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Plantarfasciit

Senast reviderad:
Sakkunnig:
Definition:
Smärttillstånd med kronisk inflammation/degeneration vid fästet till fascia plantaris på tuber calcanei.
Förekomst:
Vanligast efter 40-årsåldern, eller hos yngre idrottsutövare.
Symtom:
Smärtor eller ömhet i eller framför hälen vid belastning mot fotsulan, gångsmärtor.
Kliniska fynd:
Palpationsömhet i främre kanten av calcaneus, mest uttalat på hälens mediala sida vid början av plantarfascian.
Diagnostik:
Klinisk diagnos. Belastad slätröntgen kan vara aktuellt vid tveksamhet om diagnosen. I enstaka fall kan även ultraljud vara aktuellt.
Behandling:
Konservativ behandling med avlastande skor, eventuellt tejpning, träningsprogram för att stärka och/eller stretcha vadmuskulatur och plantarfascia samt undvikande av träning som förvärrar tillståndet. Viktnedgång vid övervikt. Eventuellt extrakorporeal stötvågsbehandling och/eller lokal injektion av botulinumtoxin, trombocytrik plasma eller kortison.
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  • Anna Nager, docent och specialist i allmänmedicin, Karolinska institutet