la fascite plantare: importanza dell'approccio multidisciplinare
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la fascite plantare: importanza dell'approccio multidisciplinare

Oggi abbiamo avuto l'ulteriore conferma (come se ce ne fosse ancora bisogno) dell'importanza di lavorare con approccio multidisciplinare nella cura di patologie altrimenti difficili da risolvere in tempi rapidi.

Un nostro Paziente,  da noi già trattato per fascite plantare 4 mesi fa, è stato bene fino circa due settimane fa.

Per problematiche varie, dopo il trattamento,  NON ha eseguito né la valutazione per il confezionamento di un adeguato plantare né gli esercizi di stretching e di fisioterapia,  contrariamente a quanto da noi consigliato.

Inoltre, per problemi di tipo urologico (febbre urosettica),  circa 3 settimane fa  ha effettuato  due cicli di terapia con antibiotici della classe dei chinolonici (Ciprofloxacina e Levofloxacina) che possono essere dannosi nei confronti di tendini e fasce.

Dopo circa 5-6 giorni dall'inizio della terapia chinolonica è ricomparso il dolore.

Crediamo che il mancato completamento terapeutico con la fisioterapia, il non uso di una adeguata calzatura e plantare, assieme alla interferenza farmacologica, siano responsabili della recidiva, a testimonianza di come sia fondamentale un approccio "olistico",  multisciplinare.

Oggi abbiamo ritrattato la fascia con il protocollo che prevede, sotto guida ecografica,  anestesia locale, needling della fascia all'inserzione, infiltrazione intrafasciale con acido ialuronico a basso peso molecolare, infiltrazione con corticosteroide tra fascia e cuscinetto adiposo del tallone.

A fine seduta abbiamo ribadito l'importanza della fisioterapia e della correzione dell'appoggio. 

Stavolta, siamo certi, le indicazioni  saranno seguite alla lettera.


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0 on sabato 26 gennaio 2019 09:24
Contemplate investments that offer rapid annuities.
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0 on sabato 26 gennaio 2019 12:30
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0 on sabato 26 gennaio 2019 13:43
And this is an investment danger price taking.
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0 on sabato 26 gennaio 2019 18:24
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0 on domenica 27 gennaio 2019 09:08
A financial advisor is your planning partner.
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0 on domenica 27 gennaio 2019 10:06
Financial advisors enterprise is folks enterprise.
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0 on domenica 27 gennaio 2019 14:47
A monetary advisor is your planning accomplice.
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0 on giovedì 31 gennaio 2019 00:56
Traders do pay direct and indirect prices.
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0 on giovedì 31 gennaio 2019 14:06
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0 on mercoledì 6 febbraio 2019 01:44
A financial advisor is your planning accomplice.
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0 on giovedì 7 febbraio 2019 01:18
Thank you in your interest in Funding Recommendation.
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0 on venerdì 8 febbraio 2019 05:38
Schwab Intelligent Portfolios invests in Schwab ETFs.
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0 on venerdì 8 febbraio 2019 05:44
All kinds of investments include sure risks.
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0 on lunedì 11 febbraio 2019 00:56
Monetary advisors enterprise is individuals enterprise.
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0 on mercoledì 13 febbraio 2019 00:39
And this is an investment danger value taking.
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0 on mercoledì 13 febbraio 2019 03:30
All varieties of investments come with sure dangers.
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0 on mercoledì 13 febbraio 2019 12:15
All kinds of investments come with sure risks.
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0 on giovedì 14 febbraio 2019 01:06
This is true for investment recommendation as well.
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0 on sabato 16 febbraio 2019 00:39
That is true for investment recommendation as properly.
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0 on sabato 16 febbraio 2019 01:06
This is true for investment advice as well.
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0 on sabato 16 febbraio 2019 09:53
Investors do pay direct and indirect prices.
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0 on domenica 17 febbraio 2019 03:25
Thank you on your interest in Funding Recommendation.
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0 on domenica 17 febbraio 2019 04:31
Consider investments that provide instant annuities.
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0 on lunedì 18 febbraio 2019 00:42
All sorts of investments include certain risks.
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0 on lunedì 18 febbraio 2019 03:26
A financial advisor is your planning associate.
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0 on lunedì 18 febbraio 2019 07:25
All sorts of investments include certain risks.
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0 on martedì 19 febbraio 2019 05:37
And that is an investment danger worth taking.
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