| Objective: By observing the clinical efficacy of acupoint application of Xugu Jiejin Powder combined with tensile training in the treatment of plantar fasciitis,and comparing it with extracorporeal shock wave therapy,the mechanism of action of acupoint application of Xugu Jiejin Powder combined with tensile training in the treatment of plantar fasciitis was explored,and its effectiveness and safety in relieving pain and functional recovery were explored.It provides a more convenient,effective,safe and economical treatment for clinical treatment of plantar fasciitis.Methods: The cases in this study were from 60 patients with plantar fasciitis who met the inclusion criteria in the Department of Orthopedics,Kunming Hospital of Traditional Chinese Medicine from December 2021 to December 2022.The patients with plantar fasciitis were randomly divided into observation group and control group for clinical study,30 cases in each group.The patients in the observation group were treated with acupoint application of Xugu Jiejin Powder combined with stretching training,while the patients in the control group were treated with extracorporeal shock wave therapy.The treatment frequency of the observation group was 5 days a week,once a day,and the daily treatment included one stretching training and one acupoint application and pressing stimulation.The extracorporeal shock wave of the control group was treated once a week for 4 weeks.Then,the visual pain simulation score(VAS)and the American Orthopaedic Foot and Ankle Society(AOFAS)score were used for statistical analysis before treatment and 2,4weeks after treatment.At the same time,the clinical efficacy was evaluated after treatment,and the data were obtained and analyzed to compare the therapeutic effects of the two groups.Results: Comparison of general data before treatment,60 patients were included in this study.There was no significant difference in age,sex and course of disease between the observation group and the control group(P > 0.05).The VAS score and AOFAS score of the observation group and the control group were improved before and after treatment,but the decrease of VAS score and the increase of AOFAS score in the observation group were better than those in the control group,and the difference was statistically significant(P < 0.05).After 4 weeks of treatment,there were some differences in the efficacy evaluation results between the observation group and the control group.In the observation group,46.7 % of the patients ’ pain disappeared and33.3 % of the patients improved significantly,while in the control group,only 23.3 %of the patients ’ pain disappeared and 30.0 % of the patients improved significantly.Therefore,compared with the control group,the treatment effect of the observation group was more obvious,and the difference was statistically significant(P < 0.05).Conclusion:1.Xugu Jiejin Powder acupoint application combined with stretching training and extracorporeal shock wave therapy can relieve pain,improve functional activities and improve quality of life in patients with plantar fasciitis.2.The clinical efficacy of Xugu Jiejin Powder acupoint application combined with stretching training in the treatment of plantar fasciitis is better than extracorporeal shock wave therapy.3.There was no adverse reaction during the treatment of plantar fasciitis by acupoint application of Xugu Jiejin powder combined with tensile training,which was safe and effective and worthy of clinical promotion. |