scholarly journals Sonoelastographic evaluation of plantar fascia after shock wave therapy for recalcitrant plantar fasciitis: A 12-month longitudinal follow-up study

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Chueh-Hung Wu ◽  
Yun-Yi Lin ◽  
Wen-Shiang Chen ◽  
Tyng-Guey Wang
Keyword(s):  
Shock Wave ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Shock Wave Therapy ◽  
Follow Up Study

Comparison between customised foot orthoses and insole combined with the use of extracorporeal shock wave therapy in plantar fasciitis, medium-term follow-up results: A randomised controlled trial

2020 ◽  
pp. 026921552097661
Author(s):  
Manuel Coheña-Jiménez ◽  
Manuel Pabón-Carrasco ◽  
Ana Juana Pérez Belloso
Keyword(s):  
Shock Wave ◽  
Visual Analogue Scale ◽  
Plantar Fasciitis ◽  
Analogue Scale ◽  
Extracorporeal Shock Wave Therapy ◽  
Foot Orthoses ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave ◽  
Custom Made

Objective: To determine the clinical results of custom-made foot orthoses versus placebo flat cushioning insoles combined with an extracorporeal shock wave therapy on pain and foot functionality in patients with plantar fasciitis. Design and setting: A randomised controlled clinical trial with follow-up at six months. Faculty of Podiatry and Centre Clinical private of Physiotherapy, Seville, Spain. Subjects and interventions: Patients with plantar fasciitis were randomly assigned to either group A ( n = 42), which received custom-made foot orthoses, or group B ( n = 41), which received placebo insoles. All the participants received active extracorporeal shock wave therapy including stretching exercises. Recruitment period was from Mach 2019 to July 2020. Main measurements: The main outcome was foot pain, measured by visual analogue scale and the secondary outcome measures were recorded by Roles and Maudsley scores respectively, at the beginning and at one week, one month and six months. Results: Eighty-eight patients were assessed for eligibility. Eighty-three patients were recruited and randomised. This study showed significant differences between both groups according to the visual analogue scale. In control group, the difference was at baseline ( P 0.01) and, in the experimental group was at the one- and six-month follow-up ( P 0.001). The mean (SD) visual analogue scale at baseline were Control group 6.31 (1.69) and Experimental group 5.27 (1.64); and at six months were 7.52 (3.40) and 3.29 (4.26), respectively. The custom-made foot orthosis was perceived as ‘good’ (85%) and ‘excellent’ (97.5%) at medium-long term. Conclusion: Wearing a custom-made foot orthosis leads to a improvement in patients with plantar fasciitis; it reduced foot pain and improved foot functionality.

scholarly journals Evaluation Effects of Laser Therapy and Extracorporeal Shock Wave Therapy with Clinical Parameters and Magnetic Resonance Imaging for Treatment of Plantar Fasciitis in Patients with Spondyloarthritis: A Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Kezban Armagan Alpturker ◽  
Ayse Beyhan Lale Cerrahoglu ◽  
Ihsan Sebnem Orguc
Keyword(s):  
Magnetic Resonance Imaging ◽  
Shock Wave ◽  
Magnetic Resonance ◽  
Laser Therapy ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Extracorporeal Shock Wave Therapy ◽  
Resonance Imaging ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

Objective. Low-level laser therapy (LLLT) and extracorporeal shock wave therapy (ESWT) is applied in the conservative treatment of inflammatory plantar fasciitis, which is also a characteristic feature of spondyloarthritis (SpA) (Gill, 1997 and Roxas, 2005). We determined and compared the effectiveness of LLLT and ESWT using magnetic resonance imaging (MRI). Methods. This study is a prospective, randomized, comparative, single-blind clinical study. Voluntarily followed 40 patients with the diagnosis of SpA and having pain at the heels at least for 6 months. Patients were divided randomly into two treatment groups. One group undertook 14 sessions of infrared Ga-Al-As LLLT, and the other group undertook 3 sessions ESWT. Feet functions of the patients were evaluated by American Orthopaedic Foot and Ankle Society (AOFAS) and Roles and Maudsley Scoring; VAS was evaluated for foot pain and function. In clinical assessment, disease activity was carried out by applying the BASDAI, the functional assessment was evaluated through the BASFI, and the patient quality of life was evaluated through the ASQoL; enthesitis was scored according to MASES assessment, performed before and at 1 month after treatment. The thickness of the plantar fascia was measured with MRI before and 1 month after treatment. Results. Compared with the pretherapy, progress in the feet function by AOFAS and Roles-Maudsley scoring and decrease in VAS levels were statistically significant in both groups (p<0.001). Only the VAS exercise score was superior to LLLT (p<0.05). The thickness of the plantar fascia had decreased significantly on MRI in all two groups. Conclusion. The treatment of plantar fasciitis with LLLT and ESWT was more successful in pain improvement and functional outcomes with the dose, frequency, and duration used in our study.

Extracorporeal Shock Wave Therapy (ESWT) in Patients with Chronic Proximal Plantar Fasciitis: A 2-Year Follow-up

2003 ◽  
Vol 24 (11) ◽  
pp. 823-828 ◽  
Author(s):  
Dietrich S. Hammer ◽  
Frank Adam ◽  
Andreas Kreutz ◽  
Dieter Kohn ◽  
Romain Seil
Keyword(s):  
Shock Wave ◽  
Plantar Fasciitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

Ultrasonographic evaluation at 6-month follow-up of plantar fasciitis after extracorporeal shock wave therapy

2003 ◽  
Vol 125 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Dietrich S. Hammer ◽  
Frank Adam ◽  
Andreas Kreutz ◽  
Stefan Rupp ◽  
Dieter Kohn ◽  
...  
Keyword(s):  
Shock Wave ◽  
Plantar Fasciitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

scholarly journals Radial Shock Wave Therapy for Plantar Fasciitis: A One Year Follow-Up Study / Радиальная ударно-волновая терапия при подошвенном фасциите; прослеживание в течение года

Folia Medica ◽  
2013 ◽  
Vol 55 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Elena M. Ilieva
Keyword(s):  
Shock Wave ◽  
Plantar Fasciitis ◽  
Outcome Measurement ◽  
Walking Distance ◽  
Treatment Modalities ◽  
Shock Wave Therapy ◽  
Duration Of Symptoms ◽  
Mean Values ◽  
One Year

Abstract The vast majority of published papers on the efficacy of extracorporeal shockwave therapy (ESWT) have come up with rather controversial results in patients with plantar fasciitis. The aim of the present study was to investigate the effect of radial shock wave therapy in patients with chronic proximal plantar fasciitis. Material and methods: Twenty-one patients were included in the study (mean age 51.29 ± 2.02 yrs, mean duration of symptoms 10.14 ± 1.11 mos). Radial shock wave therapy was administered in five sessions. Total number of shocks per session was 2500 at a pressure of 2.5 bars. Visual analog scale (VAS) and a modification of the clinical rating system of the American Orthopedic Foot and Ankle Society (AOFAS) were used for outcome measurement. The patients were assessed before treatment and followed up 3, 6, and 12 months after end of treatment. Results: Statistically significant improvement in pain and functional capacity was found after completion of treatment in comparison with baseline; the improvement was preserved throughout a one-year follow-up. VAS mean score for pain showed changes in pain while walking the first few steps in the morning from 6.28 ± 0.4 before therapy to 2.85 ± 0.48 after treatment and to 1.52 ± 0.31 at 3 months, to 1.09 ± 0.25 at 6 months, and to 0.52 ± 0.14 at 12 months of follow up (p < 0.001). Similar dynamics was observed in pain intensity during daily activities, at rest, in the evening and upon compression. The AFOAS score showed a statistically significant reduction in pain - from 11.90 ± 2.35 at baseline to 31.90 ± 1.48 after the end of interventions (p < 0.001), and to 39.52 ± 0.47 at one year of follow-up (p < 0.001). The mean values of the evaluation reflecting activity limitations and support requirements increased from 3.85 ± 0.42 to 7.85 ± 0.46 after treatment and to 9.71 ± 0.19 at one year of follow up (p < 0.001). Similar dynamics was seen in the maximum walking distance and walking surfaces. Gait abnormalities changed from 3.43 ± 0.50 at baseline to 6.28 ± 0.59 after treatment (p < 0.001). Conclusion: Based on the results of this study we could conclude that radial shock wave therapy is a safe non-invasive method of treatment. Our preliminary findings indicate that it could be an effective treatment of choice for patients with chronic plantar fasciitis that is recalcitrant to other conservative treatment modalities.

scholarly journals Effectiveness and tolerability of focal versus radial extracorporeal shock wave therapy in patients affected by plantar fascia enthesopathy

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Edoardo Pisani ◽  
Claudio Curci ◽  
Antimo Moretti ◽  
Anna Mazzola ◽  
Marco Paoletta ◽  
...  
Keyword(s):  
Shock Wave ◽  
Plantar Fasciitis ◽  
Rating Scale ◽  
Plantar Fascia ◽  
Extracorporeal Shock Wave Therapy ◽  
Brief Pain Inventory ◽  
Severity Index ◽  
Numeric Rating Scale ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

Plantar fascia enthesopathy is the most common cause of heel pain. Extracorporeal shock wave therapy (ESWT) is widely used in patients affected by this condition. The aim of this study was to compare efficacy and tolerability of ESWT modalities in the treatment of plantar fasciitis. We included 42 patients receiving 1 session of focused ESWT (f-ESWT group) or radial ESWT (r-ESWT group) per week for 3 weeks. Pain assessment was performed at baseline, before each session, and 1 month after the last session using brief pain inventory (BPI) severity index, and interference index (II). Tolerability was defined in terms of patient discomfort after treatment assessed by numeric rating scale at baseline and after each session. Plantar fascia changes in ultrasonography were further investigated. A significant reduction of BPI-II (P<0.001) was reported in both groups, although no between-group differences were found. Plantar fascia thickness showed significant reduction only in the f- ESWT group (P=0.028). Patient’s tolerability was significantly better in the r-ESWT group (P<0.05). Our study confirms that ESWT is effective for reducing pain and disability in patients affected by plantar fasciitis, although r- ESWT seems to be better tolerated.

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