体外冲击波联合温针灸治疗足底筋膜炎的短期疗效及对中医证候积分、血清炎症因子水平的影响OA

Objective To investigate the short-term efficacy of extracorporeal shock wave therapy(ESWT)combined with warm needling moxibustion for plantar fasciitis and its effects on Traditional Chinese Medicine(TCM)syndrome scores and serum inflammatory factor levels.Methods A total of 210 patients with plantar fasciitis treated at this hospital from January 2022 to September 2024 were enrolled and randomly divided into a control group and a combined group,with 105 cases in each group.The control group received ESWT,while the combined group received ESWT combined with warm needling moxibustion.Both groups were treated for 4 weeks.Clinical efficacy was evaluated based on changes in the TCM syndrome scores,which were assessed according to the severity of primary and secondary symptoms before and after treatment.Pain intensity,foot and ankle function,and quality of life were assessed before and after treatment using the Short-Form McGill Pain Questionnaire(SF-MPQ),the Foot and Ankle Ability Measure(FAAM)and the 36-Item Short Form Health Survey(SF-36)respectively.A plantar pressure measurement system was used to measure the total foot contact area,maximum forefoot pressure and maximum heel pressure before and after treatment,and the pre-post treatment differences(Δ values)were calculated.Plantar fascia thickness was measured using ultra-sound.Serum levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),substance P(SP)and prosta-glandin E2(PGE2)were detected by enzyme-linked immunosorbent assay.Results The total effective rate in the combined group was higher than that in the control group(P<0.05).After treatment,the scores of pri-mary and secondary symptoms,as well as total TCM scores in the combined group were lower than those in the control group(P<0.05).The SF-MPQ scores,plantar fascia thickness,and serum levels of TNF-α,IL-6,SP and PGE2 decreased in both groups(P<0.05),and were lower in the combined group than those in the control group(P<0.05).Conversely,FAAM and SF-36 scores increased in both groups(P<0.05),and were higher in the combined group than those in the control group(P<0.05).Furthermore,the magnitude of change in the aforementioned plantar pressure indicators was greater in the combined group than that in the control group(P<0.05).Conclusion ESWT combined with warm needling moxibustion demonstrates sig-nificant short-term efficacy for plantar fasciitis.It can significantly alleviate pain,attenuate inflammatory re-sponses,and improve TCM syndromes and foot function.