Зона боли — стопа: подошвенный фасциит, неврома Мортона и дифференциальная диагностика боли

In the "Expert Doctor" series, Professor Dmitry Anatolyevich Iskra answers doctors' questions about foot pain. The discussion focuses on heel spurs and plantar fasciitis, plantar fascia stretching exercises, shoe and orthotic selection, and the differential diagnosis of forefoot pain, including Morton's neuroma and arthropathies. A separate section is devoted to the clinical analysis of a patient following a foot injury: which structures may be involved, which examination methods to choose, and how to develop a treatment plan. This episode will be useful for neurologists, traumatologists, orthopedists, general practitioners, rheumatologists, and other specialists who treat patients with foot pain. Timestamps 00:00 — Introduction and Topic 00:45 — Questions after the Small Expert Council on Foot Pain 01:30 — Where to Find Professional Information on Exercises 02:05 — Heel Spurs and Plantar Fasciitis 03:20 — Physical Therapies for Foot Pain 04:05 — Stretching the Achilles Tendon, Calf Muscle, and Plantar Fascia 05:05 — Activity Modification: What to Avoid and What to Keep 06:05 — Night Splints, Orthoses, and Heel Cups 06:50 — Specific Plantar Fascia Stretching 08:05 — When to Exercise: Morning and After Long Periods of Sitting 08:45 — Cold Foot Massage 09:20 — Stretching the Achilles Tendon and Calf Muscle 10:50 — Strength Exercises and Program Training 12:10 — Footwear for Plantar Fasciitis: Basic Requirements 13:30 — Differential Diagnosis: Foot Arthropathies and Morton's Neuroma 15:00 — Foot Pain: Prevalence and Interdisciplinary Problem 16:20 — Metatarsalgia: Main Causes of Forefoot Pain 17:20 — Morton's Neuroma: What It Is 18:40 — History of the Disease and ICD-10 Code 19:45 — Frequency and Typical Location 21:10 — Causes of Morton's Neuroma 22:20 — Main Hypotheses of Pathogenesis 24:00 — Clinical Manifestations: Pain, Burning, "Pebble" Sensation in the Foot 25:30 — Clinical Tests: Goldberg, Tinel, Mulder 28:00 — Diagnostic Injections and Pain Assessment 29:05 — Ultrasound and MRI in the Diagnosis of Morton's Neuroma 31:10 — How to Distinguish Neuroma from Bursitis and Other Causes of Pain 33:15 — Differential Diagnosis with Arthritis, Tumors, and Stress Fractures 35:00 — Treatment of Morton's Neuroma: Therapy Goals 36:00 — Orthotic Insoles, Foot Unloading, and Gait Correction 37:05 — Drug Therapy: NSAIDs, B Vitamins, Muscle Relaxants 38:00 — Local Injection Therapy 39:00 — Radiofrequency Ablation and Local Treatments 40:00 — Systemic Therapy and Neurotropic Vitamins 42:00 — Clinical Analysis of a Patient After a Foot Injury 45:00 — What Tests Are Needed for Post-Traumatic Pain 46:20 — Possible Metatarsalgia and Nerve Involvement Structure 47:30 — Morning Stiffness and Signs of Plantar Fasciitis 48:10 — Episode Summary and Conclusion 🌐 USEFUL RESOURCES Painmed Website: https://painmed.ru (https://painmed.ru/) Online Broadcasts: https://painmed.ru/online/ VK: https://vk.com/protivboli YouTube:    / @СЗОИБ   VK Video: https://vkvideo.ru/@protivboli RuTube: https://rutube.ru/channel/24339226 #footpain #plantarfasciitis #heelspur #Morton's neuroma #metatarsalgia #neurology #orthopedics #Painmed