REHABILITASI MEDIK PADA PASIEN DENGAN PLANTAR FASCIITIS KANAN

Gloria Elisabet Rondonuwu, Joudy Gessal

Abstract


Abstract

Most cases of inferior heel pain are diagnosed as plantar fasciitis. Although the clinical presentations vary, the most common patient types that are affected are the obese female over 40 years of age and the athletic runner.  Both types commonly complain of experiencing heel pain (which can be intense), during the first few minutes of a weight bearing stance.1

Plantar fascitis is typically self-limiting with spontaneous resolution in more than 90% of cases by 1 year. Traditional treatment regimens are predominantly non operative. They involve patient education, ensuring correct footwear and anti-inflammatory drugs (both systemic and topical) with adequate analgesia. Rest and modification of daily activities in relation to weight bearing also need to be addressed along with other physical therapies.2

Treatment and rehabilitation began immediately. Patient was advised rest, icing and prescribed an anti-inflammatory medication if the pain come or worsening. He was taught a series of stretching exercises, targeting both the plantar fascia and Achilles tendon/triceps surae complex. A programme of strengthening to improve the load bearing capacity of the foot was shown. This consisted of strengthening Tibialis Posterior, the plantar-flexors of the ankle, the intrinsic muscles of the foot and the proximal hip musculature, including the hip abductors.3

 Keywords: Heel pain, plantar fascitis

Abstrak

Sebagian besar kasus nyeri tumit rendah didiagnosis sebagai plantar fasciitis. Meskipun presentasi klinis bervariasi, jenis pasien yang paling umum yang terkena adalah wanita gemuk berusia di atas 40 tahun dan atletik. Kedua jenis ini umumnya mengeluh mengalami nyeri tumit (yang bisa intens), selama beberapa menit pertama dari sikap menahan beban.1Plantar fascitis biasanya berakhir dengan resolusi spontan pada lebih dari 90% kasus selama 1 tahun. Rejimen pengobatan umumnya tidak operatif. Mereka melibatkan pendidikan pasien, memastikan alas kaki yang benar dan obat anti-inflamasi (baik sistemik dan topikal) dengan analgesia yang adekuat. Istirahat dan modifikasi kegiatan sehari-hari dalam kaitannya dengan beban berat juga perlu ditangani bersama dengan terapi fisik lainnya.2Perawatan dan rehabilitasi segera dimulai. Pasien disarankan beristirahat, icing dan meresepkan obat anti-inflamasi jika rasa sakit datang atau memburuk. Dia diajarkan serangkaian latihan peregangan, pada plantar fascia dan Achilles tendon / triceps surae complex. Sebuah program penguatan untuk meningkatkan kapasitas bantalan beban kaki ditunjukkan. Ini terdiri dari penguatan Tibialis Posterior, plantar-fleksor pergelangan kaki, otot-otot intrinsik kaki dan otot-otot panggul proksimal, termasuk abduktor pinggul.3

Kata kunci: Nyeri tumit, plantar fascitis


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References


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