scholarly journals Evaluation of plantar fasciitis improvement after shock wave therapy in calcaneal spur patients by musculoskeletal ultrasonography

2021 ◽  
Vol 48 (1) ◽  
Author(s):  
Soad Said El Molla ◽  
Ahmed M. Fahmy ◽  
Amr Mohamed Gamil ◽  
Rehab Ali Ibrahim ◽  
Mai Mohamed Kamel
Keyword(s):  
Shock Wave ◽  
Plantar Fasciitis ◽  
Functional Disability ◽  
Therapeutic Option ◽  
Plantar Fascia ◽  
Extracorporeal Shock Wave Therapy ◽  
Control Group ◽  
Shock Wave Therapy ◽  
Calcaneal Spur ◽  
Extracorporeal Shock Wave

Abstract Background Plantar fasciitis due to calcaneal spur is a common cause of heel pain and functional disability, and its management presents a huge challenge for clinicians which results sometimes in unpleasant clinical outcomes. The efficacy of extracorporeal shock wave therapy (ESWT) as an alternative therapeutic option to surgical management after failure of conservative treatment has been addressed. Our aim was to evaluate the efficacy of ESWT in the treatment of plantar fasciitis in calcaneal spur patients using ultrasonography. Results The mean plantar fascia (PF) thickness was statistically significantly higher in the calcaneal spur patient group (5.66 ± 1.14 mm) than in the healthy control group (2.40 ± 0.35 mm), (P = 0.001). Significant PF thickness reduction, visual analog scale (VAS), and Roles and Maudsley score (RMS) improvement were observed (P < 0.001) after 4 sessions of ESWT. Conclusion PF thickness increases significantly in calcaneal spur patients and responds to treatment. ESWT decreases the thickness of the PF and improves pain and function significantly.

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.

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.

scholarly journals COMPARISON OF SHORT-TERM ANALGESIC EFFECTS OF EXTRACORPOREAL SHOCK WAVE THERAPY (ESWT) AND CONSERVATIVE TREATMENT (CT) IN MEN WITH CHRONIC HEEL SPUR (HS).

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
P. Lizis
Keyword(s):  
Shock Wave ◽  
Conservative Treatment ◽  
Extracorporeal Shock Wave Therapy ◽  
Control Group ◽  
Surgical Removal ◽  
Shock Wave Therapy ◽  
Short Term ◽  
Heel Spur ◽  
Analgesic Effects ◽  
Extracorporeal Shock Wave

<p><strong>Background.</strong> The surgical removal of heel spur (HS) provokes many controversial opinions, but clinical studies show the risk of complication after operation. An alternative to the surgical removal of HS is Extracorporeal Shock Wave Therapy (ESWT), because it is non-invasive method.<br /><strong>Objective.</strong> The aim of the study is to compare the short-term analgesic effects of ESWT and conservative treatment (CT) in males with chronic HS.<br /><strong>Methods.</strong> Sixty patients (mean age 54.9±4.3 years; range 42 to 59 years) were examined who had pain associated with HS. In the shockwave group (group 1) patients received 1000–2000 impulses of shocks to the affected heel in a single session. The patients in this group took a series of 5 ESWT in 1 week intervals. Patients in the control group (group 2) at the same time received CT consisting of nonsteroidal anti-inflammatory drugs (NSAIDs), orthotics and a local cortisone injection. The basic method of research was to evaluate pain according to Visual Analogue Scale (VAS) 0–10. The patients of the two groups were tested before the treatment, after the last treatment and 3 months and 6 months after the treatment.<br /><strong>Results.</strong> A significant decrease of VAS (p=0.000) was seen in the shockwave group. In the control group no significant decrease of VAS was seen.<br /><strong>Conclusions.</strong> ESWT reduces pain more effectively than CT in men with chronic HS.</p><p><br /><strong>KEY WORDS:</strong> extracorporeal shock wave therapy, conservative treatment, visual analogue scale, heel spur, pain.</p>

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