中西医非手术治疗足底筋膜炎的研究进展

Research Progress on Non-Surgical Treatment of Plantar Fasciitis with Traditional Chinese and Western Medicine

摘要: 足底筋膜炎是引发足跟痛的主要原因之一。体重的增加、职业相关运动、解剖学变异、生物力学的改变、肌肉劳损及穿鞋不当等都会引发足底筋膜炎的出现。其是一种无菌性炎症，会随着时间迁移，被逐渐吸收，症状从而有所改善。但可能会花费较长时间，数月甚至是几年，这给临床患者带来极大的困扰。当前有许多治疗足底筋膜炎的方案与技术，具有不同的治疗效果，临床上通常优先考虑非手术治疗。其中包括中医的针刺针刀、中药内服外敷、中药外洗等疗法；西医非甾体类抗炎药的使用、富血小板血浆注射疗法、冲击波疗法、拉伸伸展运动及相关康复理疗等。各种非手术治疗方法均有其优劣性，本文将综述中西医不同治疗方法在足底筋膜炎中的应用，以期为临床诊疗和决策提供一定指导。

Abstract: Plantar fasciitis is one of the main causes of heel pain. Weight gain, occupational sports, anatomical variations, biomechanical changes, muscle strain, and improper shoe wearing can all lead to the occurrence of plantar fasciitis. It is a sterile inflammation that will migrate over time, gradually be absorbed, and symptoms will improve. But it may take a long time, months or even years, which can cause great inconvenience to clinical patients. There are currently many treatment options and techniques for plantar fasciitis with different therapeutic effects, and non-surgical treatment is usually preferred in clinical practice. This includes traditional Chinese medicine therapies such as acupuncture, needle knife therapy, oral and external application of traditional Chinese medicine, and external washing of traditional Chinese medicine; the use of nonsteroidal anti-inflammatory drugs, platelet-rich plasma injection therapy, shock wave therapy, stretching exercises, and related rehabilitation therapies in Western medicine. Various non-surgical treatment methods have their advantages and disadvantages. This article will review the application of different treatment methods from traditional Chinese and Western medicine in plantar fasciitis, in order to provide guidance for clinical diagnosis, treatment, and decision-making.