[根据足跟痛分类采用小针刀治疗]

Lu Di, Xu Wei-xing, Ma Gou-ping, Guo Qiao-feng

Department of Orthopaedics, the Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China.

Zhongguo Gu Shang. 2010 Aug;23(8):616-9.

OBJECTIVE

To treat heel pain with small needle-knife according to its classification,so as to improve the therapeutic effects.

METHODS

From August 2005 to December 2008, 200 patients with 266 heel pain were treated according to the author's classification standards. There were 83 males and 117 females, ranging in age from 26 to 72 years, with a mean age of 46 years; the course of the disease ranged from 3 to 36 months, averaged 6.8 months. According to the classification:67 heels with plantar fasciitis type, 61 heels with calcaneal bursitis type, 36 heels with plantar fat pad inflammation-based type, 6 heels with calcaneus high pressure-type, 21 heels with nerve compression type, 75 heels with mixed type. All the patients were treated with small needle-knife by using different methods according to its classification.

RESULTS

After 1 month treatment, among the patients with plantar fasciitis-type, 31 heels got an excellent result,36 good;among the patients with calcaneal bursitis type, 32 heels got an excellent result, 29 good; among the patients with plantar fat pad inflammation-based type, 9 heels got an excellent result, 20 good, 4 poor and 3 bad; among the patients with calcaneus high pressure-type, 1 patient got an excellent result, 3 good and 2 poor; among the patients with nerve compression type, 11 heels got an excellent result, 8 good, 1 poor and 1 bad; among the patients with mixed type, 16 heels got an excellent result, 46 good, 5 poor and 8 bad. At the 6th month after treatment, among the patients with plantar fasciitis-type, 21 heels got an excellent result, 40 good,5 poor and 1 bad; among the patients with calcaneal bursitis type, 30 heels got an excellent result, 28 good and 3 poor; among the patients with plantar fat pad inflammation-based type, 15 heels got an excellent result, 18 good, 2 poor and 1 bad; among the patients with calcaneus high pressure-type, 0 patient got an excellent result, 3 good and 3 poor;among the patients with nerve compression type,7 heels got an excellent result, 11 good, 1 poor and 2 bad; among the patients with mixed type, 10 heels got an excellent result, 45 good, 11 poor and 9 bad.

CONCLUSION

The causes of heel pain can't be explained by using single pathogenesy,and also can't be treated with one method. The patients with calcaneal pain should be treated with different methods according to classification of heel pain, and thus the therapeutic effects can be improved.

目的

根据足跟痛的分类用小针刀进行治疗，以提高治疗效果。

方法

2005年8月至2008年12月，按照作者的分类标准对200例（266足跟）足跟痛患者进行治疗。其中男性83例，女性117例，年龄26～72岁，平均46岁；病程3～36个月，平均6.8个月。按分类：跖筋膜炎型67足跟，跟腱滑囊炎型61足跟，足底脂肪垫炎型36足跟，跟骨高压型6足跟，神经卡压型21足跟，混合型75足跟。所有患者根据分类采用不同方法行小针刀治疗。

结果

治疗1个月后，跖筋膜炎型患者中，优31足跟，良36足跟；跟腱滑囊炎型患者中，优32足跟，良29足跟；足底脂肪垫炎型患者中，优9足跟，良20足跟，差4足跟，劣3足跟；跟骨高压型患者中，优1足跟，良3足跟，差2足跟；神经卡压型患者中，优11足跟，良8足跟，差1足跟，劣1足跟；混合型患者中，优16足跟，良46足跟，差5足跟，劣8足跟。治疗6个月后，跖筋膜炎型患者中，优21足跟，良40足跟，差5足跟，劣1足跟；跟腱滑囊炎型患者中，优30足跟，良28足跟，差3足跟；足底脂肪垫炎型患者中，优15足跟，良18足跟，差2足跟，劣1足跟；跟骨高压型患者中，优0足跟，良3足跟，差3足跟；神经卡压型患者中，优7足跟，良11足跟，差1足跟，劣2足跟；混合型患者中，优10足跟，良45足跟，差11足跟，劣9足跟。