RESUMO
Plantar fasciitis is recognized as the leading cause of talalgia worldwide. In the vast majority of cases it can be controlled with the use of appropriate footwear, stretching exercises and changes in the sport activity, while a few cases require infiltrations or surgical interventions. The latter puts the patient at greater risk, and is reserved for the most severe cases. We propose using pulsed radiofrequency ablation of Baxter's nerve to treat this painful symptom in patients who do not respond adequately to conventional treatment. We present the case of a patient with refractory plantar fasciitis in whom surgery had been ruled out. The patient underwent pulsed radiofrequency treatment with satisfactory results in the short and medium term.
Assuntos
Fasciíte Plantar , Fasciíte Plantar/diagnóstico , Fasciíte Plantar/cirurgia , Humanos , Dor/etiologia , Medição da DorRESUMO
La fascitis plantar es reconocida como la principal causa de talalgia a nivel mundial, en la gran mayoría de casos se logra controlar con uso de calzado adecuado, ejercicios de estiramiento y cambios en la actividad deportiva, unos pocos casos requieren infiltraciones o intervenciones quirúrgicas, esta última supone un riesgo mayor para el paciente siendo reservada para los casos más severos.Se propone el uso de radiofrecuencia pulsada del nervio de Baxter como una de las opciones de manejo del síntoma doloroso en aquellos pacientes en los que no se obtenga adecuada respuesta al tratamiento convencional. Exponemos el caso de una paciente con fascitis plantar refractaria, no candidata a cirugía, quien fue llevada a radiofrecuencia pulsada con resultados satisfactorios a corto y medio plazo.(AU)
Plantar fasciitis is recognized as the leading cause of talalgia worldwide. In the vast majority of cases it can be controlled with the use of appropriate footwear, stretching exercises and changes in the sport activity, while a few cases require infiltrations or surgical interventions. The latter puts the patient at greater risk, and is reserved for the most severe cases. We propose using pulsed radiofrequency ablation of Baxter's nerve to treat this painful symptom in patients who do not respond adequately to conventional treatment. We present the case of a patient with refractory plantar fasciitis in whom surgery had been ruled out. The patient underwent pulsed radiofrequency treatment with satisfactory results in the short and medium term.(AU)
Assuntos
Humanos , Feminino , Adulto , Terapia por Radiofrequência , Nervo Tibial/lesões , Fasciíte Plantar/diagnóstico , Fasciíte Plantar/tratamento farmacológico , Calcanhar/lesões , Anestesiologia , Manejo da Dor , Pacientes InternadosRESUMO
Plantar fasciitis is recognized as the leading cause of talalgia worldwide. In the vast majority of cases it can be controlled with the use of appropriate footwear, stretching exercises and changes in the sport activity, while a few cases require infiltrations or surgical interventions. The latter puts the patient at greater risk, and is reserved for the most severe cases. We propose using pulsed radiofrequency ablation of Baxter's nerve to treat this painful symptom in patients who do not respond adequately to conventional treatment. We present the case of a patient with refractory plantar fasciitis in whom surgery had been ruled out. The patient underwent pulsed radiofrequency treatment with satisfactory results in the short and medium term.
