Experience of Kampo Treatment for Chronic Plantar Fasciitis

Daigo TANIGUCHI; Kazuya IKOMA; Masahiro MAKI; Masamitsu KIDO; Yusuke HARA; Suzuyo OHASHI

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Experience of Kampo Treatment for Chronic Plantar Fasciitis

VernacularTitle:難治性の足底腱膜炎に対する漢方治療の経験
Author: Daigo TANIGUCHI ¹ ; Kazuya IKOMA ² ; Masahiro MAKI ² ; Masamitsu KIDO ² ; Yusuke HARA ² ; Suzuyo OHASHI ²
Author Information

1. Department of Orthopaedics and Rehabilitation Japanese Red Cross Kyoto Dini Hospital
2. Department of Orthopaedics, Graduate School of Medical Science Kyoto Prefectural University of Medicine
Keywords: plantar fasciitis; Kampo medicine; chronic; yokuininto; tsudosan
From:Kampo Medicine 2021;72(2):153-158
CountryJapan
Language:Japanese
Abstract: We studied five untreated patients with plantar fasciitis, 15 chronic cases treated only with Western medicine (non-Kampo group), and 15 chronic cases treated with Kampo in addition to Western medicine (Kampo group). There was no difference in age and pain VAS at the first visit among the three groups. All the non-treated cases were improved with conventional treatment and the duration of treatment was short. In the case of patients who did not respond well to the initial treatment in our department, Kampo medicine was started from three months after the first visit. Therefore, there were more refractory cases in the Kampo group, with poor pain VAS at the last observation and a long treatment period. Among them, two cased were effective in combination with yokuininto and tsudosan, one case was yokuininto only, and one case was combination of yokuininto, tsudosan and keishibukuryogankayokuinin. Sokeikakketsuto used in three patients was not effective. Thus, chronic planter fasciitis may include physiology of not only wind-dampness, cold, and blood deficiency but also qi stangnation and blood stasis.