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What is the cause of "secondary trauma" and how can it be treated?
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Secondary trauma disease (plantar fasciitis), officially known as Plantar ligamentitis or heel ligament inflammation This is a disease that often causes pain in the heels and soles of the feet. When we walk down Some people may experience extreme heel pain after waking up. Is a disease that many people may think It is a simple muscle ache, but the truth is It could be a sign of a secondary disease that needs to be treated quickly before it becomes chronic.


What are the symptoms of secondary trauma?
Secondary trauma is caused by inflammation of the plantar ligaments. By plantar เกมยิงปลา ligaments Is a thin ligament that is wrapped from the heel to the tip of the toe And is something that receives the impact when we stand, walk or run, causing when the plantar ligament is used too much. Or use an abnormality such as being knocked or squeezed from the movement. Thus causing inflammation


Secondary trauma will have the following symptoms
Pain or sore heels Spread across the feet With symptoms starting from getting out of bed Or the first step of the day

Pain in the soles of the feet or heels when walking downward There is pain, pain, inflammation, some people may pain gradually. Until thinking that the illness would go away by itself But will return pain again

Foot pain when walking or moving The pain is most severe. When starting to put weight on the heel at the first step, such as when taking the first step after waking up

The first phase may occur after exercise. Or walking - standing for a long time when there is more movement Will feel more pain in your heels Or constant pain

Secondary trauma caused by what?
Secondary trauma can occur for many reasons, including

• Obesity or being overweight Cause when walking Will cause a lot of pressure on the foot Until it can cause inflammation of the floor plan under the foot

• Have been standing for a long time. Causing the plantar ligament to support more pressure than usual

• Foot deformities such as flat paws, high or excessive arching.

Wear shoes that are inappropriate for your health, such as high heels. Shoes that are too tight, squeeze your feet, or shoes that are too loose

• Excessive use of the foot or heel. Until the body can not stand it, such as running training that is too extreme Or running too far Or running on hard ground

• Wearing inappropriate shoes, such as shoes without insoles on the heels. Or the insole is too thin

• With Achilles tendonitis. Making the heel unable to move normally

• Rheumatoid arthritis or spondylitis. Which may cause inflammation At one of the tendons that connect to the bone Causing the possibility of inflammation of the fascia under the foot


Who is at risk of secondary trauma?


• The elderly due to the plantar fascia have less flexibility.

• People who are overweight. Make the foot fascia more impactful

• People with professions That need to stand or walk a lot, causing the plantar fascia to become stiff

• People with unusually high or flat paws.

• People who wear high heels. Shoes with hard or thin soles on a regular basis.

Women are more at risk than men. This is because the heel fat is thinner and the ligaments and muscles of the calves and soles are not as strong as those of men.

• Runners or athletes who need to use their feet And heels for a long time


Treatment of secondary trauma
1. Stay on your feet. And use drugs to reduce inflammation. - Reducing walking or using a cane support. And cold compress for 20 minutes 3-4 times a day in the evening It will help reduce pain well, if the pain is very pain, you can take anti-inflammatory drugs. But should be considered by a medical professional And not eating continuously for more than 2-3 weeks

2. Hamstring management And plantar fascia. - Administration of the Achilles tendon. And the plantar fascia properly Is the best way That will help both heal And prevent the occurrence of secondary trauma

3. Exercise ankles - There are many exercise ankle exercises. That can help relieve bruising, such as using the feet, stepping on a sturdy cylindrical device such as a PVC pipe, tennis ball, or a small plastic water bottle. To help stretch the tendons under the feet

Or stand facing the wall Then bend the right knee forward and push the wall Until the left ankle feels tight, hold for 10-15 seconds before changing sides, this method is to stretch the Achilles tendon. And helps the heel support the weight well

4. Use a heel pad - Using a soft shoe pad. Or wear shoes that are suitable for their feet It can help relieve pain well. Wearing a soft cast It will reduce the movement at the ankle. It is an alternative to help reduce inflammation in the first place.

5. Shock Wave - stimulates the plantar fascia ligament. In order to have blood vessels to support self-repair The treatment is similar to surgery.

6. Surgery - Apply to a minority of patients. Who have received initial treatment but is not cured and may require surgical treatment To perform partial foot fascia surgery And remove the limestone on the heel bone

7. Injecting to reduce abscesses - a method that is not recommended. Use only with assistants with severe symptoms. And should not use steroid drugs injected into the heel area. Because it will make it more difficult to treat And the risk of bone infection Foot fat atrophy Or a torn plantar ligament Which is a condition that is very difficult to treat

8. Use a device that helps treat secondary bruising - such as Night Splints, which are devices that help the patient's feet. Being in a normal position at bedtime And help heal tendons to heal faster When the patient gets up in the morning It will reduce the pain of the heel as well.


If you have a sore heel Or the soles of the feet continuously for a long time Should immediately see a doctor for appropriate treatment. Because you may be suffering from bruising or plantar ligamentitis. And endocrine patients
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