Een andere pijnlijke aandoening die ook optreedt samen met fibromyalgie. Wat is het?

De fascia plantaris is het dikke weefsel in de plant 
van de voet
Dit weefsel verbindt de calcaneus met de vingers en vormt de voetboog.
Wanneer dit weefsel ontstoken of opgezwollen raakt, wordt het plantaire fasciitis genoemd.
Ontsteking treedt op wanneer de dikke weefselband op de zool van de voet (fascia) te veel uitgerekt of overbelast wordt.
Dit kan pijnlijk zijn en het lopen bemoeilijken.

Je hebt meer kans op plantaire fasciitis als:


• Heeft problemen met de voetboog (zowel de vlakke voet als de hoge voetboog).
• Loopt over lange afstanden, heuvelafwaarts of op oneffen oppervlakken.
• Zijn zwaarlijvig of komen plotseling op gewicht.
• Heeft de achillespees (de pees die de spieren van het kalf aan de hiel verbindt) gespannen.
• Draag schoenen met slechte ondersteuning van de voetboog of zachte zolen.
• Verander uw activiteiten.
Plantaire fasciitis wordt gezien bij zowel mannen als vrouwen.
Dit is een van de meest voorkomende orthopedische klachten van de voet.
Er werd vaak gedacht dat plantaire fasciitis werd veroorzaakt door een uitloper in de hiel.
Onderzoek heeft echter vastgesteld dat dit niet het geval is.
Op röntgenfoto’s worden hielspoor gezien bij mensen met en zonder plantaire fasciitis.

• Het meest voorkomende symptoom is pijn en stijfheid in het onderste deel van de hiel.
• De pijn daar kan mat of scherp zijn.
• De zool van de voet kan ook een branderig gevoel veroorzaken of veroorzaken
De pijn is meestal erger:
• In de ochtend wanneer u de eerste stappen zet.
• Na een tijdje staan ​​of zitten.
• Bij het traplopen.
• Na intense activiteit.
• Bij lopen, rennen of springen tijdens het sporten.
De pijn kan langzaam verschijnen in de loop van de tijd of verschijnt plotseling na intense activiteit.

Tests en examens

De arts zal lichamelijk onderzoek verrichten.
Dit kan laten zien:
• Pijn in het onderste deel van de voet
• Pijn langs de voetzool
• Platte voeten of hoge bogen
• Lichte zwelling of roodheid in de voet
• Stijfheid of spanning in de boog van het onderste deel van de voet
Er kunnen röntgenfoto’s worden gemaakt om andere problemen uit te sluiten.
De arts beveelt deze maatregelen meestal eerst aan:
• Neem paracetamol of ibuprofen om pijn en ontsteking te verminderen. Rekoefeningen van hiel en voet.
• Gebruik nachtspalken tijdens het slapen om de voet te strekken.
• Rust zoveel mogelijk gedurende ten minste een week.
• Draag schoenen met goede ondersteuning en demping.
Je kunt ook ijs aanbrengen op het pijngebied.
Doe dit minstens twee keer per dag gedurende 10 tot 15
minuten, vaker in de eerste twee dagen.
Als deze behandelingen niet werken, kan de specialist aanbevelen:
• Het gebruik van een laars als een spalk, die lijkt op een skischoen, gedurende 3 tot 6 weken. Het kan worden verwijderd om te baden.
• Op maat gemaakte schoenzolen (orthopedisch).
• Steroïde-injecties of hiel-injecties.
Soms is een voetoperatie nodig.
Verwachtingen  (prognose)
Niet-chirurgische behandelingen verbeteren bijna altijd de pijn.
De behandeling kan van enkele maanden tot 2 jaar duren voordat de symptomen verbeteren.
De meeste mensen voelen zich beter in 6 tot 18 maanden.
Sommige mensen hebben een operatie nodig om pijn te verlichten.


148 thoughts on “Een andere pijnlijke aandoening die ook optreedt samen met fibromyalgie. Wat is het?

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