kekahi manawa e nā kauka ʻokiʻoki koe wale nō inā hāʻule nā ​​​​lāʻau lapaʻau ʻē aʻe a me ka ʻeha nui me ka paʻakikī i ka hele ʻana.