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Tratamientos Conservadores de la Fascitis Plantar

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Presentación Expuesta en el Simposium de FEPOAL.
Tratamientos Conversadores en Fascitis Plantar

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Tratamientos Conservadores de la Fascitis Plantar

  1. 1. Tratamientos Conservadores en la Fascitis Plantar DOCUMETOS PODOLOGICOS Facebook: Documentos Podologicos DocPod Fascitis Plantar Pdgo. Jorge Arturo González Leija. [email_address] wwww.podologia.mex.tl
  2. 2. DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar ¿Qué es la Fascia Plantar? Tejido conjuntivo grueso Origina: Cara AnteroMedial del Calcaneo Y se abre abanico 5 bandas .
  3. 3. DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar Manifestaciones Clínicas. Dolor 1° pasos. Dolor a la Dorsiflexion Dolor al intentar cargar algo pesado. Dolo al tacto Bipedestación prolongadas.
  4. 4. DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar ¿Es lo mismo Fascitis Plantar y Espolón Calcáneo? Los Espolones Calcáneo pueden acompañar a la fascitis plantar. Pero este no es el causante del dolor.
  5. 5. DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar Fascitis Plantar o Fasciosis Plantar Plantar Fasciitis A Degenerative Process (Fasciosis) Without Inflammation Harvey Lemont, DPM*, Krista M. Ammirati, BS* and Nsima Usen, MPH*
  6. 6. DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar ¿Qué hacemos como podólogos para atender esta patología?
  7. 7. Tratamientos Conservadores DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar
  8. 8. DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar Tipos de Tratamientos Tratamiento Farmacológico TratamientosFísicos Ortopodología Hábitos Personales
  9. 9. Tratamientos. Farmacológicos Paracetamol Ketorolaco Paracetamol / Diclofenaco Diclofenaco DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar
  10. 10. Tratamientos. Vendaje con Tape Vendaje con KinesioTaping Mixto DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar Radford JA ,  Landorf KB ,  Buchbinder R ,  Cook C .Effectiveness of low-Dye taping for the short-term treatment of plantar heel pain: a randomised trial. http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=16895612&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Tratamientos Físicos (Podología Física)
  11. 11. Tratamientos. Tratamientos Físicos (Podología Física) Electroterapia Ultrasonido Terapéutico T.E.N.S DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar Transcutanous Electrical Nerve Stimulation (Estimulación Nerviosa Eléctrica Transcutánia)
  12. 12. Infrarrojo Tratamientos. Tratamientos Físicos (Podología Física) Electroterapia DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar Aumento del crecimiento celular y tisular Alivio del dolor Efecto antiinflamatorio Relajación de la musculatura lisa Anticontracturante Antiespasmódico
  13. 13. Tratamientos. Tratamientos Físicos (Podología Física) Agentes Físicos y Masoterapia Crioterapia Termoterapia DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar
  14. 14. Hidroterapia Tratamientos. Tratamientos Físicos (Podología Física) Agentes Físicos y Masoterapia (Crioterapia + Masoterapia) DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar
  15. 15. Tratamientos. Tratamientos Físicos (Podología Física) Agentes Físicos y Masoterapia Masaje Transverso Profundo (cyriax) Efectos Reduce adherencias y cicatrices que se forman con las heridas. Analgesia por hiperestimulación. Hiperemia local. Movilización de las fibras musculares, ligamentosas o tendinosas. DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar
  16. 16. Tratamientos. Tratamientos Físicos (Podología Física) Ejercicios Flexión Forzada + Gravedad DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar Radford JA, Landorf KB, Buchbinder R, Cook C. Effectiveness of low-Dye taping for the short-term treatment of plantar heel pain: a randomised trial. 2003 Jul;85-A(7):1270-7. http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=16882901&ordinalpos=5&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum
  17. 17. Tratamientos. Tratamientos Físicos (Podología Física) Ejercicios Flexión Dorsal Forzada Movimiento general de Músculos Ligamento y Fascia DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar
  18. 18. Tratamientos. Tratamientos Físicos (Podología Física) Ejercicios Ejercicio para estiramiento de TA y FP DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar
  19. 19. Tratamientos. Ortopodologia Ferulas Nocturnas Flexion Dorsal Forzada Durante la Noche DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar
  20. 20. Tratamientos. Ortopodologia Ortesis Talonera DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar (Landorf KB, Keenan AM, Herbert RD. Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Arch Intern Med. 2006 Jun 26;166(12):1305-10.)
  21. 21. Tratamientos. Ortopodologia Ortesis DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar
  22. 22. Tratamientos. Hábitos Personales Físico, Calzado, Tiempo Bajar de Peso Disminuir un poco la actividad física DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar Irving y cols (Journal of science and medicine in sport 2006;9:11-22)
  23. 23. Tratamientos. Hábitos Personales Físico, Calzado, Tiempo No hacer cambios bruscos de tacón en el calzado Algunos casos, la FP se elimina con el paso del tiempo DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar
  24. 24. Tratamientos. DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar Landorf KB, Keenan AM, Herbert RD. Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Arch Intern Med. 2006 Jun 26;166(12):1305-10 ¿Qué tratamiento seria el adecuado?
  25. 25. Tratamientos. DOCUMETOS PODOLOGICOS DocPod Fascitis Plantar Múltiples Terapéuticas De acuerdo a las necesidades del paciente y posibilidades
  26. 26. Fascitis Plantar Gracias Pdgo. Jorge Arturo González Leija. [email_address] wwww.podologia.mex.tl

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