Observation Of Short-term Efficacy Of Radial Extracorporeal Shockwave Therapy For Plantar Fasciitis Guided By Theory Of Soft Tissue Surgery

Background and purpose: Planar fasciitis(PF)is the most common cause of heel pain,nearly 11% to 15% of patients look for doctors.It is a self-limiting disease.Most patients can be relieved within a few years.However,20% to 30% of patients will develop chronic pain,which seriously affects people’s lives quality and working efficay.In recent years,radial extracorporeal shock wave therapy(r ESWT)has been increasingly used for plantar fasciitis,mainly for treating pain points in the feet,however,some patients have poor results or even failure.In recent years,the theory of soft tissue surgery has been accepted by the domestic pain physicians.In clinical practice,We found that patients with poor efficacy were often accompanied by tenderness in the lumbosacrum and adductor.According to the theory of soft tissue surgery,the reason may be that the lumbosacrum and adductor are the primary strain,and the foot pain resulted from conduction.At present,there is no report on the study of radial extracorporeal shock wave in the treatment of plantar fasciitis caused by lumbosacrum and adductor lesions under the guidance of soft tissue surgery theory.This study intends to conduct radial extracorporeal shock wave therapy for plantar fasciitis under the guidance of soft tissue surgery theory.The visual analogue scale(VAS)score,American Orthopaedic Foot and Ankle Society(AOFAS)ankle and hindfoot scoring system and the efficacy evaluation method were chosen to compare the efficacy of different methods of radial extracorporeal shock wave,thereby provided new therapeutic methods and clinical evidence for clinical improvement of plantar fasciitis.Methods: Forty-one patients with plantar fasciitis in our hospital from December 2017 to December 2018 were randomly divided into the control group(foot treatment)in 20 cases and the trail group(lumbosacrum and adductor + foot treatment)in 21 cases.The VAS and AOFAS ankle and hindfoot scoring system for the first walk after morning were performed before treatment,1 month after the last treatment and 3 months after the last treatment,respectively.The clinical efficacy evaluation was compared and analyzed 3 months after last treatment.Results: Compared with pre-treatment,VAS was significantly lower after treatment(P <0.05).Compared with the control group,VAS in trial group was decreased at 1 month and 3 months after the last treatment(P <0.05).Compared with pre-treatment,the AOFAS scoring system were significantly higher after treatment,and the difference was statistically significant(P <0.05).Compared with the control group,the AOFAS scoring system in trail was increased increased significantly at 1 month and 3 months after the last treatment(P <0.05).Three months after the last treatment,the trail group had a cure rate of 45.00%,a marked efficiency rate of 50.00%,an effective rate of 5.00%,and an inefficiency of 0.00%.The control group had a cure rate of 22.22%,a marked efficiency rate of 38.89%,an effective rate of 11.11%,and an inefficiency of 27.78%.The difference was statistically significant(P <0.05).The overall efficacy of the trail group was better than the control group.Conclusion: The efficacy of radial extracorporeal shock wave therapy is significant for plantar fasciitis.The treatment the region of lumbosacrum and adductor combined with foot pain gain advantage over a single foot treatment.