DOI QR코드

DOI QR Code

A case Report on a Patient with Plantar Fasciitis using Korean Medicine Treatment Focusing on Mutong Pharmacopuncture

무통약침 위주 한의 치료를 이용한 족저근막염 환자 1례에 대한 증례보고

  • Ji Hye Hwang (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Gachon University) ;
  • Chul Jung (Namsangcheon Korean Medicine Clinic)
  • 황지혜 (가천대학교 한의과대학 침구의학과) ;
  • 정철 (남상천한의원)
  • Received : 2023.04.21
  • Accepted : 2023.08.30
  • Published : 2023.08.25

Abstract

This study examined the effectiveness of Korean medicine (KM) treatment with Mutong(No-pain) pharmacopuncture (MP) as the main treatment for a patient with plantar fasciitis. A 58-year-old man diagnosed with plantar fasciitis visited OOO KM clinic with pain in his right heel that persisted even after 2 months of physical therapy from more than 6 months after the onset, and underwent 4 treatments focusing on MP. Treatment effect was measured by NRS, FFI, PDI, and EQ-VAS. All scores improved after treatment. In particular, about 70% of symptoms improved at the first treatment, and improved to an asymptomatic state at the end of treatment. No recurrence of symptoms was confirmed until about 4 months after the end of treatment. This study suggests that KM treatment focusing on MP may reduce pain and improve function in a short period of time in patients with plantar fasciitis. More evidence will be needed.

Keywords

References

  1. Eun IS. The diagnosis and treatment of plantar fasciitis. Journal of the Korean Ophthalmological Society. 2016;20(3):93-99. DOI: https://doi.org/10.14193/jkfas.2016.20.3.93
  2. Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int. 2004;25:303-10. DOI: 10.1177/107110070402500505
  3. Thiagarajah AG. How effective is acupuncture for reducing pain due toain due to plantar fasciitis?. Singapore Med J. 2017;58(2):92-7. DOI: 10.11622/smedj.2016143
  4. Jone F. Sarwark. AAOS Diagnosis and treatment of the musculoskeletal system. Seoul : Pamuneducation. 2015;4:1108-9.
  5. Crawford F, Thomson CE. Interventions for treating plantar heel pain. Cochrane Database of Systematic Reviews 2003, Issue 3. Art. No.: CD000416. DOI: 10.1002/14651858.CD000416. Accessed 20 April 2023.
  6. Jung C, Ahn Y, Jung J, Ku J. Pharmacopuncture Clinical Guide. Paju (Korea): Koonja publishing co: 2023.
  7. Jeong JH, Ku J, Hwang JH. A study on the significance of acupuncture and pharmacopuncture therapy for cold accumulation through a literature review on the historical development process in cold accumulation treatment. J Acupunct Res. 2022; 39(4):267-74. https://doi.org/10.13045/jar.2022.00178
  8. Ahn KH, Kim KH, Hwang HS, Song HS, Kwon SJ, Lee SN, et al. The effect of Bee-Venom Acupuncture on heel pain. Journal of Korean Acupuncture & Moxibustion Society. 2002;19(5):149-160.
  9. Oh SY, Yeum JY, Park SJ. A Case Report of Ultrasound-guided Bee Venom Pharmacopuncture on Plantar Fasciitis. J Korean Med. 2023;44(1):108-16. DOI: https://doi.org/10.13048/jkm.23010
  10. Jo OY, Moon HR, Yang JM, Yoon MJ, Lee JY, Jang KJ. A case report of Plantar fasciitis treated by Western and Korean medical treatment including Bee venom pharmacopuncture. Journal of the Spine&joint Korean Medicine. 2021;18(1):171-81.
  11. Koh NY, Kim CG, Ko YS, Lee JH. Acupuncture Treatment of Plantar Fasciitis: A Literature Review. J Korean Med Rehabil. 2015;25(2):97-110. https://doi.org/10.18325/jkmr.2015.25.2.097
  12. Kim WY, Paek ST, Park JS, Lee SD, Kim KS. The Clinical Study of the herbal acupuncture on Tarsalgia and Plantar Faciitis. Journal of Korean Acupuncture & Moxibustion Society. 2004;21(6):121-6.
  13. Chu MG, Choi JB, Kim WY, Jeong IM. Clinical Case Study on Plantar Fasciitis after Extracorporeal Shock Wave Treatment. Journal of Physiology & Pathology in Korean Medicine. 2009;23(1):232-6.
  14. Won JK, Lee YK, Han SW, Seo JC. Two cases on anti-inflammatory effect of Scolopendrid herbal-acupuncture. Journal of Pharmacopuncture. 2004;7(3):109-14. https://doi.org/10.3831/KPI.2004.7.3.109
  15. Choi CW, Heo SW, Yun YI, Min BG, Kim MK, Yun JP, et al. Study of the ShinBaro Pharmacopuncture and acupuncture treatment on Plantar Fasciitis. The Journal of Chuna Manual Medicine for Spine & Nerves. 2013;8(2):151-7.
  16. Heon JS, Jang KJ, Moon HR, Jo OY, Yoon LJ, Min YJ, et al. Effect of Korean Medicine Treatment Combined with Conventional Medicine in Patients Diagnosed with Plantar Fasciitis. J Acupunct Res 2022;39(2):145-9. https://doi.org/10.13045/jar.2022.00045
  17. Wang L, Zhang Y, Wang Z, Gong N, Kweon TD, Vo B, et al. The antinociceptive properties of the Corydalis yanhusuo extract. PLoS One. 2016;11(9):e0162875. https://doi.org/10.1371/journal.pone.0162875
  18. Kim M, Kim HS, Kim JH, Kim EY, Lee B, Lee SY, et al. Chaenomelis fructus inhibits osteoclast differentiation by suppressing NFATc1 expression and prevents ovariectomy-induced osteoporosis. BMC Complement Med Ther. 2020;20(1):35. DOI: 10.1186/s12906-020-2841-9
  19. Takao Y, Takaoka Y, Sugano A, Sato H, Motoyama Y, Ohta M, et al. Shakuyaku-kanzo-to (Shao-Yao-Gan-Cao-Tang) as treatment of painful muscle cramps in patients with lumbar spinal stenosis and its minimum effective dose. Kobe J Med Sci. 2015;61(5):E132-7.
  20. Hwang JH, Jung C. Single-Dose Intramuscular Toxicity Test Using No-Pain Pharmacopuncture in Sprague-Dawley Rats. Journal of Pharmacopuncture. 2023;26(1):86-93. DOI: 10.3831/KPI.2023.26.1.86
  21. Li B, Xu X, Wang X, Yu H, Li X, Tao W, et al. A systems biology approach to understanding the mechanisms of action of Chinese herbs for treatment of cardiovascular disease. Int J Mol Sci. 2012;13(10):13501-20. DOI: 10.3390/ijms131013501
  22. Breivik H, Borchgrevink PC, Allen SM, Rosseland LA, Romundstad L, Breivik Hals EK et al. Assessment of pain. British Journal of Anaesthesia. 2008;101:17-24. https://doi.org/10.1093/bja/aen103
  23. Budiman-Mak E, Conrad KJ, Roach KE. The Foot Function Index: a measure of foot pain and disability. J Clin Epidemiol. 1991;44(6):561-70. DOI: 10.1016/0895-4356(91)90220-4
  24. Pollard CA. Preliminary validity study of the pain disability index. Percept Mot Skills. 1984;59(3):974. DOI: 10.2466/pms.1984.59.3.974
  25. Kim KI, Lee JH, Kim CH. Impaired health related quality of life in elderly women is associated with multimorbidity: Results from the Korean national health and nutrition examination survey. Gender Medicine. 2012;9(5):309-318. https://doi.org/10.1016/j.genm.2012.08.001
  26. Thomas JL, Christensen JC, Kravitz SR, Mendicino RW, Schuberth JM, Vanore JV, et al. The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg. 2010;49(3):S1-19. DOI: 10.1053/j.jfas.2010.01.001
  27. Yun GW, Kang JH, Oh SY, Park JH, Lee H. Two cases of plantar fasciitis treated with magnetic acupuncture. The Acupuncture. 2017;34(1):89-96. https://doi.org/10.13045/acupunct.2017078
  28. Ha WB. A Case Report of Talipes Cavus-Type Plantar Fasciitis Treated with Acupotomy and Fascia Chuna Therapy. The Journal of Chuna Manual Medicine for Spine & Nerves. 2022;17(1):47-53. https://doi.org/10.13048/jkm.23010
  29. Ahn HS, Park YB, Kang SK. Effects of Corydalis Tuber Aquaacupuncture on the pain and convulsion in mice and gastric ulcer in rats. J Korean Acupunct Moxib Med Soc. 1994;11(1):99-111.
  30. Choi WY, Park SJ, Lee JR, Jegal K, Kim YW, Byun SH, et al. Modulation of inflammatory mediators by corydalis tuber in LPS-stimulated Raw264.7 cells and its inhibitory effects on carrageenan-stimulated paw edema in rats. Orient Pharm Exp Med. 2014;14(4):319-28. DOI:10.1007/s13596-014-0153-7
  31. Kim HJ, Jeon JH, Kim YI. A study on the effect of Erycibae Caulis and Corydalis Tuber Pharmacopuncture on a mouse model with collagen induced rheumatoid arthritis. The Acupuncture. 2016;33(2):21-34. https://doi.org/10.13045/acupunct.2016014
  32. Kwon K, Park KC, Sohn SH, Park HS. The experimental study on Chaenomelis Fructus (木瓜) in case of the arthritis induced by injecting Freund's complete adjuvant. J Pharmacopunct. 2003;6(2):29-43. DOI : 10.3831/KPI.2003.6.2.029
  33. Blyton F, Chuter V, Walter KE, Burns J. Non-drug therapies for lower limb muscle cramps. Cochrane Database Syst Rev.2012;1(1):CD008496. DOI: 10.1002/14651858.CD008496.pub2
  34. Kim TH, Jeong SH, Lee SJ, Shin SJ, Kwon OJ, Joo YG, et al. A comparison of the effect of Shinbaro pharmacopuncture and Jakyakgamcho decoction pharmacopuncture treatments in patients with low back pain caused by traffic accidents: a retrospective, case series observational study. Journal of Acupuncture Research. 2015;32(4):157-65. https://doi.org/10.13045/acupunct.2015070
  35. Choi WJ, Lee JW, Kwak YH. Extracorporeal shock wave therapy for the treatment of refractory plantar fasciitis. Journal of Korean Foot and Ankle Society. 2007;11(1):51-6. DOI: 10.1177/107110070402500503
  36. Lee KT, Ong SS, Young KW, Yoon JY. Sonographic Evaluation and Conservative Treatment of Plantar Fasciitis. J Korean Orthop Assoc. 2000;35(5):807-12. https://doi.org/10.4055/jkoa.2000.35.5.807
  37. Kim JK, Chung JY. Effectiveness of polydeoxyribonucleotide injection versus normal saline injection for treatment of chronic plantar fasciitis: a prospective randomised clinical trial. Int Orthop. 2015;39:1329-34. https://doi.org/10.1007/s00264-015-2772-0
  38. Baek ST, Byun H, Park MJ, Lee SD, Kim KS. Analysis the correlation of filtration rate of herbal-acupunctures and pain score of herbal acupuncture stimulation. Journal of Acupuncture Research. 2006;23(6):85-101.