Assessment of the Efficacy of Extracorporeal Shockwave Therapy for Plantar Fasciitis with Magnetic Resonance Imaging Findings

Biçer, Mualla; Hocaoğlu, Elif; Aksoy, Sema; İnci, Ercan; Aktaş, İlknur

doi:10.7547/15-106

Cited by 16 publications

(10 citation statements)

References 18 publications

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“…A similar trend was observed by Mróz et al [36], Drużbicka et al [35], Krzentowska et al [10], or Hołubowicz [37], who also observed a significant relief of pain measured with the VAS scale in their research. A significant relief of pain after the shock wave therapy was also observed by Yalcin et al [38], Gerdesmeyer et al [39], Bicer et al [40], Purcell et al [41] or Hocaoglu et al [42]. Rompe et al [43] present another opinion on the effects of shock wave therapy in the short term.…”

Section: Discussionmentioning

confidence: 58%

The impact of shock wave therapy on reducing pain in patients with heel spurs

Galecka-Szczerba¹,

Kawa²,

Podczarska-Głowacka³

2019

BJHPA

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Background: Plantar fasciitis, often accompanied by plantar fascia inflammation, is a very troublesome disorder. It causes intense heel and foot pain, disturbs gait, often causing limitation of physical activity. The aim of the work is to evaluate the impact of radial shock therapy on pain and physical activity in patients diagnosed with plantar fasciitis Material and methods: The study involved 27 patients -9 men and 18 women -with a diagnosed spur heel; the patient's average age was 56 ±9.5 SD years. To evaluate the effects of the therapy, two testes were used, the VAS analogue pain scale and the Laitinen pain questionnaire. Results:The analysis of the test results shows a statistically significant reduction in pain (p<0.001) and an increase in the subjects' ability to function as a result of shock wave therapy. Conclusions:The extracorporeal shock wave is an effective method of plantar fasciitis treatment in the studied group of patients. The performed treatments allowed achieving a lasting therapeutic effect and reduced the intensity and frequency of pain, which allowed reducing the use of painkillers and allowed for a return to full physical activity.

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Section: Discussionmentioning

confidence: 58%

The impact of shock wave therapy on reducing pain in patients with heel spurs

Galecka-Szczerba¹,

Kawa²,

Podczarska-Głowacka³

2019

BJHPA

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“…Em relação a frequência utilizada houve variação, sendo de 4 Hz 17 , 15 Hz 12,16 e com vários estudos com 10 Hz 14,15,18-,22 .…”

Section: Resultsunclassified

“…Em nove dos dez estudos, a intervenção para tratamento da dor na FP com utilização da TOC mostrou resultados significativos 12,[14][15][16][17][18][19][20][21][22] . Com relação aos instrumentos para avaliação quantitativa da dor, todos os estudos utilizaram a EVA 12,[14][15][16][17][18][19][20][21][22] . Consiste em uma linha de dez centímetros, que possui em geral, as frases "ausência de dor e dor insuportável", apresentada em uma folha em branco, numerada de zero (ausência), a dez (dor insuportável).…”

Section: Resultsunclassified

Efetividade Da Terapia Por Ondas De Choque No Tratamento Da Dor Na Fasciíte Plantar: Revisão Da Literatura

Sousa¹,

Metzker²

2020

Var. Sci. - Ci. Saúde

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Introdução: A fáscia plantar é um tecido fibroso localizado ao longo da planta do pé, que se estende do calcanhar até a base dos metatarsos, com função de sustentação do arco plantar. Uma das principais afecções que ocorrem na fascia plantar é a Fasciíte plantar (FP). Trata-se de inflamação que ocorre devido a um estresse excessivo como impactos, microtraumas repetitivos e processos degenerativos no local de origem da fáscia. Dentre as opções terapêuticas para o tratamento da FP, o método de escolha geralmente é o tratamento conservador, pois, tem se obtido resultados satisfatórios em cerca de 90% dos pacientes, reduzindo ou abolindo a dor. Nesse cenário, uma das técnicas que vem sendo cada vez mais utilizada para a forma crônica da FP é a terapia por ondas de choque (TOC) extracorpórea, tendo como objetivo promover a cicatrização do tecido inflamado. Objetivo: Verificar e descrever o efeito da terapia por ondas de choque extracorpórea no tratamento da dor em indivíduos com Fasciíte plantar crônica. Método: Foi realizado uma pesquisa nas bases de dados PubMed, Scielo e Lilacs, entre os anos 2016 e 2018 nos idiomas inglês e português. Resultados: Do total de 146 foram incluídos nesse estudo dez artigos que atenderam aos critérios de inclusão e exclusão. Conclusão: A aplicação de TOC parece ser uma alternativa para o manejo da FP crônica com benefícios no controle da dor. Contudo, quando comparada a outras terapias como ultrassom, radiofrequência, laser de baixa intensidade e exercícios domiciliares os resultados foram similares para o desfecho da dor.

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“…Once more, these findings are also contrary to what is reported in previous studies of conservative treatment in acute cases or even chronic evolution from the onset of plantar fasciitis symptoms. 3,19 Those authors reported changes in the qualitative variables after conservative treatment. The majority of them used shock wave therapy.…”

Section: Discussionmentioning

confidence: 99%

Clinical And Plantar Fascial Morphologic Changes After Proximal Medial Gastrocnemius Release Treatment of Recalcitrant Plantar Fasciitis

Ginés-Cespedosa

Ugarte²,

Ares-Vidal

et al. 2021

Foot & Ankle Orthopaedics

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Background: Magnetic resonance imaging (MRI) has been used as a diagnostic and prognostic instrument to evaluate the results of conservative treatment for plantar fasciitis. However, there are scarce data available relative to changes in the plantar fascia after operative treatment. The primary objective of this study is to evaluate the imaging changes in patients with recalcitrant plantar fasciitis treated operatively by means of proximal medial gastrocnemius release. Methods: Thirteen patients with recalcitrant plantar fasciitis were studied with MRI preoperatively and 1 year after operative treatment. Quantitative (plantar fascia thickness) and qualitative variables (hyperintensity in the plantar fascia, insertional calcaneus bone edema, a plantar fascia tear, and the presence of perifascial collections) were assessed by 2 musculoskeletal radiologists. Clinical results were also measured with American Orthopaedic Ankle & Society (AOFAS), visual analog scale (VAS) pain, and 36-Item Short Form Health Survey (SF-36) scales. Results: The mean plantar fascia thickness was 6.59 mm preoperatively and 6.37 mm postoperatively ( P = .972). No statistically significant differences were found in any of the qualitative variables on comparing the pre- and postoperative periods. Patients reported clinical improvements in pain VAS, AOFAS measurement, and the physical subdomains of the SF-36 scale. Conclusion: Quantitative and qualitative variables assessed for the plantar fascia on MRI did not show any significant change after medial gastrocnemius release despite clear clinical improvement. Level of Evidence: Level II, perspective cohort study.

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Assessment of the Efficacy of Extracorporeal Shockwave Therapy for Plantar Fasciitis with Magnetic Resonance Imaging Findings

Abstract: Extracorporeal shockwave therapy is a safe and effective treatment that yields favorable results in improvement of pain and function for plantar fasciitis. An MRI is useful for determining response to ESWT for these patients.

Cited by 16 publications

References 18 publications

The impact of shock wave therapy on reducing pain in patients with heel spurs

The impact of shock wave therapy on reducing pain in patients with heel spurs

Efetividade Da Terapia Por Ondas De Choque No Tratamento Da Dor Na Fasciíte Plantar: Revisão Da Literatura

Clinical And Plantar Fascial Morphologic Changes After Proximal Medial Gastrocnemius Release Treatment of Recalcitrant Plantar Fasciitis

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