Clinical study of acupotomy therapy on the calcaneodynia with abnormal plantar pressure
XU Hongzhang1 CHEN Chao2 HUANG Bo1 DANG Guining1
1.Department of Orthopedics and Traumatology, Hospital of Integrated Chinese and Western Medicine, Southern Medical University, Guangdong Province, Guangzhou 510315, China;
2.Staff Room of Surgery of Traditional Chinese Medicine, School of Traditional Chinese Medicine, Southern Medical University, Guangdong Province, Guangzhou 510515, China
Abstract：Objective To explore the effect of specific acupotomy therapy on mechanical changes of plantar in patients with calcaneodynia, and to provide theoretical basis for specific acupotomy therapy. Methods Thirty patients diagnosed with unilateral calcaneodynia in Orthopedics and Traumatology of Hospital of Integrated Chinese and Western Medicine, Southern Medical University from June 2015 to June 2016 were included in the this experiment. The abnormal area of plantar pressure in each patient was detected, and the abnormal area of plantar pressure was treated by acupotomy therapy. The peak force of 10 zones of affected pelma [the 1st base of phalanx (T1), the 2nd-5th base of phalanx (T2-T5), 1th metatarsal (M1), 2nd metatarsal (M2), 3rd metatarsal (M3), 4th metatarsal (M4), 5th metatarsal (M5), middle foot bottom (MID), heel lateral (HL) and heel medial (HM)] was tested with Footscan USB2 system before treatment and after treatment for 2 weeks. Results Before treatment, the peak pressure of M1, HL and HM between the affected side and normal side was significantly different (P ＜ 0.05). After treatment for 2 weeks, the plantar pressure of M1, HL and HM area was significantly decreased (P ＜ 0.05), but there were no significant differences in other zones (P ＞ 0.05). Conclusion Acupotomy therapy for the abnormal area of plantar pressure in patients with calcaneodynia can improve the plantar pressure of abnormal area, and make the plantar pressure become normal. Clinically, we may try to treat the patients' plantar pressure in abnormal area with acupotomy therapy, and it may achieve the purpose of treating the calcaneodynia.
2017, Vol. 14 
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