針刺治療足底筋膜炎病例報告

Acupuncture Treatment on Plantar Fasciitis: Case Study

張志杰(Chih-Chich Chang) ； 曹永昌(Yun-Tson Tsao)

《台灣中醫臨床醫學雜誌》 18卷3期 (2012/10) Pp. 40-46

https://doi.org/10.6968/TJCCM.201210.0040

摘要

足底筋膜是由多層的纖維筋膜所構成，它的起點在腳底跟骨的前方呈放射狀，向前延伸成一扇形而附著於趾骨上。足底筋膜的作用是維持腳弓，使腳底成一弓箭狀，拉緊跟骨及足部，在足部承受體重的壓力時，仍然能夠維持腳弓的形狀；也使足部能夠維持彈性，在跑或跳時能夠吸收地面來的反作用力衝擊。一36歲男性患者，早晨起床，剛踩下地起步時足後跟已經會有劇烈疼痛，或久坐要站立行走時也有相同症狀發生，患者在多走幾步或幾分鐘後疼痛卻漸漸減輕，如果繼續站立或行走疼痛就會加劇，患者有此症狀已3－4年，但因日前工作繁重及受寒，使原本足跟疼痛加重，故於2012年6月13日至本院就診。經中醫證型診斷為久勞損又遇風寒之邪侵襲經絡所引起。經針灸治療3個月內後痊癒。

關鍵字

足底筋膜炎 ； 足跟痛 ； 針灸 ； 勞損

並列摘要

Plantar fascia is composed of multi-layered fascia, spans from the heel bone and to the end of the phalanges. The function of plantar fascia is to maintain the arch even when the foot is bearing bodyweight. It also maintains flexibility so the foot can absorb impact when running or jumping.A 36-year-old male suffered from severe pain on the heel when he wakes up in the morning and stamps on the floor. The pain also happens when he sits, stands or walks for longer period of time. However, the pain alleviates when the patient walks a bit more. The patient has suffered from these symptoms for 3 to 4 years, and symptoms worsened due to his heavy workload and cold weather. He came to the clinic on Jun. 13th 2012. TCM diagnosis found his symptoms strain with invasion of cold and wind. He was recovered after 3 months of acupuncture treatment.

並列關鍵字

plantar fascitis ； heel pain ； acupuncture ； strain