{"id":70564,"date":"2017-05-24T22:09:58","date_gmt":"2017-05-24T22:09:58","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/fasciita-plantara\/"},"modified":"2025-01-13T02:45:48","modified_gmt":"2025-01-13T02:45:48","slug":"fasciita-plantara","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/diseases\/fasciita-plantara\/","title":{"rendered":"Fasciita plantar\u0103"},"content":{"rendered":"

Defini\u021bie<\/h2>\n

Fasciita plantar\u0103 este una dintre cele mai frecvente cauze ale durerii la nivelul c\u0103lcâiului. Fascia plantar\u0103 este o band\u0103 de \u021besut (ligament) ce une\u0219te c\u0103lcâiul cu degetele picioarelor. Când este tensionat\u0103, banda groas\u0103 de \u021besut poate provoca dureri \u0219i inflama\u021bii pulsante, care fac dificil\u0103 atât deplasarea, cât \u0219i pozi\u021bia erect\u0103 („statul în picioare“). Odat\u0103 cu cre\u0219terea piciorului, durerea scade, dar poate reveni dup\u0103 perioade îndelungate de sta\u021bionare sau la o ridicare brusc\u0103 din pozi\u021bia \u0219ezut. Fasciita plantar\u0103 este mai frecvent întâlnit\u0103 la persoanele de vârst\u0103 mijlocie, la persoanele supraponderale \u0219i la alerg\u0103tori.<\/p>\n

 <\/p>\n

Simptome<\/h2>\n

Simptomul clasic pentru fasciita plantar\u0103 este durerea în zona c\u0103lcâiului. Durerea este resim\u021bit\u0103 acut:
\nLa primii pa\u0219i dup\u0103 trezire
\nDup\u0103 perioade mai lungi de sta\u021bionare sau ridic\u0103ri pe vârfurile degetelor de la picioare
\nLa ridicarea dintr-o pozi\u021bie \u0219ezând\u0103
\nLa urcarea sc\u0103rilor
\nCa urmare a unor exerci\u021bii fizice intense<\/p>\n

 
\nCauze<\/h2>\n

Cauza exact\u0103 a fasciitei plantare nu este cunoscut\u0103. Deoarece fascia plantar\u0103 ac\u021bioneaz\u0103 ca o coroan\u0103 de absorb\u021bie a \u0219ocului, sus\u021binând bolta t\u0103lpii piciorului, presiunea prea mare asupra acesteia poate duce la ruperea repetat\u0103. Întinderea \u0219i ruperea repetat\u0103 pot provoca iritarea sau inflama\u021bia fasciei, ceea ce, la rândul s\u0103u, provoac\u0103 dureri puternice în zona c\u0103lcâiului.<\/p>\n

 <\/p>\n

Factori de risc<\/h2>\n

Factorii care pot cre\u0219te riscul de apari\u021bie a fasciei plantare includ:
\nVârsta (cea mai adesea este întâlnit\u0103 la vârste cuprinse între 40 \u0219i 60 de ani)
\nActivit\u0103\u021bi care pun stres pe c\u0103lcâie (aerobic, alergare, balet, dans)
\nObezitate
\nPlatfus (talpa piciorului plat\u0103)
\nPerioade mai lungi de mers pe suprafe\u021be dure<\/p>\n

 <\/p>\n

Complica\u021bii<\/h2>\n

Durerea cronic\u0103 de c\u0103lcâi este o complica\u021bie care poate ap\u0103rea ca urmare a igonor\u0103rii fasciitei plantare. Orice schimb\u0103ri efectuate în mers pentru a reduce la minimum durerea asociat\u0103 cu fasciita plantar\u0103 pot degenera, la rândul lor, în probleme ale piciorului, genunchiului, \u0219oldului sau spatelui.<\/p>\n

 <\/p>\n

Tratament<\/h2>\n

Op\u021biunile de tratament pentru fasciita plantar\u0103 implic\u0103 de obicei urm\u0103toarele:<\/p>\n

Durere: medicamente precum ibuprofen (Advil, Motrin IB, altele) \u0219i naproxen (Aleve) pot fi utilizate pentru a u\u0219ura durerea \u0219i inflama\u021bia asociat\u0103 cu fasciita plantar\u0103.<\/p>\n

Fizioterapia: o serie de exerci\u021bii, care pot ajuta la întinderea \u0219i înt\u0103rirea musculaturii piciorului inferior, care stabilizeaz\u0103 glezna \u0219i c\u0103lcâiul.<\/p>\n

Ortez\u0103 pentru noapte: Purtarea unei orteze care întinde gamba \u0219i arcul piciorului în timpul somnului, sus\u021bine piciorul \u0219i u\u0219ureaz\u0103 disconfortul.<\/p>\n

Orteze personalizate: Purtarea de protec\u021bii pentru c\u0103lcâi; ap\u0103r\u0103torile \u0219i ortezele personalizate pot ajuta la distribuirea uniform\u0103 a presiunii asupra piciorului.
\n 
\n 
\nMedicul poate recomanda alte metode de tratament cum ar fi:
\n· Injec\u021bii cu steroizi: injectarea unui anumit tip de medicament pe baz\u0103 de steroizi în zona sensibil\u0103. Acest tip de tratament este folosit pentru a ajuta la reducerea temporar\u0103 a durerii.<\/p>\n

· ESWT: o procedur\u0103 care utilizeaz\u0103 undele sonore pentru a fi distribuite în zona durereroas\u0103 a c\u0103lcâielor. aceast\u0103 metod\u0103 este utilizat\u0103 în mod obi\u0219nuit pentru fasciita plantar\u0103 cronic\u0103, care nu a r\u0103spuns la tratamentele mai conservatoare.<\/p>\n

· Chirurgie: îndep\u0103rtarea chirurgical\u0103 a fasciei plantare din osul c\u0103lcâiului. Aceast\u0103 op\u021biune de tratament este folosit\u0103 de obicei atunci când durerea este sever\u0103 \u0219i toate celelalte metode de tratament dau gre\u0219. Reac\u021biile adverse posibile pot presupune o sl\u0103bire a arcului la nivelul piciorului.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-70564","disease","type-disease","status-publish","hentry"],"yoast_head":"\nFasciita plantar\u0103 - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fasciita plantar\u0103 - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Defini\u021bie Fasciita plantar\u0103 este una dintre cele mai frecvente cauze ale durerii la nivelul c\u0103lcâiului. Fascia plantar\u0103 este o band\u0103 de \u021besut (ligament) ce une\u0219te c\u0103lcâiul cu degetele picioarelor. 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