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Clinical Study of Acupotomy Treatment for Tarsal Tunnel Syndrome

  • Fu, Xinyi (School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine) ;
  • Lee, Mira (School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine) ;
  • Guo, Changqing (School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine)
  • Received : 2020.03.31
  • Accepted : 2020.05.02
  • Published : 2020.05.31

Abstract

Background: Compared with conventional closed therapy, acupotomy has the advantages of lower cost, convenient application, and better single and long-term effects. The aim of this study was to explore the clinical effect of acupotomy in the treatment of Tarsal Tunnel syndrome. Methods: There were 80 patients enrolled into the study who were randomly assigned to either the acupotomy or closed therapy group, with 40 patients in each group. The acupotomy group was treated once every 6 days, on 3 occasions for the duration of treatment, and the closed therapy group was treated twice a week, for 3 weeks as the course of treatment. The effects of treatment were analyzed and evaluated according to the standard of curative effect. Results: The "cure rate" of the number of patients in the acupotomy group whose symptoms had completely disappeared (13 patient out of 39) was higher than the closed therapy group (1 patient out of 39), and this difference was significant (p < 0.01). The number of patients in the acupotomy group who did not benefit from the therapy (5 patients) was significantly lower than the closed therapy group (15 patients; p < 0.05). The total number of patients in the acupotomy group who benefitted from the therapy (34 patients) resulted in an effective rate of 87.18%, which was higher than the closed therapy group (24 patients; 61.53%). The difference was statistically significant (p < 0.05). Conclusion: Acupotomy is effective in the treatment of Tarsal Tunnel syndrome, was superior to traditional closed therapy, and is worthy of clinical application.

Keywords

References

  1. Yang Y, Fu YS. Fine anatomy of ankle canal and research progress of tarsal tunnel syndrome. Chin J Clin Anat 2017;35:352-354. [in Chinese].
  2. Xing GF, Cong HB. Current status of clinical treatment of tarsal tunnel syndrome. Chin J Ethnomed Ethnopharmacy 2014;23:30-31. [in Chinese].
  3. Zhang JJ, Fu Q, Li J, Ge HQ, Zhang Y, Ge HJ et al. Study on suitable disease types and classification for clinical popularization of acupotomy- Based on multi-source data survey. Modernization Tradit Chin Med Materia Medica-World Sci Tech 2019;21:457-464. [in Chinese].
  4. Chen YB. Criteria of diagnosis and therapeutic effect of diseases and syndromes in traditional Chinese medicine. Nanjing (China): Nanjing University Press; 1994. p. 218-219.
  5. Zhang SH, Zheng ZM. Practical localized diagnostics of orthopedic neuropathy. Zhengzhou (China): Zhengzhou University Press; 2006. p.183-184.
  6. Chinese Medical Association. Clinical diagnosis and treatment guide. volume for the study of pain. Beijing (China): People's Medical Publishing House; 2007. 149 p.
  7. Dong H, Ren MH, Ren SJ. Clinical observation of acupotomy in the treatment of tarsal tunnel syndrome. Clin J Acupunct Moxibustion 2016;32:36-37.
  8. Chen YS, Yue FY, Zhou Q. Release of acupotomy in the treatment of tarsal tunnel syndrome: A report of 56 cases. J Pract Tradit Chin Intern Med 2009;23:115-116. [in Chinese]. https://doi.org/10.3969/j.issn.1671-7813.2009.12.66
  9. Yuan CZ. Acupotomy in the treatment of tarsal tunnel syndrome. Clin Med J China 2005;22:277-278. [in Chinese].
  10. Pfeiffer W H, Cracchiolo A. Clinical results after tarsal tunnel decompression. J Bone Joint Surg Am 1994;76:1222-1230. https://doi.org/10.2106/00004623-199408000-00012
  11. Xu ZN, Xue Q. Clinical observation on 42 cases of tarsal tunnel syndrome treated with acupotomy. J Shaanxi Univ Chin Med 2001;24:36-36. [in Chinese].
  12. Chen GN [Dissertation]. Clinical observation of acupotomy picking and cutting combined with traditional Chinese medicine fumigation and washing in the treatment of tarsal tunnel syndrome. Harbin (China): Heilongjiang University of Chinese Medicine; 2016. [in Chinese].
  13. Zhao Y [Dissertation]. Clinical retrospective study of tarsal tunnel syndrome. Changchun (China): Jilin University; 2016. [in Chinese]
  14. Wang HB [Dissertation]. Clinical study of tarsal tunnel syndrome. Changchun (China): Jilin University; 2009. [in Chinese].
  15. Mullick T, Dellon AL. Results of decompression of four medial ankle tunnels in the treatment of tarsal tunnels syndrome. J Reconstr Microsurg 2008;24:119-126. https://doi.org/10.1055/s-2008-1076089