足部疼痛

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足部疼痛

概述

Foot pain is a common ailment that affects millions of people worldwide, with a prevalence rate of up to 36%1. From a dull ache that comes and goes to sharp pain that makes walking difficult, the experience can vary from person to person. In a city like Singapore, where people are often on the move for work, school, or daily errands, even minor foot issues can start to interfere with daily life. That’s why it’s important to recognise foot pain symptoms early, understand the underlying cause, and seek timely care from a podiatrist.

什么是脚痛?

脚痛是一个广义的术语,指脚部一个或多个部位的不适或疼痛。这可能包括脚趾、足弓、脚跟和脚底。这种疼痛有多种表现形式,如尖锐或刺痛感、钝痛、跳痛、刺痛、麻木或灼痛。各种年龄和背景的人都可能受到足部疼痛的影响,而且足部疼痛对日常生活的影响也大不相同。

信息图表说明新加坡人脚痛的常见原因。海峡足科

需要帮助?今天就去看我们的足病医生

足部疼痛的常见原因

脚掌疼痛

  • Metatarsalgia: Refers to pain in the ball of the foot, often caused by repetitive stress. It tends to flare up during activities like hiking, running, or prolonged standing.
  • Morton’s Neuroma: An inflammation of a nerve that causes pain and numbness shooting to the toes.
  • Plantar Plate Injury: A toe joint injury that causes pain and retraction of the toe, commonly seen in middle-aged females.
  • Stress Fracture: A hairline crack on the metatarsal bones, usually seen in athletes or long-distance runners.

足弓处疼痛:

  • 胫骨后肌腱炎:胫骨后肌腱发炎会导致足弓或脚踝处疼痛、肿胀和发红。如果不及早治疗,可能会导致扁平足畸形。
  • 胫骨前肌腱炎:胫骨前肌腱炎:胫骨前肌腱发炎,通常会在脚尖向上时引起疼痛。
  • 中足关节炎:中足关节发炎和退化,导致疼痛、僵硬和肿胀。
  • 足底筋膜拉伤:足底筋膜过度劳损:足底筋膜过度劳损会导致足弓疼痛,通常在休息后迈出第一步时疼痛加剧。

脚跟疼痛

  • Plantar Fasciitis: an inflammation of the plantar fascia, causing the heel to hurt, especially during the first steps in the morning after waking up.
  • 插入性跟 :跟腱与跟骨交界处的炎症。
  • 脚跟骨刺:跟骨上因钙质沉积而长出的骨刺
  • 脂肪垫综合症:足跟脂肪垫挫伤,导致足跟疼痛或瘀伤感
  • 巴克斯特神经卡压症:影响足跟的神经压迫,导致足跟疼痛、烧灼感和麻木。

脚趾疼痛

  • 拇趾外翻:大脚趾关节处的异常骨质增生,可引起疼痛和不适,尤其是在穿紧身鞋时。
  • 趾间关节炎:大拇趾关节下方的芝麻状骨发炎,通常是由于过度使用所致,常见于芭蕾舞演员或短跑运动员。
  • 草皮趾:脚趾过度弯曲受伤,导致瘀伤和疼痛。

Straits 足病诊所的足病医生使用 X 光诊断足部疼痛

诊断

Obtaining the correct diagnosis is crucial for treatment of foot pain. Your medical practitioner or podiatrist would generally conduct the following:

  • 患者访谈:倾听并了解您的问题和症状对于确定可能的诊断至关重要。
  • 体格检查:确定疼痛部位,检查足部外观,寻找可能的潜在原因。
  • 成像:可能需要诊断性超声波、X 光或核磁共振成像来观察骨骼和软组织,从而帮助诊断病情。
  • Blood Tests: You may be referred for these tests to help identify underlying systemic conditions such as gout or rheumatoid arthritis.

新加坡治疗足部疼痛的方法

This is dependent on its cause and severity. Generally, the standard treatment options include:

保守管理:

  • Lifestyle changes: Reduce activity, switch to lower-impact sports, and wear supportive footwear.
  • 休息、冰敷、加压和抬高(RICE):这有助于消肿,尤其是在急性损伤后。
  • 非处方药:非类固醇消炎药或外用药膏可能有助于减轻疼痛和炎症。但建议在服用前咨询医生。
  • 拉伸和强化练习:提高肌肉的柔韧性和力量,减轻对肌腱和关节的压力。
  • 矫形器:可能需要定制足部矫形器 或踝足矫形器,以减轻受伤肌腱或关节的负担,改善疼痛和功能。
  • 冲击波疗法:一种刺激人体自然愈合过程的保守疗法。
  • 电磁疗法:减轻疼痛和炎症,促进细胞新陈代谢。

手术干预:

通常只有在保守治疗没有任何改善的情况下,才有必要进行手术治疗。常见的手术方法有肌腱修复或松解术、足部畸形矫正术或拇外翻切除术。

新加坡海峡足病诊疗中心的足病医生在讨论足部疼痛的治疗方法。

足病治疗如何帮助缓解足部疼痛?

At Straits Podiatry, our highly experienced team of podiatrists are trained to perform necessary assessments to determine your diagnosis. We also have a wide range of non-surgical management methods that can help you alleviate your pain. Our goal is to help you avoid surgery and allow you to walk with comfort.

Don’t let foot pain hamper you from enjoying your daily activities any longer. Book an appointment with us today.

您有问题吗?向我们提问...

常问问题

急性脚痛发生突然,通常是由于特定事件或损伤引起的。它可能是运动、事故或跌倒等活动造成的。

慢性脚痛持续时间较长,通常会持续数周、数月甚至数年。这可能是由于急性损伤未得到及时治疗,导致长期疼痛。慢性足部问题通常还与潜在的疾病、结构异常、异常行走方式或重复性劳损有关。

如果您有这种情况,应尽快寻求帮助:

  • 脚部明显肿胀和瘀伤
  • 站立或行走时疼痛难忍
  • 失去控制和移动脚的能力
  • 疼痛持续一周以上,没有任何好转迹象
  • 伤口流脓,周围红肿

You should consult a podiatrist or a foot and ankle specialist if you are experiencing any discomfort with your feet. Seeking help early will not only give you a higher chance of quick recovery but also help prevent pain from turning chronic.

预防足部疼痛需要自律和积极主动地改变生活方式,例如:

  • Wear the right shoe: Choosing comfortable, supportive shoes (e.g. sports shoes) that fit well is crucial.
  • 保持良好的足部卫生:保持足部清洁并每天更换袜子有助于预防疼痛性感染。
  • 定期锻炼:长时间散步或跑步有助于改善整体健康。定期做伸展运动和加强锻炼也可以预防受伤。
  • 控制潜在疾病:通过处方药控制全身性疾病对预防疼痛复发至关重要。
  • 及早就医:在脚部出现不适或疼痛的第一时间寻求帮助。

如果您的脚最近受过伤,最好休息 2 到 4 周,以便恢复。强迫自己继续活动可能会导致严重损伤或慢性疼痛。如果不确定自己的伤势是否轻微,也一定要及时就医。