Font Size: a A A

Clinical Research Of Fu’s Subcutaneous Needling For The Treatment Plantar Fasciitis

Posted on:2020-07-17Degree:DoctorType:Dissertation
Country:ChinaCandidate:J A FanFull Text:PDF
GTID:1364330578961958Subject:Fractures of TCM science
Abstract/Summary:PDF Full Text Request
ObjectivePlantar fasciitis is a common foot disease in the clinic,which has a great impact on the daily life and even the work of patients.In recent years,the traditional Chinese medicine in the treatment of plantar fasciitis is still based on traditional Chinese medicine oral or topical,acupuncture and massage.Western medicine is based on non-steroidal anti-inflammatory drugs,injection of corticosteroids,shock waves,exercise therapy,and laser treatment.The above treatments can achieve certain effects in a few years,but there are also defects such as slower onset or higher recurrence.The Fu’ s Subcutaneous Needling is a relatively new medical method in recent times,and it can have certain effects in the treatment of diseases with pain as the main complaint.Therefore,it is hoped that the treatment of Fu’ s Subcutaneous Needling can be used to treat plantar fasciitis,and it is expected to find a more effective treatment.method.In this study,a randomized controlled clinical study of Fu’ s Subcutaneous Needling therapy and traditional acupuncture was used to compare the clinical efficacy of both patients with plantar fasciitis and traditional acupuncture.This time,we used the Visual Analog Scale(VAS),the Japanese Orthopaedic Association(JOA),the evaluation criteria for the treatment of foot diseases,and the pain,instability(sensation),walking ability,daily life score,and tension meter to quantify the symptoms.The pain score was obtained in the table to illustrate the clinical effect of Fu’ s Subcutaneous Needling on the plantar fasciitis,in order to make an objective scientific evaluation and provide new ideas and theoretical basis for the treatment of plantar fasciitis with Fu’ s Subcutaneous Needling.MethodsIn this observation,70 patients with plantar fasciitis who met the criteria for inclusion of Chinese and Western medicine in the criteria,exclusion criteria,and shedding criteria were randomly divided into two groups according to statistical software SPSS 24.0.The Fu’ s Subcutaneous Needling treatment group(treatment group)and the acupuncture treatment group(control group)were divided into two groups,and 35 cases were a group.Fu’ s Subcutaneous Needling treatment group:Find the myofascial pain points before the lower limbs and mark them.The needle was treated with a disposable Fu’ s Subcutaneous Needling medium(0.60 mm X 32 mm)from Nanjing Paifu Medical Technology Co.,Ltd.At the point of 5-8cm muscle thickening from the point of the tendon,as the needle point,pay attention to avoid the blood vessels and joints,and disinfect.When the needle is inserted into the needle,the angle between the needle and the skin is about 15 to 25.°.Do not penetrate too deep.If the needle is too deep or too shallow,it can cause pain.When the pain occurs,the needle can be slightly retracted and then inserted into the painless state,reaching the muscle layer slightly,then releasing the left hand and gently pulling the right hand.Separate the needle from the muscle layer.Put the needle down again.After the needle point is used as the fulcrum,the fan-shaped flat sweeping motion is performed in the superficial fascia layer,and the ankle-foot motion is performed for about 20 minutes until the pain disappears or cannot be alleviated.After the needle is pressed,the needle hole is pressed to prevent bleeding,and the tape can be attached according to the condition of the pinhole to prevent wound infection.The Fu’ s Subcutaneous Needling treatment was performed three times a week for a total of four weeks,and the effect was observed once a week.The acupuncture group referred to the acupuncture point of "New Acupuncture and Moxibustion" published by Zhejiang University of Traditional Chinese Medicine as a simple acupuncture treatment.Take the water spring point,Chengshan point,servant point,Kunlun point,Taixi point.Straight thorn or flat thorn,flattening and diarrhea for 30 minutes.Afterwards,the objective indicators of the current international academic community were used to evaluate the effect of Fu’ s Subcutaneous Needling on the treatment of plantar fasciitis.Subjective and objective evaluations were performed on the day of evaluation,one day before treatment,one week after treatment,two weeks after treatment,three weeks after treatment,and after completion of treatment.The subjective indicators mainly used for evaluation were:visual analog scale(VAS),and the Japanese Orthopaedic Association(JOA)evaluation criteria for the treatment of foot diseases.The objective indicators are the data measured by the tension meter after the day before treatment,one week after treatment,two weeks after treatment,three weeks after treatment,and after treatment,and then quantified to make Fu’ s Subcutaneous Needling therapy for plantar fasciitis.Evaluation.The detailed description of the adverse reaction events and treatment methods that occurred during the study was recorded.The data obtained in the study were analyzed by SPSS 24.0 statistical software.There was no difference between the data when P>0.05,and there was a difference between the data at P<0.05,which was statistically significant.There was a significant difference at P<0.01,which was statistically significant.Finally,the results are listed and explained.ResultsThe data of the two groups were analyzed.There was no statistically significant difference between the FSN resistance and the acupuncture group(gender,mean age,and mean duration).There were no significant differences between the two groups in pre-treatment observations,tension meter data,VAS scores,and JOA foot disease treatment outcome criteria.The results summarize the following points:1.After treatment,the total effective rate of the Fu’ s Subcutaneous Needling treatment group and the acupuncture group were 97.15%and 91.43%,respectively,and there was a significant difference between the two groups(P<0.01).It showed that there was a significant difference in the total efficacy between the Fu’ s Subcutaneous Needling treatment group and the acupuncture group.2.There was no significant change in the VAS score after the first week of treatment(P>0.05).When the second week after treatment,the VAS scores between the two groups began to appear(P<0.05).The difference after the treatment is completed is even greater.After the treatment of the Fu ’ s Subcutaneous Needling treatment group and the acupuncture group,the results of the VAS score between the two groups were observed,indicating that the VAS score of the Fu ’ s Subcutaneous Needling treatment group was significantly better than that of the acupuncture group.In the comparison of the groups,the clinical efficacy of the two groups in the treatment of 1 week,2 weeks of treatment and 3 weeks of treatment and after treatment were significantly different(P<0.01).3.The treatment score of JOA foot disease began to differ after the second week of treatment(P<0.05),and this condition was maintained until the treatment was completed.After the treatment of the Fu ’ s Subcutaneous Needling treatment group and the acupuncture group,the results of the treatment score of JOA foot disease between the two groups were observed,indicating that the JOA foot disease treatment score of the Fu ’ s Subcutaneous Needling treatment group was better than that of the acupuncture group.In the comparison of the groups,the clinical efficacy of the two groups in the treatment of 1 week,2 weeks of treatment and 3 weeks of treatment and after treatment were significantly different(P<0.01).4.There was a difference in JOA pain scores after the first week of treatment(P<0.01),and the difference was maintained until the treatment was completed.After the treatment of the Fu ’ s Subcutaneous Needling treatment group and the acupuncture group,the pain scores between the two groups were observed,indicating that the JOA pain score of the Fu ’ s Subcutaneous Needling treatment group was better than that of the acupuncture group.In the comparison of the groups,the clinical efficacy of the two groups in the treatment of 1 week,2 weeks of treatment and 3 weeks of treatment and after treatment were significantly different(P<0.01).5.There was a difference in JOA instability(sensing)score after the first week of treatment(P<0.05),but the difference was not maintained until the treatment was completed.After the treatment of the Fu ’ s Subcutaneous Needling treatment group and the acupuncture group,the results of the JOA instability(sensing)score between the two groups were observed,indicating that the JOA instability(sensing)scores of the Fu’ s Subcutaneous Needling treatment group were basically the same.In the comparison of the groups,the clinical efficacy of the two groups in the treatment of 1 week,2 weeks of treatment and 3 weeks of treatment and after treatment were significantly different(P<0.01).6.The Fu’ s Subcutaneous Needling treatment group and the acupuncture group only began to differ in the JOA walking ability score after the third week of treatment(P<0.05),but this condition could not be maintained until the treatment was completed.Therefore,after the completion of the treatment,the results of the JOA walking ability score between the two groups were observed,indicating that the JOA walking ability scores of the Fu’ s Subcutaneous Needling treatment group were basically the same.In the comparison of the groups,the clinical efficacy of the two groups in the treatment of 1 week,2 weeks of treatment and 3 weeks of treatment and after treatment were significantly different(P<0.01).7.After the first week of treatment,the JOA daily life score began to show significant differences(P<0.01),which was maintained until the treatment was completed.After the treatment of the Fu’ s Subcutaneous Needling treatment group and the acupuncture group,the results of the JOA daily life score between the two groups were observed,indicating that the JOA daily life score of the Fu’ s Subcutaneous Needling treatment group was significantly better than that of the acupuncture group.In the comparison of the groups,the clinical efficacy of the two groups in the treatment of 1 week,2 weeks of treatment and 3 weeks of treatment and after treatment were significantly different(P<0.01).8.The statistical results obtained by comparison between the Fu’ s Subcutaneous Needling treatment group and the acupuncture group after the first week of treatment,the score of the Fu’ s Subcutaneous Needling treatment group was significantly better than that of the acupuncture group,and the score difference after the treatment was also significant(P<0.01).Observing the results of the tension meter score between the two groups after the completion of the treatment showed that the tension meter score of the Fu’ s Subcutaneous Needling treatment group was significantly better than that of the acupuncture group.In the comparison of the groups,the clinical efficacy of the two groups in the treatment of 1 week,2 weeks of treatment and 3 weeks of treatment and after treatment were significantly different(P<0.01).Conclusion1.After treatment,there was a significant difference in the total efficacy between the Fu’ s Subcutaneous Needling treatment group and the acupuncture group.It shows that the Fu ’ s Subcutaneous Needling treatment group treatment effect is significantly better than the acupuncture group.At present,there is no mention of Fu’ s Subcutaneous Needling treatment of plantar fasciitis.Therefore,this study proves that floating is safe and effective for the treatment of plantar fasciitis,and can be regarded as a clinical treatment reference.2.There were significant differences in VAS scores and tension meter scores between the Fu’ s Subcutaneous Needling treatment group and the acupuncture group.There was a difference in the treatment effect scores of JOA foot disease.Expressed on objective indicators,Fu ’ s Subcutaneous Needling is superior to acupuncture group in the treatment of plantar fasciitis.In this study,we analyzed the pain,instability(sensation),walking ability and daily life of the JOA foot disease treatment effect score.This is also a rare analysis in the literature,and can also provide Fu’ s Subcutaneous Needlings from this.Proof of the efficacy of treatment of plantar fasciitis.3.During the treatment,the tension meter score showed significant difference after the first week of treatment,indicating that the effect of floating on tension reduction was fast and obvious.Compared to acupuncture,Fu’ s Subcutaneous Needlings have more efficient and faster characteristics.The use of this soft tissue tension meter as an evaluation of Fu’ s Subcutaneous Needling treatment of plantar fasciitis is also relatively innovative.The results show that the therapeutic effect and the evaluation data of the tension meter are also relative,so I hope that this study can be used as The promotion of Fu’s Subcutaneous Needling and soft tissue tension meter evaluation.
Keywords/Search Tags:Fu’ s Subcutaneous Needling, acupuncture, tension meter, plantar fasciitis
PDF Full Text Request
Related items