Clinical Observation On The Treatment Of Calcaneodynia With Needling Distal Points Along Meridian Plus Exercising Combined With Local Acupuncture

Objective:Based on the theory of needling distal points along meridian plus exercising,to explore the clinical efficacy,score of pain improvement and the score of functional recovery of the calcaneodynia when combined with local acupuncture in treatment.Methods:Generate a random number table with EXCEL,then randomly divided patients into a control group and a treatment group,according to the order in which the patients went to see a doctor,each with 32 cases.Both groups of patients received health education,requiring attention to the relax of the suffering foot,reducing walking and weight-bearing.The control group was treated with local acupuncture.The doctors directly acupunctured the suffering side Ashi,Zhaohai,Dazhong,Pucan,Kunlun point,keep the needle for 30 minutes after gets qi.On the basis of the treatment of the control group,the treatment group will prick the Shenme point,or Cuanzhu point,or Shenmen and Cuanzhu point at the same time of the suffering side.Twisting the needle handle and instruct the patient to exercise,lift the forefoot,and stomping the heel,according to the degree of tolerance,increase the stomping force from slow to fast,so as to maximize the pain.Continue to exercise until the pain is relieved,keep the needle for 3 minutes.The two groups were treated once a day,continuous treatment for 6 days,1 day rest,one week as a course of treatment,a total of 2 weeks of treatment.Evaluation is made by comparing the VAS score and the FAAM score after 1 week of treatment,2weeks of treatment,and 3 months after treatment.SPSS 23.0 was used for data analysis.Result:1.The total effective rate and cure rate of the treatment group were96.67% and 58.06% were higher than those of the control group which are93.33% and 23.33%,P<0.05,the difference was statistically significant.2.Comparison of the VAS and FAAM scores of the patients in two groups before treatment,1 week after treatment,2 weeks after treatment,and3 months after the end of treatment,P<0.05,both groups have the differences that were statistically significant.3.The VAS and FAAM scores of the treatment group after 1 week of treatment,2 weeks of treatment,and 3 months after treatment were better than those of the control group,P<0.05,the difference was statistically significant.Conclusions:1.The method of local acupuncture and needling distal points along meridian plus exercising and local acupuncture both have definite clinical efficacy,and can improve the VAS score and FAAM function index of patients with calcaneodynia.2.Compared with simple local acupuncture,needling distal point along meridian plus exercising combined with local acupuncture has a more significant effect on the treatment of calcaneodynia,it can improve the pain and the abilities of foots.