Heel pain is a general term for pain around the heel. Mainly refers to the bottom of the calcaneus and the pain caused by the chronic injury caused by the back, often accompanied by anterior spurs of the calcaneal tuberosity. The disease occurs in the middle-aged and the elderly and obese, is a traditional Chinese medicine "sputum card" range.
Diagnostic points
1. The onset of the disease is slow, mostly on one side, and may have a history of months or years.
2. There are generally pain, swelling, tenderness and other characteristics. When walking, the pain is aggravated by the friction of the shoes. There are symptoms such as weakness and weakness.
3. No obvious abnormalities of calcaneal X-ray films.
Etiology and pathogenesis
Heel pain occurs in 40 to 60-year-old middle-aged and elderly people. "Theories of Diseases and Diseases," said: "The man who suffers from labor and injury, kidney deficiency, and the kidney's waist," shows that overwork and kidney qi deficiency can cause pain in the waist and heel. The "Classical Classics" commentary on the "Internal Classics" argues that "The Wei Ying Zhi Shi is astringent, and when the meridians are sparse, there is less blood loss and less blood stagnation is less retardation, so it is not painful." It shows that the elderly have less blood loss and less activity, but there are no significant symptoms.
Massage treatment
Treatment is the law: qi and blood, swelling and pain.
Commonly used techniques: strike, pinch, knead, point, press, etc.
Steps:
1. The patient prone bed, the knee joint flexion 90 °, the surgeon holds the foot for dorsiflexion fixed, so that the Achilles tendon tension, the other hand with the side of the hypothenar treated with a side attack followed by a fist, with a small The fish department beat and followed. The purpose of the technique is to promote local blood circulation and reduce swelling and pain.
2. With the method of smooth muscle tendons, rubbing with tendons after tendon, etc., can also be used for treatment such as kneading.
3. The patient was lying supine, and the surgeons clicked on the acupoints of Yinlingquan, Sanyinjiao, Taixi, Zhaohai et al. Rub the bottom of the foot again to make it permeable.
Appropriate technology
Chinese medicine bath foot method: to Shujin Huoxue Chinese medicine prescription decoction, the foot will be placed in the liquid bubble for 10 to 15 minutes, and the appropriate rubbing the affected area to red fever for the degree, avoid scalding, daily 2 ~ 3 times.
Acupuncture and moxibustion therapy: Acupuncture at Taixi, Kunlun, Rangu, Taichong, Sanyinjiao, Ashi points, etc., needles are taken every 10 minutes, and each needle is retained for 30 minutes.
Ear acupoint therapy: Take ear, liver, kidney, heel, endocrine and other ear points and press the seed against the above points.
Blocking therapy: Closed treatment of the patient's foot tenderness.
Precautions
Heel pain is due to more diseases, so before the treatment of massage, we must first make a clear diagnosis, and then symptomatic treatment. Heel osteopathy is less effective in the treatment of pain. Therefore, massage therapy is generally not used.
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