Stomp Exercise With Vinegar And Salt Therapy In Heel Pain, A Clinical Research

BackgroundHeel pain in the elderly is a common,frequently-occurring disease.Which caused by a series of heel pain syndrome-based disease,affect the patients seriously in their work and lives.The disease is closely related with the strain and degradation.The common plantar aponeuros is due to inflammation, calcaneal spur,heel fat pad inflammation with bursitis under,plantar nerve entrapment,inflammation of Achilles tendon,Achilles tendon bursitis, hypertension calcaneus,calcaneal stress fractures.Study of this disease have been reported at home and abroad.Western medicine usually use non-steroidal anti-inflammatory drugs,local steroid closed treatmen,surgical decompression and a variety of physiotherapy.With regard to the efficacy of these methods, reports are very inconsistent to each other,but the literatures show that exercise therapy has more advantages.Foreign scholars also study the application of exercise therapy,including the Achilles tendon,plantar fascia stretch exercise,but there is still a lack of targeted prevention and control measures,e found that stomp exercise with the vinegar and salt therapy has a significant effect in the clinical treatment,and features of simple,inexpensive,convenience.Which scatter local pressure of the heel,raise the pain threshold,with the hot brine and partial immersion alternating hot vinegar,remove the vein Stagnation,improve local micro-circulation,speed up the absorption of inflammation,and finally achieve the objective of the elimination of pain.Studies suggest that the current universal heel of exercise therapy Fumigation with Chinese herbal therapy,or effective for heel pain,but is still a lack of efficacy for its rigorous RCT. ObjectiveWe found that stomp exercise with the vinegar and salt therapy has a significant effect in the clinical treatment,and features of simple,inexpen-sive,convenience.But the treatment is of unknown mechanism.To explore the treatment of heel pain so as to provide scientific ideas and methods in clinical treatments,this is the purpose and significance of this study.MethodsProspective randomized controlled trial,treatment group:stomp exercise +vinegar and salt therapy,and the control group:Partial closure of operation+ Anti-inflammatory painkillers+Physical Therapy.Follow-up of 3 months,using blind rating.Adhere to exercise daily stomp sick heel with Dayton,the strength from light to heavy,the frequency from slow to fast,till patients can endure the pain,the appropriate time is a warm sense of the foot. Step-by-step,at any time for treatment.Vinegar and salt therapy:in hot vinegar diluted in water,hot smoked adequate risk for 10min,and then soak feet for 20 min,while the bubble side up by the heel,strong massage to tender points,with the law after the preparation of hot-saline method in accordance with the above-mentioned alternate treatment,2 times/day,30 min/time,10 days for 1 course of treatment.Control group:patients with partial Washing with hot water,who have the pain obvious taked Fenbid 0.3g in each time,2times/day;12.5mg prednisolone acetate plus 2%lidocaine 2-4ml do a partial closure of the pain points at the same time,and then make a break for 1-2d,7d after do once more the injection.Stochastic approach using the envelope:software generated random number and its division,and sealed the envelope code.according to the order of distribution and opened the envelope pre-treatment,was randomly assigned to the results of measurement data comparison between groups using analysis of variance(variance using rank sum test arrhythmia),Comparison of efficacy of the use of hierarchical information, such as rank test,testing the level ofα=0.05,control confounding factors using Logistic regression model.ResultsThe two groups can eliminate or alleviate the pain after treatment,the two groups,before and after treatment,there were significant differences in the evaluation of pain relief.The total effective cure rate compared with the treatment groupand the control group,the difference was not significant(P＞ 0.05),suggesting that the treatment group is superior or equivalent efficacy in the control group.