Outra condição dolorosa que também ocorre junto com a fibromialgia. O que é?

A fáscia plantar é o tecido espesso na planta 
 
do pé
Esse tecido conecta o calcâneo aos dedos e cria o arco do pé.
Quando esse tecido fica inflamado ou inchado, é chamado de fascite plantar.
A inflamação ocorre quando a faixa espessa de tecido na sola do pé (fáscia) é esticada ou sobrecarregada demais.
Isso pode ser doloroso e dificultar a caminhada.

É mais provável que você tenha fascite plantar se:

 

• Tem problemas com o arco do pé (pé plano e arco plantar alto).
• Executa longas distâncias, em declive ou em superfícies irregulares.
• São obesos ou ganham peso de repente.
• O tendão de Aquiles (o tendão que liga os músculos da panturrilha ao calcanhar) está tenso.
• Use sapatos com pouca sustentação de arco ou sola macia.
• Mude suas atividades.
A fascite plantar é vista em homens e mulheres.
Esta é uma das queixas ortopédicas mais comuns do pé.
Muitas vezes pensava-se que a fascite plantar foi causada por um estímulo no calcanhar.
No entanto, a pesquisa determinou que este não é o caso.
Nas radiografias, os esporões de calcanhar são vistos em pessoas com e sem fascite plantar.

Sintomas
• O sintoma mais comum é dor e rigidez na parte inferior do calcanhar.
• A dor pode ser maçante ou afiada.
• A sola do pé também pode ferir ou apresentar uma sensação de queimação
 
A dor geralmente é pior:
• De manhã, quando você dá os primeiros passos.
• Depois de ficar de pé ou sentado por um tempo.
• Ao subir escadas.
• Após atividade intensa.
• Ao caminhar, correr ou saltar ao praticar esportes.
A dor pode aparecer lentamente ao longo do tempo ou aparecer subitamente após atividade intensa.

Testes e exames

O médico irá realizar um exame físico.
Isso pode mostrar:
• Dor na parte inferior do pé
• Dor ao longo da sola do pé
• pés planos ou arcos altos
• inchaço leve ou vermelhidão no pé
• rigidez ou tensão no arco da parte inferior do pé
Raios-X podem ser tomadas para descartar outros problemas.
Tratamento
O médico geralmente recomenda estas medidas primeiro:
• Tome acetaminofeno ou ibuprofeno para reduzir a dor e a inflamação. Exercícios de alongamento do calcanhar e pé.
• Use talas noturnas enquanto dorme para alongar o pé.
• Descanse o máximo possível por pelo menos uma semana.
• Use sapatos com bom suporte e amortecimento.
Você também pode aplicar gelo na área da dor.
Faça isso pelo menos duas vezes ao dia por 10 a 15
minutos, mais frequentemente nos dois primeiros dias.
Se esses tratamentos não funcionarem, o especialista pode recomendar:
• O uso de uma bota como uma tala, que se parece com uma bota de esqui, por 3 a 6 semanas. Pode ser removido para se banhar.
• Palmilhas de calçado sob medida (ortopédicas).
• Injeções de esteróides ou injeções de calcanhar.
Às vezes, a cirurgia do pé é necessária.
Expectativas  (prognóstico)
Tratamentos não cirúrgicos quase sempre melhoram a dor.
O tratamento pode durar de vários meses a dois anos antes dos sintomas melhorarem.
A maioria das pessoas se sente melhor em 6 a 18 meses.
Algumas pessoas precisam de cirurgia para aliviar a dor.

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