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发表于 2003-12-1 04:19:18
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常见的足部疾病
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<br>
<br>常见的足部疾病
<br>你的脚疼么?参考我们的最常见的足部疾病名单。
<br>
<br>脚底筋膜炎
<br>姆囊炎(大趾内侧的肿炎) | 小趾囊肿
<br>足部关节炎 | 跖骨痛
<br>槌状趾 | 糖尿病带来的足部影响
<br>
<br>
<br>脚底筋膜炎
<br>
<br>解说:
<br>足病医生报告说脚底筋膜炎和其它踵部疼痛使得人们去看医生要比其它任何疼痛来得更多,这是一种对于徒步旅行者来说最顽强、最令人泄气
<br>的情况。
<br>
<br>问自己
<br>你的踵部觉得疼么,特别是在早晨第一次起床?你的足底是僵直的并且很疼?在徒步、重装健行的时候变得不舒服,甚至痛苦难忍?
<br>
<br>常见症状
<br>• 绷紧或疼痛的跟腱
<br>• 位于足底或者踵部、足弓周围,或者来自拇趾球后面的疼痛。疼痛也可能因为震动传到腿部。
<br>• 在睡眠或者长期坐着之后足部僵硬或疼痛
<br>
<br>原因
<br>• 过分内旋(向后转动内旋后的状态,尤指平足的状态)
<br>• 徒步里程突然增加
<br>• 重量增加
<br>• 拉紧的跟腱
<br>• 不适宜的鞋类或者,例如,从高跟鞋到扁平的徒步鞋
<br>• 踵部在跟骨底部凸起
<br>• 断裂、撕破、受刺激而不适的脚底筋膜
<br>
<br>内科专家用很多平常的方法治疗脚底筋膜炎:牵引、冷敷、口服消炎药,例如异丁苯丙酸;甚至注射甾族胺类消炎药,例如可的松(一种激素,
<br>提取自肾上腺或若干种热带植物中,用于关节病)。
<br>当所有其它的治疗手段失败,手术是最后的手段。牵引是首选的治疗方法。
<br>
<br>有帮助的鞋类特征
<br>• 鞋子里插入或定制有支撑的弓形结构以矫正
<br>• 选择与你在做的活动类型相适合的鞋子
<br>• 一个坚硬的靴子中部区和一个有支撑的踵部凹窝或者踵部衬垫
<br>• 减震的鞋底夹层(中底)和内底
<br>• 避免穿磨损的鞋子
<br>
<br>
<br>
<br>姆囊炎(大趾内侧的肿炎)/小趾囊肿
<br>
<br>解说:
<br>姆囊炎是骨头或者大脚趾底部的结缔组织的肿大所致。反之,小趾囊肿是在足部外侧接近小趾底部的痛苦的肿块。
<br>
<br>问自己
<br>是否和你的大脚趾相比旁边的脚趾看起来瘦得象爪子一样?在两个脚趾之间和下面是否有老茧?是否你的大脚趾经常向其它脚趾弯曲或交搭?
<br>是否你的小趾容易变成受到刺激而不适的肿块?
<br>
<br>症状
<br>• 肿胀疼痛的脚趾
<br>• 关节疼
<br>• 弯曲的时候疼
<br>• 受到刺激而不适,一碰就痛的皮肤
<br>
<br>原因
<br>有缺点的靴子结构,不合脚的鞋子和遗传因素例如脚型能够导致姆囊炎/小趾囊肿的形成。
<br>
<br>足病医生推荐在一天当中或者脱下鞋子或者换鞋子让你的脚休息一下。
<br>减少摩擦,用一块医药垫覆盖拇趾囊肿/小趾囊肿或者让你的鞋子经过专业加宽。
<br>通过拉伸跟腱抵消你前脚的压力。
<br>
<br>有帮助的鞋子特征
<br>• 宽阔的脚趾区
<br>• 充分的足弓支撑
<br>• 增加鞋子的容积
<br>• 踵部和内底有良好的衬垫
<br>
<br>
<br>
<br>
<br>足部关节炎
<br>
<br>解说:
<br>骨关节炎是最常见的足部关节炎,原因是过度疲劳和关节软骨磨损。其它的关节炎类型有痛风(尿酸过量)和风湿(严重畸形)。
<br>
<br>问自己
<br>在步行之后你的关节是否发炎?是否肿胀会导致无法忍受的或者甚至是变迟钝的疼痛?
<br>
<br>症状
<br>• 关节痛、充血、肿胀、发炎
<br>
<br>原因
<br>关节过度劳累、软骨组织损坏、不适合的鞋子和遗传因素都是致病原因。
<br>如果你的脚正在严重发炎,你不应该去徒步。如果肿胀、发炎或者持续发热应该去看足部专门医师。
<br>
<br>有帮助的鞋子特征
<br>• 坚硬的足弓、刚性的前脚和稳固的踵部薄垫片
<br>• 有弯曲龙骨(Rocker)的鞋底设计以减轻压力和疼痛
<br>• 高、宽的脚趾区
<br>警告:例如锤状趾和拇趾囊肿等前脚问题经常会发展成为关节炎。
<br>
<br>
<br>
<br>
<br>跖骨痛
<br>
<br>解说:
<br>在拇趾球处一个普通的足部不适能够影响骨骼和关节。
<br>
<br>问自己
<br> 你足底的伤是否会持续过长的时间?你是否常穿礼鞋或者其它过分限制的鞋,例如高跟鞋?
<br>
<br>症状
<br>• 拇趾球疼痛
<br>• 在足底坚硬变厚的死皮(老茧)
<br>
<br>原因
<br>非常不合适的鞋子,太狭窄的足部区,在足底缺少衬垫。
<br>在确定罪魁祸首是不合适的鞋子或者其它更严重的问题时,请教专家的意见。作为开始,尝试穿不同的鞋子看看疼痛是否消失。
<br>
<br>有帮助的鞋子特征
<br>• 鞋子是否完全合适,特别是踵部到拇趾球的长度
<br>• 宽阔、不狭窄的脚趾区
<br>• 衬垫矫正和减震
<br>
<br>
<br>
<br>
<br>槌状趾
<br>
<br>解说:
<br>脚趾在中间关节是弯曲的,类似一个锤子或爪子。除大脚趾之外的每个脚趾都可能是槌状趾。
<br>
<br>问自己
<br>是否你的小脚趾向下弯曲?是否你感觉你的脚趾肌腱不自然的紧绷?
<br>
<br>症状
<br>• 脚趾或者足部疼痛
<br>• 在脚趾中间关节顶部或者在脚趾末端的鸡眼
<br>
<br>原因
<br>原因是你的父母。大部分的槌状趾的情况要么是遗传要么经常是关节炎的影响。
<br>
<br>足病医生坚持你应该穿完全合适的鞋子。参考足病医生的意见,选择那些前脚设计为了减轻槌状趾痛苦的产品。
<br>
<br>有帮助的鞋子特征
<br>• 宽阔、无缝合线的脚趾区
<br>• 柔软的鞋面材料能够被伸展变宽,并且减少可能发生的摩擦。
<br>
<br>
<br>
<br>
<br>糖尿病带来的足部影响
<br>
<br>解说:
<br>糖尿病是缺乏胰岛素或者身体内的胰岛素丧失了执行正常功能的能力。糖尿病会破坏导管[血管、淋巴管]系统,常常影响足部和脚趾。
<br>
<br>问自己
<br>是否你的足部对于冷和热几乎没有反应?是否你的踵部经常长裂口和碎死皮屑?是否你的足部缺少血液循环?
<br>
<br>症状
<br>• 缺乏知觉
<br>• 感染
<br>• 皮下溃疡
<br>
<br>专门的足部护理,例如洗脚、修剪趾甲和保持足部湿润,这些对于糖尿病患者是必需的。考虑医师的专门护理。
<br>
<br>有帮助的鞋子特征
<br>• 柔软、无缝合线的鞋面
<br>• 高、宽的脚趾区
<br>• 有弯曲龙骨(Rocker)的鞋底以限制过多的压迫
<br>• 宽阔的鞋子以适应糖尿病患者的矫正术
<br>• 稳固的踵部支撑
<br>特别注意:设法适应和支撑所有的足部缺陷,限制接合处运动以减少疼痛,并且设法减少水平运动。
<br>
<br>
<br>原文如下:
<br>7 out of 10 hikers wear poorly fitted boots and don't even know it. That adds up to a lot of unnecessary blisters and sore
<br>feet--for some, even sore knees and ankles. The solution is simple. Learn proper footwear fitting and you'll kiss sore feet
<br>goodbye. Start here!
<br>
<br>
<br>Common Foot Ailments
<br>Do your feet hurt? Consult our list of the most common foot ailments.
<br>
<br>lantar Fasciitis
<br>Bunions | Bunionettes
<br>Arthritis | Metatarsalgia
<br>Hammertoes | Diabetes
<br>
<br>lantar Fasciitis
<br>
<br>
<br>Definition:
<br>
<br>
<br>odiatrists report plantar fasciitis and other heel pains send more people to foot specialists than just about any other
<br>complaint, and its one of the most tenacious, frustrating conditions for hikers.
<br>
<br>Ask Yourself
<br>Does your heel hurt, especially when you first get out of bed in the morning? Is the bottom of your foot stiff and achy? Has
<br>hiking, backpacking become uncomfortable, even agonizing?
<br>
<br>Common Symptoms
<br>
<br>
<br>Tight or painful Achilles tendon
<br>ain located on the bottom of the foot in or near the heel, arch, or from the ball of the foot back. Pain can also jolt up
<br>into the leg
<br>Stiffness or pain after sleeping or sitting for long periods
<br>
<br>Causes
<br>
<br>
<br>Excessive pronation
<br>Sudden increases in hiking mileage
<br>Weight gain
<br>Tight Achilles tendon
<br>Bad footwear or, for example, switching from high heels to flat hiking boots
<br>Heel spur on the bottom of the calcaneus
<br>Irritated, ruptured, or torn plantar fascia
<br>
<br>Medical experts treat plantar fasciitis with many of the usual approaches: stretching; icing; oral anti-inflammatories, such
<br>as ibuprofen; and even injections of steroidal anti-inflammatories, such as cortisone.
<br>
<br>Surgery is the last resort when all else fails. Stretching is the preferred treatment.
<br>
<br>Shoe Features That Help
<br>
<br>
<br>Shoe inserts or custom-made orthotics with supportive arches
<br>Appropriate shoes for the type of activity you're doing
<br>A stiff midfoot area and a supportive heel cup or heel cushion
<br>Shock-absorbing midsoles and insoles
<br>Avoid worn out shoes
<br>
<br>
<br>
<br>Bunions/Bunionettes
<br>
<br>
<br>Definition:
<br>
<br>
<br>A bunion is an enlargement of bone or tissue around the joint at the base of the big toe. Whereas, a bunionette is painful
<br>swollen lump on the outside of the foot near the base of the little toe.
<br>
<br>Ask Yourself
<br>Does the toe beside your big toe look clawlike? Do you have a callus underneath and between the two toes? Does your big toe
<br>bend toward and often overlap the other toes? Does you little toe sport an irritated bump?
<br>
<br>Symptoms
<br>
<br>
<br>Swollen and painful toes
<br>Joint pain
<br>ain when bending
<br>Irritated, sore skin
<br>
<br>Causes
<br>Faulty foot mechanics, ill-fitting shoes and hereditary factors such as foot type can contribute to bunion/bunionette
<br>formation.
<br>
<br>odiatrists recommend giving your feet a break during the day by either taking your shoes off or changing shoes mid-day.
<br>
<br>To reduce friction, cover the bunion/bunionette with a medical pad or have your shoes professionally stretched.
<br>
<br>Counter the stresses on your forefoot by stretching your Achilles tendon.
<br>
<br>Shoe Features That Help
<br>
<br>
<br>Wide toebox
<br>Ample arch support
<br>Increased shoe volume
<br>Well-cushioned heel and insoles
<br>
<br>
<br>
<br>
<br>Bunions/Bunionettes
<br>
<br>
<br>Definition:
<br>
<br>
<br>A bunion is an enlargement of bone or tissue around the joint at the base of the big toe. Whereas, a bunionette is painful
<br>swollen lump on the outside of the foot near the base of the little toe.
<br>
<br>Ask Yourself
<br>Does the toe beside your big toe look clawlike? Do you have a callus underneath and between the two toes? Does your big toe
<br>bend toward and often overlap the other toes? Does you little toe sport an irritated bump?
<br>
<br>Symptoms
<br>
<br>
<br>Swollen and painful toes
<br>Joint pain
<br>ain when bending
<br>Irritated, sore skin
<br>
<br>Causes
<br>Faulty foot mechanics, ill-fitting shoes and hereditary factors such as foot type can contribute to bunion/bunionette
<br>formation.
<br>
<br>odiatrists recommend giving your feet a break during the day by either taking your shoes off or changing shoes mid-day.
<br>
<br>To reduce friction, cover the bunion/bunionette with a medical pad or have your shoes professionally stretched.
<br>
<br>Counter the stresses on your forefoot by stretching your Achilles tendon.
<br>
<br>Shoe Features That Help
<br>
<br>
<br>Wide toebox
<br>Ample arch support
<br>Increased shoe volume
<br>Well-cushioned heel and insoles
<br>
<br>
<br>
<br>
<br>Foot Arthritis
<br>
<br>
<br>Definition:
<br>
<br>
<br>Osteoarthritis is the most common foot arthritis and is caused by excessive strain and wear of cartilage found within joints.
<br>Other arthritis types are Gout (excess uric acid) and rheumatoid (severe deformities).
<br>
<br>Ask Yourself
<br>Are your foot joints inflamed after walking on them? Does swelling cause an unbearable or even a dull achy pain?
<br>
<br>Symptoms
<br>
<br>
<br>Joint pain, redness, swelling, and inflammation.
<br>
<br>Causes
<br>Overworked joints, break down of cartilage, ill-fitting shoes and hereditary factors can contribute.
<br>
<br>You should not hike if you're experiencing severe inflammation. If swelling, inflammation, or heat persists see a foot
<br>specialist.
<br>
<br>Shoe Features That Help
<br>
<br>
<br>Stiff arch, rigid forefoot, and firm heel shims
<br>Rocker soles designed to reduce stress and pain
<br>High, wide toe box
<br>
<br>Caution: Forefoot problems such as hammer toes and bunions often develop as a result of arthritis.
<br>
<br>
<br>Metatarsalgia
<br>
<br>
<br>Definition:
<br>
<br>
<br>A common foot disorder that can affect the bones and joints at the ball of the foot.
<br>
<br>Ask Yourself
<br>Does the bottom of your foot hurt after long, excessive periods on it? Do you wear dress shoes or other excessively
<br>restricting footwear like high heels?
<br>
<br>Symptoms
<br>
<br>
<br>ain in the ball of the foot
<br>Hard thickened dead skin (calluses) on the bottom of the foot.
<br>
<br>Causes
<br>oorly fitted footwear, too narrow foot box, lack of padding on bottom of foot.
<br>
<br>Get expert advice on identifying if the culprit is poor footwear or another more serious problem. As a starter, try wearing
<br>different shoes to see if pain disappears.
<br>
<br>Shoe Features That Help
<br>
<br>
<br>Shoes that fit properly, especially in heel-to-ball length
<br>Wide, uncramped toe box
<br>Orthotics to cushion and absorb shock
<br>
<br>
<br>
<br>Hammertoes
<br>
<br>
<br>Definition:
<br>
<br>
<br>Toe is bent at the middle joint, resembling a hammer or claw. Every toe can be a hammertoe except the big toe.
<br>
<br>Ask Yourself
<br>Do your little toes curl downward? Do the tendons in your toes feel unnaturally tight?
<br>
<br>Symptoms
<br>
<br>
<br>Pain in toes or feet
<br>Corns on the top of the middle joint of the toe or on the tip of the toe
<br>
<br>Causes
<br>Blame mom and dad. Most hammertoe conditions are either genetic or a frequent side affect of arthritis.
<br>
<br>Podiatrists insist on properly fitted footwear. Consult a foot doctor on forefoot products designed to mitigate this
<br>condition.
<br>
<br>Shoe Features That Help
<br>
<br>
<br>Deep, seamless toe box
<br>Soft upper material that can be easily stretched, plus lessen possible friction.
<br>
<br>
<br>
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