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Acupuncture Treatment for Plantar Fasciitis: A Randomized Controlled Trial with Six Months Follow-Up

By Shi Ping Zhang, Tsui-Pik Yip and Qiu-Shi Li

Abstract

Plantar fasciitis is a common cause of heel pain. It has been suggested that some acupoints have a specific effect on heel pain. The aim of this study was to determine the efficacy and specificity of acupuncture treatment for plantar fasciitis. Subjects were randomly assigned to the treatment group (n = 28) or control group (n = 25). The treatment group received needling at the acupoint PC 7, which is purported to have a specific effect for heel pain. The control group received needling at the acupoint Hegu (LI 4), which has analgesic properties. Treatment was administered five times a week for 2 weeks, with an identical method of manual needling applied to the two acupoints. The primary outcome measure was morning pain on a 100-point visual analog scale (VAS) at one month post-treatment. Secondary outcome measures included a VAS for activity pain, overall pain rating as well as pressure pain threshold using algometry. Significant differences in reduction in pain scores, favoring the treatment group, were seen at one month for morning pain (22.6 ± 4.0 versus 12.0 ± 3.0, mean ± SEM), overall pain (20.3 ± 3.7 versus 9.5 ± 3.6) and pressure pain threshold (145.5 ± 32.9 versus −15.5 ± 39.4). No serious adverse event was observed in either group. The results indicate that acupuncture can provide pain relief to patient with plantar fasciitis, and that PC 7 is a relatively specific acupoint for heel pain

Topics: Original Article
Publisher: Hindawi Publishing Corporation
OAI identifier: oai:pubmedcentral.nih.gov:3094706
Provided by: PubMed Central

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Citations

  1. (2007). Acupressure for postoperative nausea and vomiting in gynaecological patients receiving patient-controlled analgesia,”
  2. acupressure may relieve nausea and vomiting after gynecological surgery: an effectiveness study in 410 women,”
  3. (2004). Acupuncture and endorphins,”
  4. (2005). Acupuncture in haemodialysis patients at the Quchi (LI11) acupoint for refractory uraemic pruritus,”
  5. (2006). Acupuncture in patients with chronic low back pain: a randomized controlled trial,”
  6. (2005). Acupuncture in patients with osteoarthritis of the knee: a randomised trial,”
  7. (2002). Acupuncture mechanisms for clinically relevant long-term effects—reconsideration and a hypothesis,”
  8. (1998). Analysis of 30 cases of heel pain in middle age and elderly patients treated by acupuncture in HouXi (SI3) acupoint,”
  9. (1999). Chinese Acupuncture and Moxibustion,F o r e i g n Languages Press,
  10. (2001). Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale,”
  11. (2003). Clinical observations on the treatment of 45 heel pain patients by kidney Qi-reinforcing acupuncture technique,”
  12. (2006). Clinical research report of the acupuncture effect on calcanodynia,M.S.thesis,TheChineseUniversity,HongKong,
  13. (2006). Controversies in acupuncture research: selection of controls and outcome measures in acupuncture clinical trials,”
  14. (1979). Diffuse noxious inhibitory controls (DNIC). II. Lack of effect on nonconvergent neurones, supraspinal involvement and theoretical implications,”
  15. (1997). Effect of the intensity of transcutaneous acupoint electrical stimulation on the postoperative analgesic requirement,”
  16. (1993). G u y a t t ,D .L .S a c k e t t ,a n dD .J .C o o k ,“ U s e r s ’g u i d e st o the medical literature. II. How to use an article about therapy or prevention. A. Are the results of the study valid?”
  17. (2002). H.R.Middlekauff,K.Hui,J.L.Yuetal.,“Acupunctureinhibits sympathetic activation during mental stress in advanced heart failure patients,”
  18. (2005). Hoppe et al., “Acupuncture in patients with tension-type headache: randomised controlled trial,”
  19. (2002). Immediate effects of dry needling and acupuncture at distant points in chronic neck pain: results of a randomized, double-blind, sham-controlled crossover trial,”
  20. (2003). Interventions for treating plantar heel pain,”
  21. (2005). Investigating acupuncture using brain imaging techniques: the current state of play,”
  22. (2005). K.Linde,A.Streng,S.J¨ urgenset al.,“Acupunctureforpatients with migraine: a randomized controlled trial,”
  23. (1983). Naloxone fails to reverse pain thresholds elevated by acupuncture: acupuncture analgesia reconsidered,”
  24. (1999). NSAIDs/Corticosteroids—primum non nocere,”
  25. (2002). P6 acupoint injections are as effective as droperidol in controlling early postoperative nausea and vomiting in children,”
  26. (1995). Placebo controls for acupuncture studies,”
  27. (1999). Plantar fasciitis and other causes of heel pain,”
  28. (2000). Practical Methods of Acupuncture Treatment,People’s
  29. (2002). Relief of chronic neck and shoulder pain by manual acupuncture to tender points—a sham-controlled randomized trial,”
  30. (2004). S.P.Zhang,J.S.Zhang,K.K.L.Yung,andH.Q.Zhang,“Nonopioid-dependent anti-inflammatory effects of low frequency electroacupuncture,”BrainResearchBulletin,v ol.62,no .4,pp .
  31. (2002). Special acupuncture methods to treat heel pain,”
  32. (1999). Steroid injection for heel pain: evidence of short-term effectiveness. A randomized controlled trial,”
  33. (1994). Thalamic neuron theory: theoretical basis for the role played by the central nervous system (CNS)
  34. (1998). The effect of location of transcutaneous electrical nerve stimulation on postoperative opioid analgesic requirement: acupoint versus nonacupoint stimulation,”AnesthesiaandAnalgesia,vol.87,no.5,pp.1129– 1134,
  35. (1984). The heterotopic effects of visceral pain: behavioural and electrophysiological approaches in the rat,”
  36. (2003). The placebo needle, is it a valid and convincing placebo for use in acupuncture trials? A randomised, single-blind, cross-over pilot trial,”
  37. (2005). Treatment of fibromyalgia with formula acupuncture: investigation of needle placement, needle stimulation, and treatment frequency,”10
  38. (1997). Treatment of plantar fasciitis by iontophoresis of 0.4% dexamethasone. A randomized, doubleblind, placebo-controlled study,”
  39. (2004). Trigger point acupuncture treatment of chronic low back pain in elderly patients—a blindedRCT,”AcupunctureinMedicine,vol.22,no.4,pp.170– 177,
  40. (1996). Using acupuncture to treat heel pain in the elderly,”
  41. (2002). Using Yanglao (SI6) as the main acupoint to treat heelpainbyacupuncture,”ZhongGuoZhenJiu,vol.22,p.400,