Heel pain is very common. The pain is in intense when using the affected heel and placing weight on the heel. Heel pain usually comes up gradually and gets worse over time. The pain is usually worse first thing in the morning, or when you first take a step after a period of inactivity. Walking usually improves the pain, but it often gets worse again after walking or standing for a long time. Some people may limp when they try to avoid placing weight on the affected heel. Most common condition causing heel pain is the plantar fasciitis I which the plantar fascia, a band of tissue under the sole of the foot becomes damaged and thickens. Sudden damage, or damage that occurs over many months or years, can cause tiny tears to develop inside the tissue of the plantar fascia. This can cause the plantar fascia to thicken, resulting in heel pain.
Plantar fasciitis is the most common injury of the plantar fascia and is the most common cause of heel pain. Plantar fasciitis can be painful. The pain of plantar fasciitis has unique characteristics -- pain upon rising, improvement after walking for several minutes, pain produced by pressure applied in a specific location on your foot but not with pressure in other areas. It is associated with long standing. The main symptom is sharp heel pain which is worsen by bearing weight on the heel after long periods of rest for example after getting out of bed or after prolonged periods of sitting. After continuing walk, the pain symptoms is improved. There may be other symptoms accompanied the pain such as numbnesss, tingling, swelling or radiating pain.
Acupuncture can be used to treat heel pain effectively. Some high quality studies report significant benefits of acupuncture. Acupuncture was associated with significant improvement in pain and function.
A study investigated effectiveness of acupuncture for patients with chronic plantar fasciitis. Acupuncture coupled with conventional treatments provided a success rate of 80% in chronic planar fasciitis which was more effective than conventional treatments alone (13%). The effects lasted for at least six weeks follow-up.
There are some other clinical evidences by recent research on this aspect. There is a study which investigated the efficacy of electro-acupuncture coupled with conventional treatments and compared it with the efficacy of conventional treatments alone in patients with chronic plantar fasciitis. Subjects in the control group received five weeks of conventional treatments, including stretching exercise, shoe modification and rescue analgesics. Subjects in the acupuncture group received the same treatments plus ten sessions of electro-acupuncture twice weekly. At the end of treatment, pain score decreased significantly in the acupuncture group compared with and control group. At the sixth week follow-up, subjects in the acupuncture group showed a better foot function index and success rate for pain during the day than those in the control group. Electro-acupuncture coupled with conventional treatments provided a success rate of 80% in chronic planar fasciitis which was more effective than conventional treatments alone. The effects lasted for at least six weeks. Another study also compared the effect of acupuncture with that of conventional treatment including treatment with ice, non-steroidal anti-inflammatory medication, and a stretching and a strengthening program. They also found acupuncture had better effects than those conventional treatment and they suggested that acupuncture should be considered as a major therapeutic instrument for the decrease of heel pain, combined with traditional medical approaches.There was a study compared effect of miniscalpel-needle (MSN) ( a special type of acupuncture) with steroid injection for the treatment for plantar fasciitis. Their results showed that visual analog scale scores for morning pain, active pain, and overall heel pain all were decreased significantly in the MSN group from 1 to 12 months after treatment. In contrast, treatment with steroid injection showed a significant effect only at the 1-month follow-up but not at 6 or 12 months after treatment. Moreover, the MSN group achieved more rapid and sustained improvements than the steroid group throughout the duration of this study. No severe side effects were observed with MSN treatment. Their data suggest that the MSN release treatment is safe and has a significant benefit for plantar fasciitis compared to steroid injection.
Clark & Tighe Acupunct Med (2012) 30:298-306
Kumnerddee and Pattapong Am J Chin Med (2012) 40:1167-76
Kemnerddee W and Pattapong N Am J Chin Med (2012) 40:1167-76
Karagounis et al PFoot Ankle Spec (2011) 4:226-34
Li S et al Evid Based Complement Alternat Med (2014) 2014:164714
Welcome to my blog
Acupuncture specialist for cosmetic acupuncture, vulvodynia, other pain relief, fertility,Fatigue, neurological condition.
Based at Harley Street and Kensington Central London.Qualified as a medical doctor in Western medicine in China with a Medical degree from Beijing, China and a PhD degree from the UK. Over 25 year research and clinical experiences
Doctor who is passionate about acupuncture
I love what I do, I am good at it and I am always there for my patients. If you come and see me, you will know why I am standing out.
This blog is to introduce latest development and research of acupuncture and offer a chance of awareness of more treatment options for your condition. The blog is for information purpose only.
- My specialised areas include vulvodynia, cosmetic acupuncture, acne, chronic pain relief for various pain conditions, fertility, chronic fatigue, neurological conditions, digestive problems, etc.
Practice contact for appointments and addresses
Kensington: for appointments at Anamaya center Kensington (Mondays, Tuesdays, Thursdays, Fridays, Saturdays) please call at 02030110355 or email at email@example.com
Address: 1 Adam and Eve Mews, Kensington, London W8 6UG
2 min walk from High Street Kensington underground stationHarley Street: for appointments at Harley Street (Wednesdays) please call ALO clinic at 02076368845 or email at firstname.lastname@example.orgAddressSuite 3 Harmont House20 Harley Street, London W1G 9PH5 min walk from Oxford Circus underground stationMy background: I became a qualified medical doctor 25 years ago in Western medicine in China and was well trained in Western medicine together with Chinese medicine in the best Medical University in Beijing, China. Particularly I was trained with Ji-sheng Han famous professor and neuroscientist in China and with Dr Zheren Xuan--famous orthopedics expert and founder of soft tissue surgery in China. Furthermore I had training in dermatology and oral and maxilofacial surgery in China. Also I had training in fertility and had research experiences in uterine smooth muscles and blood vessels in China and the UK. I am dedicated to treat patients with acupuncture and am recognised as one of the world leading acupuncture specialists.
I obtained a PhD degree in the University of Leeds in the UK.
I had post doctoral training and worked as a senior researcher in St George's hospital, London, UK.
I had frequently presented my research findings in the top international conferences in the field.
I have many publications including ebooks and articles.
I have many year clinical experiences. Over the years of practising, I have developed unique effective treatment approaches for cosmetic acupuncture, acne, pain relief, vulvodynia, bladder pain, neck pain, headache, migraine, shoulder pain, back pain, fatigue, fertility, hot flushes, nerve pain, chronic prostatitis, insomnia, Parkison's disease, MS, acid reflex, IBS etc to achieve best treatment results.My devotion and skills are highly praised by my patients.
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