What is the principle and effect of shock wave treatment of plantar aponeurosis lesions?

For this type of chronic pain, according to the course of treatment**, the effect is not bad.

Extracorporeal shock wave (ESWT) is a new method, which is a new technology combining physics and medicine, and is known as the green of orthopedic diseases because it is basically free.

The extracorporeal shock wave is the use of shock waves to produce a series of biological effects on the internal tissues and cells of the human body, such as mechanical pressure effect, piezoelectric effect, cavitation effect, analgesic effect, etc., to activate osteoblasts, promote neovascularization and cell repair and regeneration, reduce chronic inflammation, relieve pain and other effects, while not causing damage to the human body, belongs to the category of minimally invasive**.

Compared with traditional surgery, the technology has many advantages, such as non-invasiveness, simple methods, significant efficacy, low risk, short cycle, few complications, and relatively low cost. The technology has been approved for clinical use in Germany, Switzerland, Austria and the United Kingdom, and the U.S. Food and Drug Administration (FDA) approved shockwave machines for clinical use in plantar fasciitis and tennis elbow in 2002 and 2002 respectively.

China's National Medical Products Administration (SDA) also approved it in 2002 for clinical bone tissue and muscular system diseases, and the National Sports Center also routinely conducts shock waves for athletes' training strain.

Unsafe factors: pain and gross hematuria, all patients did not have postoperative nausea, vomiting, erythema, intestinal flatulence and gastrointestinal bleeding and other complications; The length of stones, the width of stones, and the number of impacts in the postoperative macroscopic hematuria group, postoperative pain group, and postoperative pain and gross hematuria group were higher than those in the non-complication group, respectively, and there were significant statistical differences between the two groups (p《or p<,.

The height of patients in the postoperative gross hematuria group was significantly lower than that in the uncomplicated group, and there was a significant statistical difference (P<. Conclusion The common complications after ESWL ** lower urinary tract stones are hematuria and pain, and the height, stone length, stone width and number of impacts are important factors affecting the occurrence of postoperative complications.

Corrective measures: Completed by the German Dornier Lithotripter S-type lithotripter, without anesthesia, X-ray or B-ultrasound positioning, using the prone position, the impact energy is 40 120 (the corresponding voltage is 14 22 kV), and the impact dose is 800 6500 times. Postoperative follow-up was followed up weekly to 1 month, and monthly follow-up thereafter, and postoperative complications and basic information of patients were collected at 3 months of follow-up.

SPSS statistical software was used to establish a database and perform statistical processing on the data. The independent sample t-test was used to test the patient.

The age, height, body weight, body mass index, stone length, stone width, impact number and impact energy of the patients were analyzed between the complication group and the non-complication group to find out the possible factors affecting the occurrence of postoperative complications.

After the shoulder ligament surgery, the numbness of the little thumb may be due to the fact that the nerve has not recovered and needs to recover for a period of time. If the little finger is still numb after a while, surgery should be considered.

Supplementing with protein in moderation, such as fish, lean meat, eggs, milk and legumes, is the best high-quality protein.

When sleeping, put a handguard on the sole of the foot, so that the ankle is kept at 90 degrees, not down, so that the fascia will not be so tight, and the first step of getting up will not be painful.

To change the habit of wearing shoes, you should wear slippers if you are not big, because slippers are not repetitive, and you should wear sporty shoes. But there are two important points, one is that the heel of the shoe has a back, which can mold the fat tissue at the bottom of the ankle like shaping the waist; The second is that the sole should be soft, so that the wide beard will not hit the pain point.

As the saying goes, "people grow old before old legs and feet", among which heel pain is a common symptom of the elderly. There are several common conditions that cause heel pain.

Heel fat fiber paditis, referred to as "heel paditis", is composed of elastic fibers separating and wrapping adipose tissue, which has a shock-proof effect. The heel is inflamed by a hard object, long-term compression, wind and cold, and the heel pad is inflamed. The clinical manifestations are heel pain, swelling, and superficial tenderness.

Plantar aponeurositis, in which the plantar aponeurosis grows on the soles of the feet and attaches to the calcaneal tuberosity. Trauma, strain, or cold and dampness can cause plantar aponeurosis inflammation. Presents with pain in the heel or heart of the foot, and tension in the soles of the feet.

If there is tenderness at the anterior border of the calcaneal tuberosity, pulling on the plantar aponeurosis may worsen the pain. In calcaneal bursitis, inflammation of the subcalcaneal, postcalcaneal, or anterior Achilles tendon bursa can occur with trauma or repeated friction. Localized pain, swelling, redness, elevated skin temperature, and local tenderness are present.

Achilles tendon peripatitis, inflammation of the tissues around the Achilles tendon attachment site due to trauma or strain, causing swelling and pain in the Achilles tendon. The Achilles tendon is thick and tender. Ankle pain is worse with active or passive dorsiflexion. After the occurrence of heel pain in the elderly, the first thing should be.

Find **, according to the X-ray film can be checked whether it is a tumor, tuberculosis, bone spur and other lesions. In the acute stage, appropriate rest, local hot compresses, massage, or application of Achilles tendon ointment**.

Measures to prevent heel pain in the elderly: (1) choose to wear soft and suitable shoes; (2) Insist on foot exercises to enhance the strength and elasticity of muscles and ligaments, such as walking barefoot on sand; (3) Dig a corresponding circle hole in the part where the shoe touches the heel pain to reduce the pressure on local soft tissues; (4) Insist on soaking your feet in warm water or applying Achilles tendon ointment with Chinese medicine to promote local blood circulation.

Hello, heel pain is commonly caused by subhecaneal fat paditis, plantar fasciitis, bone spur formation, etc., which is caused by bone spur formation.

For this case, the shock wave can be carried out**, which can promote blood circulation, reduce swelling and relieve pain, eliminate aseptic inflammation, and can also soak the feet with traditional Chinese medicine, partially close **, avoid wearing thin-soled hard-soled shoes, and avoid standing and walking for a long time.