經絡辨證合併解剖取穴針灸治療骼脛束症候群病例追蹤

A Case Report of Acupuncture Treatment in Iliotibial Band Syndrome Based on Differential Diagnostics of Meridians Combined with Anatomical Acupoint Selection

吳東謙(Tong-Chien Wu) ； 林榮志(Rong-Zhi Lin)

《中醫藥研究論叢》 20卷1期 (2017/03) Pp. 263-274

https://doi.org/10.6516/TJTCM.2017.20(1)263

摘要

髂脛束症候群是一種常見於跑者、自行車選手的運動傷害，傳統西醫復健休息時間動輒超過半年，影響跑者的訓練計畫，且增強訓練強度時症容易復發。本病例為一30歲男性患者於104/11/15參加21公里半程馬拉松，賽後右膝外側股骨外髁在膝蓋彎曲30度時誘發強烈刺痛及灼熱痛感，經休息後無顯著緩解，故來本院尋求中醫治療以改善病情。經診斷為髂脛束症候群，並採用傳統經絡辨證，搭配解剖原理共同取穴以進行針灸治療。經過一個針灸療程治療搭配衛教後疼痛完全消失，患者恢復路跑並持續增加訓練強度，後續追蹤超過半年症狀皆無復發，使病患不用經歷漫長的復健療程遂能得到良好與鞏固的療效。

關鍵字

ITBS ； 髂脛束 ； 跑者 ； 針灸 ； 經筋

並列摘要

Iliotibial band syndrome（ITBS）is a common sport injury happening in runners, cyclists and endurance sports. It often takes more than six months for the traditional rehabilitation in western medicine, which puts off the athletes' training schedules. Besides, the illness returns easily when increasing training intensity. A 30-year-old man, who participated in a 21-km half marathon on November 15, 2015, felt sharp and burning pain over the lateral femoral epicondyle at approximately 30 degrees of knee flexion after running. The symptom was not relieved after resting for 2 days, so the man came to the hospital for the traditional Chinese medication. The patient was diagnosed as ITBS and received the acupuncture treatment based on differential diagnostics of meridians combined with anatomical acupoint selection. After the treatment program of acupuncture with health education, the knee pain was totally disappeared. In addition, the patient then restarted road running and gradually increased his training intensity, and the symptom did not even return after a follow-up for more than six months. Instead of having a long-term rehabilitation, this shows that the patients can receive great and solid effects under this treatment.

並列關鍵字

ITBS ； Iliotibial band syndrome ； Runner ； Acupuncture ； Musculature of meridian ； Conduit sinew ； Jing-Jin

參考文獻

張曉昀、李元淵、張耘齊(2012)。肌內效貼紮在生物力學及運動表現的效應− 系統性回顧。華人運動生物力學期刊。6(4)，21-8。

Jackson J, Fields KB, Grayzel J: Iliotibial band syndrome. UpToDate. 2016 Jul.

http://lakehealthgroup.com.au/lateralknee-pain/

Aderem, J,Louw, QA(2015).Biomechanical risk factors associated with iliotibial band syndrome in runners: a systematic review.BMC Musculoskelet Disord.16,356.

Beals, C,Flanigan, D(2013).A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population.J Sports Med..2013,367169.