小针刀疗法联合体外冲击波治疗跟痛症的临床研究概况
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摘要
跟痛症(painful heel syndrome,PHS)常见的治疗方法包括口服非甾体类抗炎药、局部激素封闭注射、跖筋膜牵拉、针灸、手法按摩及手术等。这些方法在治疗PHS时有一定的疗效,但存在复发率高、起效慢、疗程长、患者难以坚持等缺点。针刀医学作为传统医学的现代化改进,一方面通过剥离软组织对炎症部位进行微创切割,促进局部出血,另一方面利用血液中营养物质及抗炎因子达到消除炎症的目的。冲击波治疗是一种无创的物理疗法,通过强力冲击波穿透软组织到达患处,消除局部无菌性炎症,达到治疗的目的。两种治疗方法相结合,在PHS的治疗方面取得了较好的治疗效果。该文就小针刀疗法联合体外冲击波治疗PHS的临床研究概况作一综述。
The common treatments for painful heel syndrome(PHS) include oral non-steroidal anti-inflammatory drugs,local hormone occlusion injection,plantar fascia,acupuncture,massage and surgery.These therapies have certain curative effects on PHS,but still have the following defects:high recurrence rate,slow effect,long course of treatment and problems of insisting.As the modernization of Traditional Chinese Medicine in acupotomology improvement,small needle knife therapy strips inflammation parts from normal soft tissues,promotes local blood circulation and makes nutrients and anti-inflammatory factors locate in inflammatory sites.As a physical therapy,shock wave penetrates soft tissues to reach the inflammatory sites and eliminates the local inflammations noninvasively.Combining the two methods for the treatment of PHS has achieved good clinical effects.The clinical research progress of small needle knife therapy combined with extracorporeal shock wave therapy for heel pain is reviewed in this paper.
The common treatments for painful heel syndrome(PHS) include oral non-steroidal anti-inflammatory drugs,local hormone occlusion injection,plantar fascia,acupuncture,massage and surgery.These therapies have certain curative effects on PHS,but still have the following defects:high recurrence rate,slow effect,long course of treatment and problems of insisting.As the modernization of Traditional Chinese Medicine in acupotomology improvement,small needle knife therapy strips inflammation parts from normal soft tissues,promotes local blood circulation and makes nutrients and anti-inflammatory factors locate in inflammatory sites.As a physical therapy,shock wave penetrates soft tissues to reach the inflammatory sites and eliminates the local inflammations noninvasively.Combining the two methods for the treatment of PHS has achieved good clinical effects.The clinical research progress of small needle knife therapy combined with extracorporeal shock wave therapy for heel pain is reviewed in this paper.
引文
1 Riddle DL,Schappert SM.Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis:a national study of medical doctors[J].Foot Ankle Int,2004,25(5):303-310.
2 Romano N,Fischetti A,Prono V,et al.Plantar pain is not always fasciitis[J].Reumatismo,2017,69(4):189-190.
3 Woelffer KE,Figura MA,Sandberg NS,et al.Five-year follow-up results of instep plantar fasciotomy for chronic heel pain[J].Foot Ankle Surg,2000,39(4):218-223.
4丁宇,王燮荣.针刀医学原理及研究进展[J].现代中西医结合杂志,2011,20(35):4594-4596.
5王家恺.小针刀结合手法治疗肩周炎的临床疗效分析[D].济南:山东中医药大学,2010.
6侯珺,王斯晗.小针刀疗法治疗足跟痛45例[J].陕西中医学院学报,2014,37(3):56-62.
7何华春,李莹珣,罗凯新,等.针刀治疗足跟痛症的临床疗效观察[J].中医临床研究,2013,5(24):47-48.
8 Smith J,Sellon JL.Comparing PRP injections with ESWT for athletes with chronic patellar tendinopathy[J].Clin J Sport Med,2014,24(1):88-89.
9 Chaussy C,Schmiedt E,Jocham D,et al.First Clinical Experience with Extracorporeally Induced Destruction of Kidney Stones by Shock Waves[J].J Urol,2017,197(2S):S160-S163.
10 Haupt G,Haupt A,Ekkernkamp A,et al.Influence of shock waves on fracture healing[J].Urology,1992,39(6):529-532.
11 Rompe JD,Eysel P,Hopf C,et al.Extracorporeal shockwave therapy in orthopedics.Positive results in tennis elbow and tendinosis calcarea of the shoulder[J].Fortschr Med,1997,115(18):26,29-33.
12 Trebinjac S,Mujic'-Skikic'E,Ninkovic'M,et al.Extracorporeal shock wave therapy in orthopaedic diseases[J].Bosn J Basic Med Sci,2005,5(2):27-32.
13 Kuo SJ,Su IC,Wang CJ,et al.Extracorporeal shockwave therapy(ESWT)in the treatment of atrophic non-unions of femoral shaft fractures[J].Int J Surg,2015,24(Pt B):131-134.
14 Chou WY,Wang CJ,Wu KT,et al.Comparative outcomes of extracorporeal shockwave therapy for shoulder tendinitis or partial tears of the rotator cuff in athletes and non-athletes:Retrospective study[J].Int J Surg,2018,51(3):184-190.
15 Buchbinder R,Green SE,Youd JM,et al.Systematic review of the efficacy and safety of shock wave therapy for lateral elbow pain[J].J Rheumatol,2006,33(7):1351-1363.
16 Cinar E,Saxena S,Uygur F,et al.Combination Therapy Versus Exercise and Orthotic Support in the Management of Pain in Plantar Fasciitis:A Randomized Controlled Trial[J].Foot Ankle Int,2018,39(4):406-414.
17 Rompe JD,Zoellner J,Nafe B.Shock wave therapy versus conventional surgery in the treatment of calcifying tendinitis of the shoulder[J].Clin Orthop Relat Res,2001,(387):72-82.
18 Wang CJ,Wang FS,Yang KD,et al.Shock wave therapy induces neovascularization at the tendon-bone junction.A study in rabbits[J].Orthop Res,2003,21(6):984-989.
19 Xu JK,Chen HJ,Li XD,et al.Optimal intensity shock wave promotes the adhesion and migration of rat osteoblasts via integrin?1-mediated expression of phosPhorylated focal adhesion kinase[J].Biol Chem,2012,287(31):26200-26212.
20 Tarttelin MF,Gorski RA.The effects of ovarian steroids on food and water intake and body weight in the female rat[J].Acta Endocrinol(Copenh),1973,72(3):551-568.
21 Delius M,Draenert K,Al Diek Y,et al.Biological effects of shock waves:in vivo effect of high energy pulses on rabbit bone[J].Ultrasound Med Biol,1995,21(9):1219-1225.
22 Seabaugh KA,Thoresen M,Giguère S.Extracorporeal Shockwave Therapy Increases Growth Factor Release from Equine Platelet-Rich Plasma In Vitro[J].Front Vet Sci,2017,4:205.
23 FDA approves shock wave device for treatment of chronic heel pain[J].Curr Pain Headache Rep,2001,5(1):2.
24 Lee GP,Ogden JA,Cross GL.Effect of extracorporeal shock waves on calcaneal bone spurs[J].Foot Ankle Int,2003,24(12):927-930.
25周增华,蒋宗滨,张爱民,等.不同次数冲击波治疗对跟痛症的临床疗效研究[J].中国康复医学杂志,2017,32(2):226-228.
26耿家斌,李敏清,彭庆娟.小针刀联合体外冲击波治疗髌腱炎的临床疗效评价[J].世界中医药,2017,12(9):2172-2175.
27黄芳,陈雄,穆敬平,等.体外冲击波联合激光针刀治疗跟痛症的临床研究[J].世界中西医结合杂志,2014,9(4):395-398.
28王少飞,姜劲挺,郑吉元.小针刀配合体外冲击波治疗跟痛症60例[J].中国中医骨伤科杂志,2015,23(9):53-55.
2 Romano N,Fischetti A,Prono V,et al.Plantar pain is not always fasciitis[J].Reumatismo,2017,69(4):189-190.
3 Woelffer KE,Figura MA,Sandberg NS,et al.Five-year follow-up results of instep plantar fasciotomy for chronic heel pain[J].Foot Ankle Surg,2000,39(4):218-223.
4丁宇,王燮荣.针刀医学原理及研究进展[J].现代中西医结合杂志,2011,20(35):4594-4596.
5王家恺.小针刀结合手法治疗肩周炎的临床疗效分析[D].济南:山东中医药大学,2010.
6侯珺,王斯晗.小针刀疗法治疗足跟痛45例[J].陕西中医学院学报,2014,37(3):56-62.
7何华春,李莹珣,罗凯新,等.针刀治疗足跟痛症的临床疗效观察[J].中医临床研究,2013,5(24):47-48.
8 Smith J,Sellon JL.Comparing PRP injections with ESWT for athletes with chronic patellar tendinopathy[J].Clin J Sport Med,2014,24(1):88-89.
9 Chaussy C,Schmiedt E,Jocham D,et al.First Clinical Experience with Extracorporeally Induced Destruction of Kidney Stones by Shock Waves[J].J Urol,2017,197(2S):S160-S163.
10 Haupt G,Haupt A,Ekkernkamp A,et al.Influence of shock waves on fracture healing[J].Urology,1992,39(6):529-532.
11 Rompe JD,Eysel P,Hopf C,et al.Extracorporeal shockwave therapy in orthopedics.Positive results in tennis elbow and tendinosis calcarea of the shoulder[J].Fortschr Med,1997,115(18):26,29-33.
12 Trebinjac S,Mujic'-Skikic'E,Ninkovic'M,et al.Extracorporeal shock wave therapy in orthopaedic diseases[J].Bosn J Basic Med Sci,2005,5(2):27-32.
13 Kuo SJ,Su IC,Wang CJ,et al.Extracorporeal shockwave therapy(ESWT)in the treatment of atrophic non-unions of femoral shaft fractures[J].Int J Surg,2015,24(Pt B):131-134.
14 Chou WY,Wang CJ,Wu KT,et al.Comparative outcomes of extracorporeal shockwave therapy for shoulder tendinitis or partial tears of the rotator cuff in athletes and non-athletes:Retrospective study[J].Int J Surg,2018,51(3):184-190.
15 Buchbinder R,Green SE,Youd JM,et al.Systematic review of the efficacy and safety of shock wave therapy for lateral elbow pain[J].J Rheumatol,2006,33(7):1351-1363.
16 Cinar E,Saxena S,Uygur F,et al.Combination Therapy Versus Exercise and Orthotic Support in the Management of Pain in Plantar Fasciitis:A Randomized Controlled Trial[J].Foot Ankle Int,2018,39(4):406-414.
17 Rompe JD,Zoellner J,Nafe B.Shock wave therapy versus conventional surgery in the treatment of calcifying tendinitis of the shoulder[J].Clin Orthop Relat Res,2001,(387):72-82.
18 Wang CJ,Wang FS,Yang KD,et al.Shock wave therapy induces neovascularization at the tendon-bone junction.A study in rabbits[J].Orthop Res,2003,21(6):984-989.
19 Xu JK,Chen HJ,Li XD,et al.Optimal intensity shock wave promotes the adhesion and migration of rat osteoblasts via integrin?1-mediated expression of phosPhorylated focal adhesion kinase[J].Biol Chem,2012,287(31):26200-26212.
20 Tarttelin MF,Gorski RA.The effects of ovarian steroids on food and water intake and body weight in the female rat[J].Acta Endocrinol(Copenh),1973,72(3):551-568.
21 Delius M,Draenert K,Al Diek Y,et al.Biological effects of shock waves:in vivo effect of high energy pulses on rabbit bone[J].Ultrasound Med Biol,1995,21(9):1219-1225.
22 Seabaugh KA,Thoresen M,Giguère S.Extracorporeal Shockwave Therapy Increases Growth Factor Release from Equine Platelet-Rich Plasma In Vitro[J].Front Vet Sci,2017,4:205.
23 FDA approves shock wave device for treatment of chronic heel pain[J].Curr Pain Headache Rep,2001,5(1):2.
24 Lee GP,Ogden JA,Cross GL.Effect of extracorporeal shock waves on calcaneal bone spurs[J].Foot Ankle Int,2003,24(12):927-930.
25周增华,蒋宗滨,张爱民,等.不同次数冲击波治疗对跟痛症的临床疗效研究[J].中国康复医学杂志,2017,32(2):226-228.
26耿家斌,李敏清,彭庆娟.小针刀联合体外冲击波治疗髌腱炎的临床疗效评价[J].世界中医药,2017,12(9):2172-2175.
27黄芳,陈雄,穆敬平,等.体外冲击波联合激光针刀治疗跟痛症的临床研究[J].世界中西医结合杂志,2014,9(4):395-398.
28王少飞,姜劲挺,郑吉元.小针刀配合体外冲击波治疗跟痛症60例[J].中国中医骨伤科杂志,2015,23(9):53-55.
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