扁平足 - 诊断与治疗 - 妙佑医疗国际

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扁平足

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诊断

为查看您足部的结构，医生将会从前面和后面观察您的足部，并让您踮起脚尖。医生可能还会查看您鞋子的磨损模式。

影像学检查

如果您的足部疼痛严重，医生可能会安排以下检测： X 线。简单的 X 线检测能够利用少量放射生成足部骨骼和关节的图像。这对检测关节炎尤为有用。 CT 扫描。这项检测从不同角度拍摄足部的 X 线图像，能比标准 X 线提供更多细节。 超声波。如果医生怀疑肌腱损伤，则可能要求进行这项检查，以使用声波来生成体内软组织的详细图像。 MRI。MRI 可利用无线电波和强磁场提供硬组织和软组织的详细图像。

Tests

Imaging tests that can be helpful in diagnosing the cause of foot pain may include: X-rays. A simple X-ray uses a small amount of radiation to produce images of the bones and joints in the feet. It's particularly useful in evaluating alignment and detecting arthritis. CT scan. This test takes X-rays of the foot from different angles and provides much more detail than a standard X-ray. Ultrasound. Ultrasound may be used when a tendon injury is suspected. Ultrasound uses sound waves to produce detailed images of soft tissues within the body. MRI. Using radio waves and a strong magnet, MRIs provide excellent detail of both bone and soft tissues.

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X 线

治疗

如果扁平足不引起疼痛，就无需治疗。

疗法

如果您的扁平足疼痛，医生可能建议： 足弓支撑（矫形装置）。非处方足弓支撑装置可能有助于减轻扁平足造成的疼痛。或者，您的医生可能会建议使用定制设计的足弓支撑装置，这些支撑装置会根据您的脚部轮廓塑形。足弓支撑装置不能治愈扁平足，但通常可以减轻症状。 伸展运动。有些扁平足的人，跟腱也会缩短。伸展跟腱的运动可能会对其有所帮助。 支撑鞋。具有结构支撑的鞋子可能比凉鞋或没有什么支撑作用的鞋子更舒适。 物理疗法。扁平足可能会给某些跑步者造成过度使用的伤害。理疗师可以对您的跑步方式进行视频分析，帮助您改善跑步姿势和技术。

外科手术

手术不仅仅是为了矫正扁平足。不过，您可能也会因为相关问题而接受手术，比如肌腱撕裂或断裂。

Therapies

For painful flatfeet, a health care provider might suggest: Arch supports (orthotic devices). Nonprescription arch supports can help relieve the pain caused by flatfeet. Sometimes custom-designed arch supports that are molded to the contours of the feet are recommended. Arch supports won't cure flatfeet, but they often reduce symptoms. Stretching exercises. Some people with flatfeet also have a shortened Achilles tendon. Exercises to stretch this tendon may help. Physical therapy. Flatfeet may contribute to overuse injuries in some runners. A physical therapist can provide exercises to strengthen the muscles and tendons in the feet and guidance to improve gait.

Surgery

Surgery isn't done solely to correct flatfeet. Surgery may be an option when patients have pain that still limits their activities after they have tried nonsurgical treatments. Surgery can repair the bone and tendon problems that are causing the pain. 申请 Mayo Clinic 预约

生活方式与家庭疗法

如果扁平足给您带来了轻微的疼痛，您可能需要： 休息。避免加重疼痛的活动。参加低强度的运动，如行走、骑自行车或游泳，而不是跳跃和跑步活动。 足弓垫。非处方足弓垫可能会增加您的舒适度。 药物治疗。非处方止痛药可能有助于缓解不适。 减轻体重。减轻体重有助于减轻脚部的压力。

准备您的预约

如果您的脚出现严重疼痛，您的家庭医生可能将您转诊至足部疾病（足病医生）或运动医学专科医生。

您能做些什么

穿平常穿的鞋就诊，这样医生就可以查看鞋底的磨损情况。在预约之前，您可能需要写下以下问题的答案： 您第一次发现脚有问题是什么时候？ 您还有什么其他的健康问题吗？ 您的父母或兄弟姐妹有扁平足吗？ 您的脚或脚踝受伤过吗？ 您经常服用哪些药物和补剂？

医生可能做些什么

您的医生可能会问以下问题： 疼痛的确切位置在哪里？ 您怎么形容那种痛感（钝痛、刺痛、灼热感）？ 有没有什么特别的动作或姿势会减轻或加重疼痛？ 您穿的鞋子类型会影响疼痛吗？ 您能用一只脚踮起脚尖站立吗？ 您试过足弓架吗？ 疼痛对您的生活有什么影响？

What you can do

Wear your everyday shoes to your appointment so your health care provider can look at the wear patterns on the soles. Before the appointment, you might want to write answers to the following questions: When did you first notice problems with your feet? What other medical problems, if any, do you have? Do your parents or siblings have flatfeet? Have you ever injured your foot or ankle? What medications and supplements do you take regularly?

What to expect from your doctor

Your health care provider may ask some of the following questions: Where exactly does it hurt? How would you describe the pain - dull, sharp, burning? What makes the pain worse? What makes the pain better? Does the type of shoe you wear affect the pain? Have you tried arch supports? How does the pain affect your life? 来自妙佑医疗国际员工 申请 Mayo Clinic 预约 症状与病因医生与科室 July 03, 2022 打印 Share on: FacebookTwitterWeChat

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CloseWeibo 显示参考文献 Adult (acquired) flatfoot. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00173. Accessed May 25, 2015. Flexible flatfoot in children. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00046. Accessed May 25, 2015. Fields KB. Evaluation and diagnosis of common causes of foot pain in adults. http://www.uptodate.com/home. Accessed May 25, 2015. Chorley J, et al. Clinical features and management in the child or adolescent with foot pain. http://www.uptodate.com/home. Accessed May 25, 2015. Pes planus/flat foot. In: Wheeless' Textbook of Orthopaedics. http://www.wheelessonline.com/ortho/pes_planus_flat_foot. Accessed May 25, 2015. Posterior tibial tendon dysfunction. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00166. Accessed May 25, 2015. Laskowski, ER (expert opinion). Mayo Clinic, Rochester, Minn. May 26, 2015.

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