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Efficacy of Herbal Fumigation Combined with Extracorporeal Radial Shock Wave Therapy in Patients with Chronic Plantar Fasciitis Induced Heel Pain |
TANG Junwei, CHEN Rui |
Department of Pain Management, Baoji City Traditional Chinese Medicine Hospital, Baoji Shaanxi 721000 |
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Abstract 【Objective】 To observe the efficacy of herbal fumigation combined with extracorporeal radial shock wave therapy in patients with chronic plantar fasciitis induced heel pain, and its impact on recurrence. 【Methods】 A total of 94 patients with chronic plantar fasciitis and heel pain treated in our hospital were randomly divided into the control group and the observation group, with 47 cases in each group. The control group received radial extracorporeal shock wave therapy, while the observation group received additional herbal fumigation. Both groups performed plantar fascia and Achilles tendon stretching exercises under physician guidance. The clinical efficacy and recurrence rates of the two groups were compared as well. 【Results】 After treatment, the visual analog scale (VAS) pain scores of both groups decreased compared to before treatment (P<0.05), with the observation group showing lower scores than the control group (P<0.05). The American Orthopaedic Foot and Ankle Society (AOFAS) scale scores of both groups increased compared to before treatment (P<0.05), with the observation group showing higher scores than the control group (P<0.05). The recurrence rate in the observation group one year after treatment was 10.64%, which was lower than that in the control group's 27.66% (P<0.05). After treatment, Traditional Chinese Medicine syndrome scores in both groups decreased compared to before treatment (P<0.05), with the observation group showing lower scores than the control group (P<0.05). The total incidence of adverse reactions in the observation group was 8.51%, which was higher than the control group's 4.26%, but the difference was not statistically significant (P>0.05). 【Conclusion】 Herbal fumigation combined with extracorporeal radial shock wave therapy can alleviate pain symptoms in patients with chronic plantar fasciitis induced heel pain, improve foot and ankle function, help reduce recurrence, and has good safety.
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Received: 20 July 2023
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[1] 宁志刚,常非. 成人获得性足跟内侧疼痛(跖筋膜炎)的诊断及治疗:美国足踝外科医师协会2017年共识解读[J]. 足踝外科电子杂志,2020,7(3):6-9.
[2] 韩春,陈广烈,赵建乐,等. 针刺联合体外冲击波治疗跟痛症的临床观察[J].中国中医药科技,2022,29(4):702-703.
[3] TROJIAN T, TUCKER A K. Plantar Fasciitis[J].Am Fam Physician,2019,99(12):744-750.
[4] 白文博,鲁丽蓉,鹿军,等. 跖筋膜炎的诊疗进展[J].中华骨与关节外科杂志,2021,14(9):805-810.
[5] 罗富强,谢康麒,李载永,等. 慢性顽固性跟痛症的病因和治疗新进展[J].广东医学,2022,43(12):1573-1580.
[6] 颜世昌,王鑫强,成婷婷,等. 发散式体外冲击波与传统方式治疗跖筋膜炎的效果比较[J].中国医药导报,2018,15(27):66-69.
[7] 牟宏亮,吴小燕,昝强,等. 中医外治法在跟痛症中的临床应用[J].西部中医药,2022,35(4):147-150.
[8] SCHNEIDER H P, BACA J M, CARPENTER B B, et al. American college of foot and ankle surgeons clinical consensus statement: diagnosis and treatment of adult acquired infracalcaneal heel pain[J].J Foot Ankle Surg,2018,57(2):370-381.
[9] 国家中医药管理局. 中医病证诊断疗效标准[S].南京:南京大学出版社,1994:256-257.
[10] MELESE H, ALAMER A, GETIE K, et al. Extracorporeal shock wave therapy on pain and foot functions in subjects with chronic plantar fasciitis: systematic review of randomized controlled trials[J].Disabil Rehabil,2022,44(18):5007-5014.
[11] 王帅,刘水涛,杨军,等. 发散式体外冲击波不同方案治疗跖筋膜炎型跟痛症的效果对比[J].中国医学前沿杂志(电子版),2016(1):29-32.
[12] 黄立本,陈嘉怡,叶琳,等. 威枫骨科外洗散联合体外冲击波对跖筋膜炎型跟痛症的疗效分析[J].广州中医药大学学报,2022,39(12):2809-2815. |
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