Sat, Jun 16, 2012 - Page 13 News List

Flat-footed people should be careful exercising
扁平足運動不當 很傷腳底

Yeh Shu-ming, a physiatrist at Chiayi County’s Hosanna Hospital, injects a patient’s foot with an anti-inflammatory drug on June 7.
復健醫師葉書銘六月七日,於嘉義縣的祥太醫院將消炎藥注入患者的腳。

Photo: Ting Wei-Chieh, Liberty Times
照片:自由時報記者丁偉杰

A flat-footed quinquagenarian man who plays tennis regularly was having pains in the sole of his foot from time to time. He decided to see a physiatrist since he had not sprained his ankle and medicine and massages were not helping with the pain. The doctor diagnosed the man with post-tibial tendonitis, saying it was due to his having flat feet. The man eventually got better after medicine was injected into his foot.

Yeh Shu-ming, a physiatrist at Chiayi County’s Hosanna Hospital, says that flat-footed people’s arches either partially or completely collapse when they are standing. This keeps the feet’s arches from functioning normally and absorbing shock properly, making it very easy for them to injure the soles of their feet, heels, and the posterior tibial tendon when exercising.

When the patient went to see the doctor, the arch of his left foot was swollen and had an above average temperature. The examination found that he had flat feet and an ultrasound image showed that he had post-tibial tendonitis.

The man says that he enjoys playing tennis quite regularly, but that around four months ago his foot started hurting every time he played. He went to several doctors and even tried traditional healing methods, none of which were successful and the condition only got worse.

After diagnosing the patient, Yeh determined that the inflamed area was the exterior tendon sheaths of the posterior tibia, and injected anti-inflammatory drugs into the tendon sheaths to reduce inflammation and dull the pain. The pain was gone by the following day, and since the condition did not recur he was able to start playing tennis again after a month.

TODAY’S WORDS (今日單字)

1. quinquagenarian n.

五十多歲的人 (wu3 shi2 duo1 sui4 zhe3)

例: The quinquagenarian has two children and one grandchild.

(這位五十多歲的人有兩個孩子與一個孫子。)

2. inject v.

注射 (zhu4 she4)

例: Growth hormones are injected into chickens to make them bigger and live longer.

(給雞注射生長激素是為了讓它們長更大,活更久。)

3. recur v.

復發;再發生 (fu4 fa1; zai4 fa1 sheng1)

例: The transit of Venus will not recur until 2117.

(金星凌日在二一一七年才會再發生。)


Yeh says that since flat-footed people have collapsed arches they must be sure to wear shoes that provide strong support to their arches. By doing this, the sole of the foot will be protected and there will be enough support when doing exercise that uses the front part of the foot, and the posterior tibia is less likely to be injured.

(Liberty Times, Translated by Kyle Jeffcoat)

一位五十多歲有扁平足的男子,平日愛打網球,腳踝並未扭到,但腳底不時出現痠痛症狀,吃藥、推拿都沒效,最後尋求復健科醫師協助,才發現原來是扁平足因運動時造成「脛後肌腱」發炎,注射藥物後已痊癒。

嘉義縣祥太醫院復健科醫師葉書銘表示,扁平足是指足部站立時,內側足弓很淺,甚至沒有,使得原本用來吸震的效果喪失,運動時很容傷到連繫腳底與腳後跟的脛後肌腱。

患者求診時,左腳內側有腫脹發熱現象,經檢查有扁平足,超音波影像判斷是脛後肌腱發炎。

患者表示,平日愛打網球,不過四個多月前開始出現一打網球腳底就會痠痛,四處求醫,甚至尋求民俗療法,但都沒效,且症狀愈來愈嚴重。

葉書銘醫師診斷後,確認患者發炎的部位是在脛後肌腱外圍的腱鞘,以消炎藥物直接注入腱鞘部位,可消炎止痛,患者隔天就不痛了,一個月來都沒有復發,又可以打網球。

葉書銘建議,扁平足的人因為足弓淺,必須選擇鞋底足弓部位支持材質強一點的鞋子,如此一來,運動時使用腳尖出力,才能保護腳底,提供足夠的支撐力,脛後肌腱就不容易受傷。

(自由時報記者丁偉杰)

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