Une autre condition douloureuse qui se produit aussi avec la fibromyalgie. Qu’est que c’est?

L’aponévrose plantaire est le tissu épais de la plante 
 
du pied
Ce tissu relie le calcanéum aux doigts et crée l’arche du pied.
Lorsque ce tissu devient enflammé ou enflé, il est appelé fasciite plantaire.
L’inflammation se produit lorsque la bande épaisse de tissu dans la semelle (fascia) est tendu ou trop surchargé.
Cela peut être douloureux et rendre la marche plus difficile.

Vous êtes plus susceptible d’avoir une fasciite plantaire si:

 

• A des problèmes avec l’arche du pied (à la fois pied plat et haute arche plantaire).
• Circule sur de longues distances, en descente ou sur des surfaces inégales.
• sont obèses ou prennent du poids soudainement.
• Le tendon d’Achille (le tendon qui relie les muscles du mollet au talon) est-il tendu?
• Portez des chaussures avec un mauvais soutien de la voûte plantaire ou des semelles souples.
• Changez vos activités.
La fasciite plantaire est observée chez les hommes et les femmes.
C’est l’une des plaintes orthopédiques les plus courantes du pied.
On a souvent pensé que la fasciite plantaire était causée par un éperon dans le talon.
Cependant, la recherche a déterminé que ce n’est pas le cas.
Sur les radiographies, les éperons du talon sont observés chez les personnes avec et sans fasciite plantaire.

Symptômes
• Le symptôme le plus commun est la douleur et la raideur dans la partie inférieure du talon.
• La douleur peut être terne ou tranchante.
• La plante du pied peut également blesser ou présenter une sensation de brûlure
 
La douleur est généralement pire:
• Le matin quand vous faites les premiers pas.
• Après être resté debout ou assis pendant un moment.
• Lorsque vous montez des escaliers.
• Après une activité intense.
• Lorsque vous marchez, courez ou sautez lorsque vous faites du sport.
La douleur peut apparaître lentement au fil du temps ou apparaître soudainement après une activité intense.

Tests et examens

Le médecin effectuera un examen physique.
Cela peut montrer:
• Douleur dans la partie inférieure du pied
• Douleur le long de la plante du pied
• Pieds plats ou hauts arcs
• Gonflement léger ou rougeur au pied
• Raideur ou tension dans l’arcade de la partie inférieure du pied
Les rayons X peuvent être prises pour exclure d’autres problèmes.
Traitement
Le médecin recommande généralement ces mesures en premier:
• Prenez de l’acétaminophène ou de l’ibuprofène pour réduire la douleur et l’inflammation. Exercices d’étirement du talon et du pied.
• Utilisez des attelles nocturnes pendant le sommeil pour étirer le pied.
Reposez-vous autant que possible pendant au moins une semaine.
• Portez des chaussures avec un bon soutien et un bon amorti.
Vous pouvez également appliquer de la glace sur la zone douloureuse.
Faites-le au moins deux fois par jour pendant 10 à 15
minutes, plus souvent dans les deux premiers jours.
Si ces traitements ne fonctionnent pas, le spécialiste peut recommander:
• L’utilisation d’une botte comme attelle, qui ressemble à une chaussure de ski, pendant 3 à 6 semaines. Il peut être retiré pour se baigner.
• Semelles de chaussures sur mesure (orthopédiques).
• Injections de stéroïdes ou injections de talons.
Parfois, une chirurgie du pied est nécessaire.
Attentes  (pronostic)
Les traitements non chirurgicaux améliorent presque toujours la douleur.
Le traitement peut durer de plusieurs mois à deux ans avant que les symptômes s’améliorent.
La plupart des gens se sentent mieux entre 6 et 18 mois.
Certaines personnes ont besoin d’une intervention chirurgicale pour soulager la douleur.

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