• Title/Summary/Keyword: Heel pain

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Pain Relieving Effect of Sucrose Coating Pacifier in Neonates (신생아 통증완화를 위한 자당 코팅 노리개 젖꼭지의 적용 효과)

  • Chung Yoon-Chung;Cho Kyoul-Ja
    • Child Health Nursing Research
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    • v.11 no.3
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    • pp.356-364
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    • 2005
  • Purpose: This study is to assess and compare the analgegic effects of $25\%$ sucrose coating pacifier and pacifier. Method: The participants are 75 healthy infants of neonatal age 1-7 days and randomized to receive heel prick before 2 minutes to blood sampling and physiological test in Nursery of A Medical Center from 24. January to 28, February, 2003. The experimental group assigned to one of three treatment groups: no treatment, a pacifier, $25\%$ sucrose coating pacifier. Collected data were analyzed with the SPSS 11.0 program using $x^2$-test, one-way ANOVA and Scheffe, repeated mesured ANOVA. Results: The pain score of $25\%$ sucrose coating pacifier is lower than no treatment group and pacifier group. In heart rate, there were statistical significant differences between three groups. In repiratory rate, there were no statistical significant differences between three groups. In $SaO_2$, there were statistical significant difference between three groups. Conclusion: The $25\%$ sucrose coating pacifier showed pain relief effect in behavior responses and heart rate and $SaO_2$. Accordingly, the sucrose coating pacifier should be applied nursing intervention for simple pain management as heel prick.

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Acupuncture Treatment of Plantar Fasciitis: A Literature Review (족저근막염의 침치료에 대한 국내외 연구동향 분석)

  • Koh, Nak-Yong;Kim, Chang-Gon;Ko, Youn-Suk;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.2
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    • pp.97-110
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    • 2015
  • Objectives Plantar fasciitis is one of the most common causes of heel pain. Plantar fasciitis can be managed with acupuncture, but the evidence for its effectiveness is uncertain. The aim of this review was to assess the effectiveness of acupuncture for plantar fasciitis. Methods I searched specific Korean and foreign electronic databases (KCI, RISS, NDSL, OASIS, KTKP, National Assembly Library, KMbase, PubMed, The Cochrane Library and China National Knowledge Infrastructure). The key search terms were 'heel pain', 'plantar fasciitis' and 'acupuncture'. Twenty-seven trials were included; eleven case reports, fourteen randomized controlled trials (RCTs) and two non-randomized controlled trials (NRCTs). Results Twenty-seven studies reported that acupuncture treatment reduced plantar fasciitis pain. However, the evidence provided by the case reports was regarded as weak because the methodological quality was poor, and the placebo effect of acupuncture was not accounted for in the RCTs and NRCTs. Overall, the methodological quality of the RCTs and NRCTs was weak. Conclusions There is some evidence for the effectiveness of acupuncture for plantar fasciitis. However, in order to reinforce the evidence for acupuncture's effectiveness, additional placebo-controlled trials with well-designed methodologies are required.

Two Clinical Cases on Plantar Fasciitis Using Myofacial Releasing Therapy and Acupuncture Therapy (족저근막 이완요법과 침치료를 이용한 족저근막염 치험 2례)

  • Hwang, Hyung-Joo;Lee, Kil-Joon;Park, Young-Hoi;Keum, Dong-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.2
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    • pp.111-118
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    • 2008
  • Objectives : Plantar fasciitis is most common cause of heel pain which starts from anterior tubercle of calcaneus. It is chronic inflamation of plantar fascia, reduces collagen and water content of heel pad which incur the degenerative changes with elastic fiber weakness. We have evaluated the effect of myofacial releasing therapy and acupuncture therapy by experimenting two patients suffering from plantar fasciitis. Methods : Two patients were diagnosed as plantar fasciitis through their symptoms. We used myofacial releasing therapy and acupuncture therapy to the patients and measured VAS(Visual analogue scale). Results and Conclusions : After treating myofacial releasing therapy and acupuncture therapy in two cases, We figured out that the patients were on the mend. These results suggest that myofacial releasing therapy and acupuncture therapy were effective to heel pain.

The Effect of Roller Acupuncture Stimulation on Baesu Spots of Joktaeyang Bangkwang Kyeong in the Reaction to Physiologic Pain in Neonates (足太陽膀胱經(족태양방광경)의 背?穴(배수혈) 車鍼刺戟(차침자극)이 신생아의 생리적 통증반응에 미치는 효과)

  • Lee, Ji-Won;Kim, Yang-Hee
    • Child Health Nursing Research
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    • v.12 no.1
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    • pp.75-83
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    • 2006
  • Purpose: This study was done to verify the effect of roller acupuncture stimulation on baesu spots of joktaeyang bangkwang kyeong in the reaction to physiologic pain(heart rate, percutaneous oxygen saturation, respiration rate) in neonates. Method: This study was a nonequivalent control group non-synchronized design. The participants were 40 normal neonates who were born at a hospital in Busan. These neonates were undergoing heel puncture for blood type tests. The neonates were divided into 2 groups: 20 in the experimental group who were stimulated with roller acupuncture before the heel puncture and 20 neonates in the control group who were not stimulated. The heart rate and percutaneous oxygen saturation were measured using a cardiopulmonary monitor and the respiration rate was measured directly. The data were analyzed with SPSS 10.0 program using χ²-test, t-test and Repeated Measure ANOVA. Results: There was a significant difference (F=3.287, p=.043) for heart rate on the interaction between time and group. There was a significant difference (F=5.122, p=.008) for percutaneous oxygen saturation on the interaction between time and group. Conclusion: On the basis of results, it was verified that the roller acupuncture stimulation on baesu spots of joktaeyang bangkwang kyeong had effect of relieving pain in the neonates.

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Clinical Case Study on Plantar Fasciitis after Extracorporeal Shock Wave Treatment (체외충격파 시술 후 내원한 족저근막염 환자 치험 1례)

  • Chu, Min-Gyu;Choi, Jin-Bong;Kim, Whan-Young;Jeong, Il-Moon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.1
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    • pp.232-236
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    • 2009
  • Plantar fasciitis is most common cause of heel pain which starts anterior tubercle of calcaneus. It is chronic inflamation of plantar fascia, reduces collagen and water content of heel pain which incur the degenerative changes with elastic fiber weakness. We treated one patient after extracorporeal shock wave treatment. We diagnosed him with X-ray and treated her conservative maneuver as to oriental medical method. We measured Vas(Visual analogue scale) and thermographic picture of both leg. Visual analogue scale is from 10 to 4 and thermographic picture of both leg were improved in cases.

The effects of calf cramp muscle shortening followed by shoe heel height on fatigue (신발 굽 높이에 따른 Calf cramp muscle의 단축이 피로도에 미치는 영향)

  • Hur, Young Go
    • Journal of Korean Physical Therapy Science
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    • v.20 no.1
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    • pp.17-25
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    • 2013
  • The purpose of this research is to provide right information about deformation and to relieve fatigue of high-heels lovers. The research data includes 15 tests and survey on 71 female students. The result follows 1. Age of surveys is mostly 22, consisting 43.7% of all. The most frequently worn shoe kind is high heels that 45.1% of surveys wear 2. Female students those are 155~160cm high wear high heels most frequently, 40.8%. 3. The fatigue condition classified by hours of wearing: Surveys wearing high heels over 7 hours and 5~7 hours state starting to feel fatigue by 40.8%, 38.0% each, and the result was stastically significant 4. The appearance of pain on calf classified by hours of wearing: 35.2% of surveys answered they start to feel pain when worn high heels over 7 hours, and 33.8% of students answered 5~7 hours 5. The fatigue condition classified by kinds of shoes worn: 45.0% of the surveys felt tired when wearing high heels, 40.8% answered wearing heel inserted running shoes, and 14.0% for flat shoes. 6. The fatigue condition classified by heel height: 69.0% of survey answered they feel fatigue after wearing shoes with 5~9cm high heels, 21.1% answered under 3cm high heels, and 9.9% answered over 10cm heels(p<0.05) 7. The experience of cramp in calf cramp muscle classified by heel height: 69.0% of surveys experienced cramp when wearing 5~9cm high heels, 21.1% answered under 3cm high heels, 9.9% for over 10cm heels.

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Lateral plantar nerve entrapment combined with a chronic plantar fasciitis in a basketball player -A case report- (농구선수에서 발생한 만성 족저근막염이 동반된 외측 족저 신경 압박증 -증례 보고-)

  • Lee, Kyung-Tai;Kim, Jun-Beom;Young, Ki-Won;Kim, Jin-Su;Park, Young-Uk
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.2
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    • pp.121-124
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    • 2010
  • In athletes, repetitive low-energy impacts in plantar lesion lead often to tendinitis, stress fracture, or overuse syndrome. The major cause of heel pain in athletes is plantar fasciitis. And it is most often attributable to repetitive low energy impact, but the vast majority patients with heel pain achieve symptomatic relief with conservative treatment and return to full activities. Not commonly, Nerve entrapment may be occurred from repetitive low energy trauma in athletes, and is not as easily diagnosed. The authors observed a basketball player who complained of chronic heel pain that do not respond to conservative treatment, he had the lesions both plantar fasciitis and lateral plantar nerve entrapment. The authors described an unusual mechanism of entrapment of the lateral plantar nerve combined with a chronic plantar fasciitis in a basketball player and reported with review of literature.

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Accessory Talar Facet Impingement due to Accessory Anterolateral Talar Facet Misdiagnosed as Sinus Tarsi Syndrome (족근동 증후군으로 오인된 Accessory Anterolateral Talar Facet에 의한 거종관절 충돌)

  • Park, Jae Woo;Park, Chul Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.1
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    • pp.16-20
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    • 2018
  • Purpose: To evaluate the clinical and radiographic results of surgical treatment for patients with sinus tarsi pain due to accessory talar facet impingement. Materials and Methods: Between July 2013 and July 2015, nine patients who underwent surgery for the accessory talar facet impingement were reviewed. The mean follow-up period was 18.6 months (12~36 months), and the mean age was 33.1 years (19~60 years). Previous trauma history, duration of symptom, and types of surgery were analyzed. The clinical results were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score and visual analogue scale (VAS). Radiographic results were assessed using Meary's angle, calcaneal pitch angle, heel alignment angle, and heel alignment ratio. Results: All patients had evident trauma history prior to the initial symptom. The mean duration of symptoms was 25.6 months (6~120 months). Four patients received only accessory anterolateral talar facet (AALTF) excision, and four patients received medial sliding calcaneal osteotomy (MSCO). One patient underwent both AALTF excision and MSCO. The AOFAS ankle-hindfoot score was significantly improved from 73 (62~77) preoperatively to 93 (67~100) postoperatively. The VAS score was decreased from 6 (5~7) preoperatively to 1 (0~5) postoperatively. The Meary's angle and calcaneal pitch angle showed no significant difference after surgery. The heel alignment angle and ratio increased from $-3.6^{\circ}$ ($-10^{\circ}{\sim}5^{\circ}$) and 0.22 (-0.15~0.6) preoperatively to $2.8^{\circ}$ ($1^{\circ}{\sim}5^{\circ}$) and 0.42 (0.3~0.6) postoperatively, respectively. Conclusion: If there is persistent sinus tarsi pain in patients with hindfoot valgus, accessory talar facet impingement caused by AALTF could be considered as a cause of chronic sinus tarsi pain.

Calcaneal Apophyseal Avulsion Fractures with Achilles Tendon Rupture in a 10-Year-Old Patient: A Case Report (10세 남자 운동선수에서 발생한 아킬레스건 파열을 동반한 종골 골단의 견열 골절: 증례 보고)

  • Lee, Jun Young;Bak, Yi Gyu;Lim, Jae Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.2
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    • pp.74-77
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    • 2018
  • Calcaneal apophysitis is a relatively common disease in young athletes. On the other hand, if not treated properly, it can lead to apophyseal avulsion fracture in rare cases. In the case of apophyseal avulsion fractures, it is often necessary to remove or preserve the bone fragment, which often requires a suture of the Achilles tendon. A 10-year-old badminton athlete visited the outpatients' clinic with pain in both heels from 10 months ago without any trauma history. After conservative therapy, the pain in the left heel was relived but the right heel pain persisted. After 10 months of conservative therapy, the patient visited the outpatients' clinic showing a calcaneal apophyseal avulsion fracture with a total rupture of the Achilles tendon. In the operation room, a bone fragment needed to be removed because of its poor viability and the fragment was too thin for fixation. After removing the bone fragment, the ruptured Achilles tendon was fixed with an anchor system.

Effect of Calcaneal Taping on Peak Plantar Pressure of Forefoot and Rearfoot during Gait

  • Weon, Jong-Hyuck;Kim, Goen-Su;Jung, Do-Young
    • The Journal of Korean Physical Therapy
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    • v.27 no.6
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    • pp.434-438
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    • 2015
  • Purpose: The purpose of this study was to determine the effects of calcaneal taping on peak plantar pressure of rearfoot and forefoot while walking. Methods: Fifteen healthy subjects with normal feet participated in this study. Inclusion criteria were as follows: (1) no disturbance of gait and foot pain, (2) normal range of motion of ankle joint, (3) no foot deformity. Pedoscan was used for recording of plantar pressure data during walking. The participants walked along a 12-m walkway before and after application of calcaneal taping. The plantar pressure gait was measured 3 times under barefoot and calcaneal taping conditions randomly at a speed practiced with the metronome during gait. The peak plantar pressure data were calculated for medial and lateral areas of the rearfoot and forefoot. The paired t-test was used to determine significant differences in peak plantar pressure of rearfoot and forefoot before and after application of calcaneal taping. A p-value less than 0.05 was accepted as significant. Results: The calcaneal taping resulted in statistically significant decreases in peak plantar pressure of the rearfoot (medial side: p=0.03; lateral side: p=0.01). However, there were no significant changes in peak plantar pressure of the forefoot (medial side: p=0.45; lateral side: p=0.40). Conclusion: The calcaneal taping is recommended to reduce plantar pressure of the rearfoot in weight-bearing activities in subjects with plantar heel pain caused by atrophy of the fat pad.