以下文章来源于北京朝阳医院药事部 ，作者朝阳药师

足底筋膜炎是引起足底、足跟疼痛的最常见诱因之一，每年约有数百万人罹患本病[1]。足底筋膜炎又名赛跑者足跟、足跟疼痛综合征，常见于运动员、长时间站立的体力劳动者、体重指数（BMI）>30 kg/m2的超重者、糖尿病患者和年龄＞40岁的成年人[2-3]。足底筋膜炎的主要临床症状为足跟疼痛，主要发生于晨起下地、停止活动一段时间后走路时，随着活动量增加疼痛可减轻，但连续或剧烈运动后疼痛再次发作[4]。足底筋膜炎可影响患者的运动能力，进而给患者的工作生活、心理健康及社会功能等带来显著影响。

参考文献

[1]   Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: A national study of medical doctors [J]. Foot & ankle international, 2004,25(5):303-310.

[2]   McClinton SM, Cleland JA, Flynn TW. Predictors of response to physical therapy intervention for plantar heel pain [J]. Foot & ankle international, 2015,36(4):408-416.

[3]   Nahin RL. Prevalence and pharmaceutical treatment of plantar fasciitis in united states adults [J]. The journal of pain, 2018,19(8):885-896.

[4]   Fleischer AE, Albright RH, Crews RT, et al. Prognostic value of diagnostic sonography in patients with plantar fasciitis [J]. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2015,34(10):1729-1735.

[5]   Gariani K, Waibel FWA, Vieh?fer AF, et al. Plantar fasciitis in diabetic foot patients: Risk factors, pathophysiology, diagnosis, and management [J]. Diabetes, metabolic syndrome and obesity : targets and therapy, 2020,13(1271-1279.

[6]   Hotta T, Nishiguchi S, Fukutani N, et al. The association between plantar heel pain and running surfaces in competitive long-distance male runners [J]. The Journal of sports medicine and physical fitness, 2016,56(9):1021-1025.

[7]   Waclawski ER, Beach J, Milne A, et al. Systematic review: Plantar fasciitis and prolonged weight bearing [J]. Occupational medicine (Oxford, England), 2015,65(2):97-106.

[8]   Donley BG, Moore T, Sferra J, et al. The efficacy of oral nonsteroidal anti-inflammatory medication (nsaid) in the treatment of plantar fasciitis: A randomized, prospective, placebo-controlled study [J]. Foot & ankle international, 2007,28(1):20-23.

[9]   Crawford F, Atkins D, Young P, et al. Steroid injection for heel pain: Evidence of short-term effectiveness. A randomized controlled trial [J]. Rheumatology (Oxford, England), 1999,38(10):974-977.

[10]  Rathleff MS, M?lgaard CM, Fredberg U, et al. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up [J]. Scandinavian journal of medicine & science in sports, 2015,25(3):e292-300.

[11]  张晓倓, 张立宁, 肖红雨. 冲击波治疗足底筋膜炎的临床研究进展 [J]. 解放军医学院学报, 2015,36(06):631-633.

[12]  Monto RR. Platelet-rich plasma efficacy versus corticosteroid injection treatment for chronic severe plantar fasciitis [J]. Foot & ankle international, 2014,35(4):313-318.

[13]  Ahmad J, Ahmad SH, Jones K. Treatment of plantar fasciitis with botulinum toxin [J]. Foot & ankle international, 2017,38(1):1-7.

[14]  Cazzell S, Stewart J, Agnew PS, et al. Randomized controlled trial of micronized dehydrated human amnion/chorion membrane (dhacm) injection compared to placebo for the treatment of plantar fasciitis [J]. Foot & ankle international, 2018,39(10):1151-1161.

[15]  刘潇, 张珑, 张浩, et al. 足底筋膜炎相关危险因素的研究进展 [J]. 解放军医学院学报:1-6.

[16]  Yeung EW, Yeung SS. A systematic review of interventions to prevent lower limb soft tissue running injuries [J]. British journal of sports medicine, 2001,35(6):383-389.

出品：北京朝阳医院药事部

作者：吴位东

审核：于晓佳

编辑：王   鑫

主编：王子惠