Clinical application of acupuncture at a single point to treatment of painful heels was introduced by 5 proved cases of acupuncture at distal single point for treatment of painful heels. Acupuncture at distal single p...Clinical application of acupuncture at a single point to treatment of painful heels was introduced by 5 proved cases of acupuncture at distal single point for treatment of painful heels. Acupuncture at distal single point, such as Fēngchí （风池 GB 20）, Xiàguān （下关 ST 7）, Jiānqí （肩奇）, Hòuxī （后溪 SI 3）, Zúgēn （足跟）, etc., in combination with movement of heels can rapidly and effectively alleviate pain and restore the function. Results indicated that single needling a distal point is beneficial to the freely flow of qi and blood in meridians and the manipulation promotes conduction of the needling sensation, and local movement was combined, bringing the point into the best function. This method is not only convenient, easy to manipulate, but also safe and practical, and has obvious effects, so it is worthy to be popularized.展开更多
Points Fengfu (GV 16), Fengchi (GB 20) and Anmian were selected as main acupoints to treat painful heels and the total effective rate of 96.9% was got. The technique of lifting needle was the key to the therapy. Key W...Points Fengfu (GV 16), Fengchi (GB 20) and Anmian were selected as main acupoints to treat painful heels and the total effective rate of 96.9% was got. The technique of lifting needle was the key to the therapy. Key Words Acupuncture - Foot Disease - Painful Heel Author: Ye Ming-zhu(1947-), male, associated chiefphysicianTranslator: Chen Han-ping展开更多
BACKGROUND The accessory bones are common bone variations around the feet and ankles,which usually originate from nonunion of the secondary ossification center adjacent to the main bone mass,and most of them remain as...BACKGROUND The accessory bones are common bone variations around the feet and ankles,which usually originate from nonunion of the secondary ossification center adjacent to the main bone mass,and most of them remain asymptomatic.Os subcalcis is an accessory bone at the plantar aspect of the calcaneus,which is located just posterior to the insertion of the plantar fascia.Focal bone formation at the calcaneal plantar pole with heel pain has rarely been reported.CASE SUMMARY A 55-year-old man presented to our clinic with left plantar heel pain and a progressive swelling for 8 years.X-ray,computer tomography and magnetic resonance imaging showed a large os subcalcison the plantar side of the calcaneus,located at the insertion of the plantar fascia.He underwent surgical excision of the lesion.Microscopically the bony trabeculae were intermingled with fat and covered with cartilage.CONCLUSION This is a rare case with accessory os subcalcis leading to heel pain.It highlights the awareness of os subcalcis and helps avoid future misdiagnosis of heel pain.展开更多
Background Calcodynia is a persistent condition that podiatric surgeons frequently see among their patients, and plantar fasciitis is the main reason for pain. When systematic conservative treatments fail to alleviate...Background Calcodynia is a persistent condition that podiatric surgeons frequently see among their patients, and plantar fasciitis is the main reason for pain. When systematic conservative treatments fail to alleviate these conditions, it requires surgical intervention, mainly plantar fascia release surgery, which used to be an open heel release surgery. This study aimed to investigate whether minimally invasive treatment of the KobyGard system is more safe and effective for plantar fasciitis. Methods From May 2009 to May 2012, a total of nine patients, three males and six females with plantar fasciitis, were treated in the Peking University People＇s Hospital with minimally invasive instruments, the KobyGard system, for the release of plantar fascia. Three patients, experiencing bilateral calcaneodynia, underwent bilateral surgery. One patient had bilateral calcaneodynia with enthesiopathy of Achilles tendon, and underwent Achilles tendon surgery. Preoperative and postoperative Visual Analogue Scale （VAS）, American Orthopaedic Foot and Ankle Society （AOFAS） ankle and hindfoot scores, Roles and Maudsley scores and SF-36 questionnaires were evaluated. Results The nine patients were successfully followed up. The average postoperative follow-up time was 13.2 months and it varied from 2.0 months to 21.0 months. Pre- and postoperative average scores of VAS was 9.3 and 1.9 （P 〈0.001）, respectively. Pre- and postoperative average scores of AOFAS hind foot was 36.0 and 82.0 （P 〈0.001）, respectively. There was also a statistically significant amelioration in SF-36 scores and the Roles and Maudlesy scores. Eight patients were satisfied with the surgery outcome. Conclusion Minimally invasive surgery treatment of the KobyGard system for plantar fasciitis has the advantages of shorter operation time, ease of operation, and similar satisfaction rates with open surgery, but with smaller surgical incision.展开更多
Two patients with pain in the heel were treated by new methods based on symptom differentiation after regular wrist-ankle acupuncture were invalid. According to the manifestations in tongue diagnosis and symptoms,the ...Two patients with pain in the heel were treated by new methods based on symptom differentiation after regular wrist-ankle acupuncture were invalid. According to the manifestations in tongue diagnosis and symptoms,the 2 cases both belonged to bladder excess syndrome,the acupuncture was carried out on area 6 of low limb（external anterior border of achilles tendon at three finger wide above the lateral malleolus）,and acupuncture was also carried out on Zútōnggǔ（足通谷 BL 66）,Jīnmén（金门 BL 63） and Shēnmài（申脉 BL 62） at the le side. The results showed that the therapeu c effi cacy of treatments on the 2 pa ents was sa sfactory and thus the clinical values for new methods for using wrist-ankle acupuncture based on syndrome differentiation were verified.展开更多
Heel pain is a very common foot disease. Varieties of names such as plantar fasciitis, jogger＇s heel, tennis heal, policeman＇s heel are used to describe it. Mechanical factors are the most common etiology of heel pa...Heel pain is a very common foot disease. Varieties of names such as plantar fasciitis, jogger＇s heel, tennis heal, policeman＇s heel are used to describe it. Mechanical factors are the most common etiology of heel pain. Common causes of hell pain includes： Plantar Fasciitis, Heel Spur, Sever＇s Disease, Heel bump, Achilles Tendinopathy, Heel neuritis, Heel bursitis. The diagnosis is mostly based on clinical examination. Normally, the location of the pain and the absence of associated symptoms indicating a systemic disease strongly suggest the diagnosis. Several therapies exist including rest, physical therapy, stretching, and change in footwear, arch supports, orthotics, night splints, anti-inflammatory agents, and surgery. Almost all patients respond to conservative nonsurgical therapy. Surgery is the last treatment option if all other treatments had failed. Rest, ice, massage, the use of correct exercise and complying with a doctor＇s advice all play important part in helping to recover from this hell pain condition, but getting good quality, suitable shoes with the appropriate amount of support for the whole foot is the most important.展开更多
Objective： To observe the clinical efficacy of Chinese herbal fumigation plus beating with mulberry stick in treating heel pain. Methods： Sixty patients with heel pain were randomized into a treatment group and a c...Objective： To observe the clinical efficacy of Chinese herbal fumigation plus beating with mulberry stick in treating heel pain. Methods： Sixty patients with heel pain were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by Chinese herbal fumigation plus beating with mulberry stick, and the control group was by orally taking Diclofenac Sodium Sustained Release Tablets plus external use of She Xiong Zhen Tong Gao （Moschus Analgesic Plaster）. After one treatment course, the visual analogue scale （VAS） was used to observe the change of pain, and the clinical efficacies were also evaluated. Results： After intervention, the improvement of VAS score in the treatment group was more significant than that in the control group （P〈0.01）. The total effective rate of the treatment group was significantly higher than that of the control group （P〈0.01）. Conclusion： Chinese herbal fumigation plus beating with mulberry stick can produce a higher clinical efficacy than orally taking Diclofenac Sodium Sustained Release Tablets in treating heel pain.展开更多
Purpose: To investigate the clinical effect of miniature needle-knives in treatment of calcanodynia.Methods: Of 96 calcanodynia patients, 64 were treated with a needle-knife and 32, by local block therapy. The curativ...Purpose: To investigate the clinical effect of miniature needle-knives in treatment of calcanodynia.Methods: Of 96 calcanodynia patients, 64 were treated with a needle-knife and 32, by local block therapy. The curative effects were evaluated.Results: The effective rate was 96.8% in the needle-knife group and the 78.1% in the local blockage group. There was a significant difference in curative effect between the two groups (P<0.01).Conclusion: Needle-knife lysis has a marked effect on calcanodynia. Key words Small Knife Ncedle - Heel Pain - Acupuncture-Moxibustion Lu Shi-chang, born in 1942, jumor consultant doctor in department of osteology, have invented subminiature needle-knife (patent number 02266325.8).Foundation Item: Study on the treatment of Calcanodynia with a Needle-knife of TCM (Supported by Shanghai Board of Health)Translator: WANG Si-you展开更多
文摘Clinical application of acupuncture at a single point to treatment of painful heels was introduced by 5 proved cases of acupuncture at distal single point for treatment of painful heels. Acupuncture at distal single point, such as Fēngchí （风池 GB 20）, Xiàguān （下关 ST 7）, Jiānqí （肩奇）, Hòuxī （后溪 SI 3）, Zúgēn （足跟）, etc., in combination with movement of heels can rapidly and effectively alleviate pain and restore the function. Results indicated that single needling a distal point is beneficial to the freely flow of qi and blood in meridians and the manipulation promotes conduction of the needling sensation, and local movement was combined, bringing the point into the best function. This method is not only convenient, easy to manipulate, but also safe and practical, and has obvious effects, so it is worthy to be popularized.
文摘Points Fengfu (GV 16), Fengchi (GB 20) and Anmian were selected as main acupoints to treat painful heels and the total effective rate of 96.9% was got. The technique of lifting needle was the key to the therapy. Key Words Acupuncture - Foot Disease - Painful Heel Author: Ye Ming-zhu(1947-), male, associated chiefphysicianTranslator: Chen Han-ping
基金Supported by The Gusu Talents Project,No.GSWS2020069.
文摘BACKGROUND The accessory bones are common bone variations around the feet and ankles,which usually originate from nonunion of the secondary ossification center adjacent to the main bone mass,and most of them remain asymptomatic.Os subcalcis is an accessory bone at the plantar aspect of the calcaneus,which is located just posterior to the insertion of the plantar fascia.Focal bone formation at the calcaneal plantar pole with heel pain has rarely been reported.CASE SUMMARY A 55-year-old man presented to our clinic with left plantar heel pain and a progressive swelling for 8 years.X-ray,computer tomography and magnetic resonance imaging showed a large os subcalcison the plantar side of the calcaneus,located at the insertion of the plantar fascia.He underwent surgical excision of the lesion.Microscopically the bony trabeculae were intermingled with fat and covered with cartilage.CONCLUSION This is a rare case with accessory os subcalcis leading to heel pain.It highlights the awareness of os subcalcis and helps avoid future misdiagnosis of heel pain.
文摘Background Calcodynia is a persistent condition that podiatric surgeons frequently see among their patients, and plantar fasciitis is the main reason for pain. When systematic conservative treatments fail to alleviate these conditions, it requires surgical intervention, mainly plantar fascia release surgery, which used to be an open heel release surgery. This study aimed to investigate whether minimally invasive treatment of the KobyGard system is more safe and effective for plantar fasciitis. Methods From May 2009 to May 2012, a total of nine patients, three males and six females with plantar fasciitis, were treated in the Peking University People＇s Hospital with minimally invasive instruments, the KobyGard system, for the release of plantar fascia. Three patients, experiencing bilateral calcaneodynia, underwent bilateral surgery. One patient had bilateral calcaneodynia with enthesiopathy of Achilles tendon, and underwent Achilles tendon surgery. Preoperative and postoperative Visual Analogue Scale （VAS）, American Orthopaedic Foot and Ankle Society （AOFAS） ankle and hindfoot scores, Roles and Maudsley scores and SF-36 questionnaires were evaluated. Results The nine patients were successfully followed up. The average postoperative follow-up time was 13.2 months and it varied from 2.0 months to 21.0 months. Pre- and postoperative average scores of VAS was 9.3 and 1.9 （P 〈0.001）, respectively. Pre- and postoperative average scores of AOFAS hind foot was 36.0 and 82.0 （P 〈0.001）, respectively. There was also a statistically significant amelioration in SF-36 scores and the Roles and Maudlesy scores. Eight patients were satisfied with the surgery outcome. Conclusion Minimally invasive surgery treatment of the KobyGard system for plantar fasciitis has the advantages of shorter operation time, ease of operation, and similar satisfaction rates with open surgery, but with smaller surgical incision.
文摘Two patients with pain in the heel were treated by new methods based on symptom differentiation after regular wrist-ankle acupuncture were invalid. According to the manifestations in tongue diagnosis and symptoms,the 2 cases both belonged to bladder excess syndrome,the acupuncture was carried out on area 6 of low limb（external anterior border of achilles tendon at three finger wide above the lateral malleolus）,and acupuncture was also carried out on Zútōnggǔ（足通谷 BL 66）,Jīnmén（金门 BL 63） and Shēnmài（申脉 BL 62） at the le side. The results showed that the therapeu c effi cacy of treatments on the 2 pa ents was sa sfactory and thus the clinical values for new methods for using wrist-ankle acupuncture based on syndrome differentiation were verified.
文摘Heel pain is a very common foot disease. Varieties of names such as plantar fasciitis, jogger＇s heel, tennis heal, policeman＇s heel are used to describe it. Mechanical factors are the most common etiology of heel pain. Common causes of hell pain includes： Plantar Fasciitis, Heel Spur, Sever＇s Disease, Heel bump, Achilles Tendinopathy, Heel neuritis, Heel bursitis. The diagnosis is mostly based on clinical examination. Normally, the location of the pain and the absence of associated symptoms indicating a systemic disease strongly suggest the diagnosis. Several therapies exist including rest, physical therapy, stretching, and change in footwear, arch supports, orthotics, night splints, anti-inflammatory agents, and surgery. Almost all patients respond to conservative nonsurgical therapy. Surgery is the last treatment option if all other treatments had failed. Rest, ice, massage, the use of correct exercise and complying with a doctor＇s advice all play important part in helping to recover from this hell pain condition, but getting good quality, suitable shoes with the appropriate amount of support for the whole foot is the most important.
基金supported by Jiaxing Hospital of Chinese Medicine
文摘Objective： To observe the clinical efficacy of Chinese herbal fumigation plus beating with mulberry stick in treating heel pain. Methods： Sixty patients with heel pain were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by Chinese herbal fumigation plus beating with mulberry stick, and the control group was by orally taking Diclofenac Sodium Sustained Release Tablets plus external use of She Xiong Zhen Tong Gao （Moschus Analgesic Plaster）. After one treatment course, the visual analogue scale （VAS） was used to observe the change of pain, and the clinical efficacies were also evaluated. Results： After intervention, the improvement of VAS score in the treatment group was more significant than that in the control group （P〈0.01）. The total effective rate of the treatment group was significantly higher than that of the control group （P〈0.01）. Conclusion： Chinese herbal fumigation plus beating with mulberry stick can produce a higher clinical efficacy than orally taking Diclofenac Sodium Sustained Release Tablets in treating heel pain.
文摘Purpose: To investigate the clinical effect of miniature needle-knives in treatment of calcanodynia.Methods: Of 96 calcanodynia patients, 64 were treated with a needle-knife and 32, by local block therapy. The curative effects were evaluated.Results: The effective rate was 96.8% in the needle-knife group and the 78.1% in the local blockage group. There was a significant difference in curative effect between the two groups (P<0.01).Conclusion: Needle-knife lysis has a marked effect on calcanodynia. Key words Small Knife Ncedle - Heel Pain - Acupuncture-Moxibustion Lu Shi-chang, born in 1942, jumor consultant doctor in department of osteology, have invented subminiature needle-knife (patent number 02266325.8).Foundation Item: Study on the treatment of Calcanodynia with a Needle-knife of TCM (Supported by Shanghai Board of Health)Translator: WANG Si-you
