2 English reference heel pain [Chinese medicine terminology Committee. Terminology of Traditional Chinese Medicine (2004)]
A painful heel [Landau Chinese-English Dictionary]
Heel pain [Landau Chinese-English Dictionary]
A painful heel [Xiangya Medical Dictionary]
3. Summarize heel pain as a symptom name, also called heel pain [1]. Refers to pain in one or both heels, which is aggravated when standing or walking [2]. More common in middle-aged and elderly women and obese women. Only when they walk and stand for a long time will they feel pain. In severe cases, their heels are swollen and they cannot stand or walk. When they lie down, they still have persistent pain or stinging and burning pain, which even involves their calf back [3][4].
For hyperosteogeny, although treatment can not eliminate the spur, it can also eliminate the pain by eliminating the aseptic inflammation of the soft tissue around the spur [3].
4 etiology and pathogenesis of heel pain "Danxi Heart Method Heel Pain": "Heel pain, phlegm, blood heat."
Heel pain is mostly caused by kidney deficiency, blood heat and phlegm dampness [1].
Heel pain is related to hyperosteogeny, soft tissue strain of tarsal sinus, and increased venous pressure [3].
Heel pain is caused by chronic strain at the base of calcaneus, calcaneal spur and calcaneal tubercle bursitis [4].
5 Heel pain symptoms are common in one or both heels, which are not red or swollen and inconvenient to walk [1].
The onset of heel pain is slow and may have a history of months or years. Mainly manifested as heel pain, the pain site is generally fixed, with obvious tenderness points, which may be accompanied by numbness or tension in the sole of the foot. When I get up in the morning, I have severe pain when I start standing or walking. Standing or walking for a long time will aggravate the pain and relieve it after rest. You feel comfortable when it's warm, and your condition will get worse when it's cold. [4]
Heel pain is more common in middle-aged and elderly people and obese women. It only appears when people walk and stand for a long time. In severe cases, the heel is swollen and it is impossible to stand and walk. When they lie on their backs, they still have persistent pain or tingling, and the pain even involves the back of their calves [3][4].
6 Treatment of heel pain 6. 1 Prescription treatment "Zhang Yitong" Volume 5: "If the kidney yin is insufficient and the tibia is hot and the heel hurts, add tortoise plastron and cinnamon Liuwei Pill; People with yang deficiency can't stand for a long time, and their heels hurt. Wet people will be swollen due to weight, and they will be replaced by bone pills and stone pot medicinal liquor; For obese patients with phlegm-dampness, papaya, rhizoma Dioscoreae Septemlobae and Fangji Daotan decoction are added; Those who are deficient use Buzhong Yiqi and Shiquan Dabu Decoction. "
Introduction of medical beriberi: "For patients with heel pain and blood fever, add Anemarrhena rhizome, phellodendron bark and Achyranthes bidentata in Siwu decoction;" If there is phlegm, add papaya to Wuji powder. "
6.2 Massage Therapy 6.2. 1 Prescription 1 [5]
6.2. 1. 1 Symptoms Heel pain, redness and discomfort in walking.
6.2. 1.2 Massage Method ① Press the clock with your thumb for 50 times with moderate intensity.
② Hold Kunlun and Taixi points (see this page) 1 ~ 2 minutes with relative force between thumb and middle finger.
(3) Press the servant's finger with the end of the thumb 1 ~ 2 minutes.
④ Push from the spring to the toe with the thumb pulp for 6 ~ 8 times.
6.2.2 The Second Party [3]
6.2.2. 1 Symptoms: heel swelling, persistent pain, inability to stand or walk, pain at rest, dark tongue, visible petechiae, white fur and astringent pulse.
The acupoints selected by 6.2.2.2 are Sanyinjiao, Yinlingquan, Taixi, Zhao Hai, Gu Ran, Kunlun and Tushen.
6.2.2.3 massage (1) bursitis at the lower dead center of calcaneus: the patient lies on his back, and the knee joint of the affected limb flexes 60 degrees. The doctor held the affected foot in one hand and fixed it by dorsiflexion, which made the achilles tendon tense, and hit it hard with the thenar aimed at the synovial sac with the other hand. The role of manipulation is to promote local blood circulation, reduce swelling and relieve pain, or rupture the bursa and absorb liquid.
(2) Plantar fasciitis: The patient lies on his back and his lower limbs are straight. The doctor first presses the acupoints by acupuncturing, then rubs the pain points with a thumb, and then rubs them flat along the running direction of plantar fascia by rubbing and smoothing, so that the soles of feet are heated.
6.2.3 Medical record Wang, female, 38 years old. Self-reported heel pain for 3 years, aggravated by long-distance walking, standing for a long time or rainy days. Recently, my right heel hurts badly because I walked for too long. Physical examination at the time of admission showed that the right heel tubercle had obvious tapping pain and touched a bony process. X-ray shows: hyperosteogeny of the right heel bone spur. The diagnosis is heel pain. After two comprehensive treatments, the heel pain was relieved and he could get out of bed and walk independently. After 10 treatment, the pain completely disappeared and he was discharged. Follow-up showed no recurrence. [3]
6.3 Moxibustion Therapy [4]
Acupoint selection: ① Group: Ashi point and Sanyinjiao point; ② Group: Shenmai and Taixi points.
Moxibustion: two groups of prescriptions alternately apply moxibustion, with moxa sticks hanging moxibustion, moxibustion at each point for 5 ~ 10 minutes; Or use moxa cone moxibustion method, with 5-7 points per point, 1 time per day, 1 time is1course of treatment.
7 Daily health care for patients with heel pain (1) Pay attention to local warmth to avoid catching cold.
(2) Patients with plantar fasciitis should pay attention to proper rest, reduce load and control strenuous exercise in acute stage. After the symptoms are relieved, the plantar muscles are gradually contracted to enhance the plantar muscle strength.
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