針刀拔罐療法治療足底筋膜炎的案例探討

A Case Study Of Acupuncture And Cupping Therapy For Plantar Fasciitis

10.6516/TJTCM.202212_25(4).0010

陳朝龍(Chau-Lung Chen)；楊宗翰(Tsung-Han Yang)

針刀 ； 傷科手法 ； 拔罐放血 ； 足底筋膜炎 ； 足跟痛 ； 脛前肌 ； Needle knife ； traumatic manipulation ； cupping and bloodletting ； plantar fasciitis ； heel pain ； tibialis anterior muscle

中醫藥研究論叢

25卷4期（2022 / 12 / 30）

105 - 112

繁體中文;英文

足底筋膜是一層厚實筋膜組織，覆蓋從腳趾直到足後跟的部位，支撐住人們的足弓，就像人體避震器，可吸收身體重量由上往下的壓力，以及體重踏到地面上反彈的衝擊力。但是若走太多路、運動過度，或是穿著太硬、太軟的不當鞋子，便可能導致足底筋膜炎，每步都像是煎熬，寸步難行。52歲的女性上班族，三年來每早下床或是久坐起身踩地時，都會有足跟劇痛、足底像是被針扎的刺痛等症狀，故於108年8月20日至本所就診。透過「象限檢痛法」診斷為脛前肌緊繃所致，經針刀、拔罐，與復健運動「日式金剛坐」，治療兩個月後痊癒。

The plantar fascia is a thick layer of fascia tissue that covers the toes to the heel and supports the arches of people's feet. It's like a human shock absorber that absorbs the top-down pressure of the body's weight and the impact of the weight on the foot. However, walking or exercising too much would lead to plantar fasciitis. A 52-year-old female office worker had severe heel pain for three years. Every time she got out of bed or stood up after sitting for too long, she would feel uncomfortable. Therefore, she came to the clinic on August 20th, 2019. Through the "quadrant pain detection method", the symptoms were diagnosed that the tibialis anterior muscle was tight. After two months of treatment, the patient was fully cured.

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