Therapeutic effects comparison between extracorporeal shock wave therapy and needle-knife therapy in the treatment of chronic plantar fasciitis
Objective To compare the therapeutic effects of extracorporeal shock wave therapy(ESWT)and needle-knife therapy(NKT)in the treatment of chronic plantar fasciitis(CPF).Methods Forty-eight CPF patients admitted to the De-partment of Orthopedics,Jinling Clinical Medical College,Nanjing Medical University from June 2021 to June 2022 were se-lected as the study participants.The specific treatment plan was determined based on the results of doctor-patient communi-cation and patient preferences,and the patients were allocated to the NKT group(n=26)and the ESWT group(n=22)following the treatment plan.The ESWT group received treatment using the painful point treatment mode;while the NKT group,treatment using the needle-knife loosening treatment mode.The visual analog scale(VAS)was used to assess the severity of heel resting pain and activity pain in both groups before treatment and at 1 week,1 month,3 months,and 6 months after treatment.The tenderness score was adopted to assess the degree of heel tenderness.Results Overall analysis revealed statistically significant differences in the comparison between the two groups and at each time point before and after treatment for heel resting pain,activity pain,and heel tenderness(P<0.05).Within-group comparisons showed that at each follow-up time point after treatment,heel resting pain,activity pain,and heel tenderness were significantly improved compared to before treatment in both groups(P<0.05).The heel resting pain,activity pain,and heel tenderness at 1 month,3 months,and 6 months after treatment were significantly lower than those at 1 week after treatment in both groups(P<0.05).No statistically significant difference was observed in heel tenderness between 3 months and 6 months after treatment compared to 1 month after treatment in both groups(P>0.05).The heel resting pain and activity pain at 3 months and 6 months after treatment were significantly improved compared to 1 month after treatment in the NKT group,while the heel resting pain and activity pain at 6 months after treatment were significantly increased compared to 1 month and 3 months after treatment in the ESWT group(P<0.05).Between-group comparisons showed that at 1 month,3 months,and 6 months after treatment,the heel resting pain,activity pain,and heel tenderness in the NKT group were sig-nificantly lower than those in the ESWT group(P<0.05).With the extension of follow-up time,the difference in VAS scores for heel resting pain and activity pain between the two groups gradually increased,but the difference in tenderness scores did not vary markedly.Conclusion Both ESWT and NKT can effectively relieve heel resting pain,activity pain,and heel tenderness in CPF patients,and have good analgesic maintenance effects.However,NKT has better medium-long-term analgesic and maintenance effects.
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