The Theoretical Study And Clinical Research To The Correlation Between The Heel Pain And The Degree Of Lumbar Disc Herniation And Other Risk Factors

Objectives:By observation of 58 clinical cases about the heel pain and the degree of lumbar disc herniation level correlated with age, weight, bone spurs and other risk factors, author wants to provide a new way of thinking for the prevention and treatment of the heel painMethods:Collecting 58 patients of Traditional Chinese Medicine, Second Affiliated Hospital outpatient and inpatient cases with heel pain in May of 2008--April of 2009,we made conduct inquiry and syndrome differentiation to them. Lining visual analogue scales (VAS) for pain score, DR-X-ray and CT radiography, analysis of bone length lumbar disc level and parallel.we order to explore the relationship between the heel pain, the degree of lumbar disc herniation and the age, weight, bone spurs and other factors relationship.Results:The number of cases having the heel pain in lumbar disc herniation was 50, accounting for 86.2%, and the number of cases with pain in lumbar disc and TCM syndrome differentiated to kidney deficiency syndrome was30, accounting for 51.7%of the total. Incidence of 40-50 years of age with pain was 27.6%of the total number and incidence of 50-60 years old accounted for 37.9%. Both accounted for 65.5%.28 cases of male patients and 30 cases of female patients, showed no difference between the sexes. Correlation coefficient between pain score with the heel pain and linear with disc index was 0.811, p<0.05. Both showed highly positive correlation. Correlation coefficient between pain score with the heel pain and body mass index linear was 0.852, p<0.05.Both showed highly positive correlation. The result of feet lateral axis X-ray film of 58 patients showed as following:there were 62 feet with pain without bone, accounting for 68.1% of total in no bone full amount; 29 feet neither spurs nor pain, accounted for31.9% of total in no bone full amount; 4 feet with spur & lt;5mm and pain, accounted for 44.4% of the total in this group; 5 feet with spur & lt;5mm and no pain, accounted for 55.6% of the total in this group.5 feet with spur≥5mm and pain, accounted for 45.5% of the total; 6 feet with spur> 5mm and without pain, accounted for 54.5% of the total in this group.2 feet with spur> 10mm and pain, accounted for 40% of the total in this group; 3 feet with spur≥10mm and without pain, accounted for 60% of the total in this group.Conclusion:The kidney deficiency syndrome is the main the type of Chinese medicine as the heel pain syndrome.In the heel pain with kidney deficiency syndrome lumbar disc herniation appears more likely. The heel pain mainly appears range 40 to 60 years. The degree of the heel pain has high positive correlation to do with lumbar disc level and body mass index, while has no significant something to do with the spur length.