Conclusion The efficacy of acupuncture treatment for heel bone spurs is better than that of local injection treatment, and it is worth promoting its application in the clinic. The heel bone spur syndrome is a common and frequent disease in orthopedic clinics. It is mostly induced by long-term weight-bearing or prolonged standing of the foot, and is clinically common in middle-aged and elderly people over 4O years old, seriously affecting the normal work and life of patients. In the outpatient clinic, more than 2/3 of the patients complaining of heel pain are closely related to the heel spur syndrome, which has been treated with oral medication, external Chinese medicine and physical therapy, but the effect is not satisfactory. Western medicine uses surgical treatment to remove the bone spur, and the imaging performance is improved, but the clinical symptoms still cannot be cured. 1. Data and methods 1.1 General data 117 cases in this group, 51 men and 56 women. The maximum age was 69 years, the minimum age was 22 years, and the average age was 47 years. The longest was 8 years and 1 month, and the shortest was 12 days. x-ray radiographs confirmed the diagnosis of heel bone spur syndrome. The two groups were randomly divided into two groups: 82 cases in the treatment group and 35 cases in the control group. The age, sex, disease duration and condition of the two groups were identical and comparable. 1.2 Diagnostic criteria were referred to the textbook of the National Higher Institute of Traditional Chinese Medicine, “TCM Tendon Injury”, 1st edition, for the diagnosis of heel bone spur syndrome. 1.3 Treatment method 1.3. Treatment group: needle knife treatment group: the patient lies prone on the treatment bed, the anterior edge of the affected limb ankle joint is padded with a pillow, the heel is facing upward, the foot is padded steadily, the most obvious place of pressure pain, that is, the tip of the bone spur (combined with X-ray film), the location is determined with a marker, the routine disinfection laying towel, the needle knife mouth line and the longitudinal axis of the foot is vertical, the needle body and the posterior plane of the sole of the heel is 60. angle into the needle, the knife depth reaches the tip of the bone spur The knife depth reaches the tip of the bone spur, the longitudinal incision is peeled off, and the knife can be discharged when there is a sense of loosening and falling under the hand, and the sterile gauze is wrapped and the incision is covered after the operation. 1.3. Control group: local injection treatment group: the patient’s position and disinfection as above, take 10mg of Tretinoin + 2% lidocaine 2.5ml + methylcobalamin injection 1mg and inject slowly at the local pressure point, once every 7 days, can be treated 3 times consecutively. 1.4 Efficacy criteria Cured: clinical symptoms disappeared, function completely recovered, walking freely, no recurrence within six months; Effective: clinical symptoms basically disappeared, function basically recovered, walking basically normal, no recurrence within six months; Improved: clinical symptoms significantly improved, but still walking inconveniently, symptoms did not worsen within one month; Ineffective: after treatment for more than three times, symptoms and signs did not improve significantly. 2. Results: The total effective rate was 97.56% for the acupuncture group and 77.14% for the local injection group. The efficacy of the needle knife treatment group was significantly better than that of the local closed treatment group (P<0.01). 3, Discussion Modern medicine believes that heel bone spurs arise due to abnormal tension of the plantar and metatarsal tendon membranes, and that chronic fibrous tissue inflammation occurs at the attachment of the medial heel node of the metatarsal tendon membrane due to persistent strain injury, followed by the formation of bone spurs, which are wrapped within the starting point of the metatarsal tendon membrane. Therefore, the treatment must address the pathophysiological changes of the heel bone hyperplasia forming bone spurs and adhesion contractures of the metatarsal long ligament and metatarsal tendon membrane. According to the above-mentioned pathological characteristics, acupuncture treatment can target the lesion, cut, peel and release the adhesions, release the high tension continuous traction, and restore the biomechanical equilibrium. The mechanism of acupuncture treatment for achalasia also lies in its ability to cut and loosen locally adherent tendons, fascia and bursa to eliminate muscle and fascia tension spasm and reduce local soft tissue tension; in addition, the operation process of minimally invasive acupuncture laxation artificially causes local bleeding or congestion, which may instead improve local blood supply, promote metabolism and accelerate the role of inflammation absorption. At the same time, before the needle knife treatment is supplemented with analgesic solution, one is to play the role of local anesthesia, to avoid pain during the treatment; at the same time, block the vicious cycle of pain stimulation, can release the muscle and vascular spasm caused by pain. Trimethoprim is anti-immune and inhibits inflammatory exudation, which can promote the local inflammation and edema to subside, and also has the effect of preventing local adhesions after surgery.