Comparison of dry needling and steroid injection in the treatment of plantar fasciitis: a single-blind randomized clinical trial

Rastegar, Shirvan; Mahdavi, Sadegh Baradaran; Hoseinzadeh, Babak; Badiei, Sajad

doi:10.1007/s00264-017-3681-1

Cited by 33 publications

(46 citation statements)

References 26 publications

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“…Plantar fasciitis is characterized by heel pain due to tissue degeneration along the plantar fascia as a result of biomechanical overuse [38][39][40]. The prevalence is approximately 10% of the population, with an increased incidence in the middle aged, the elderly, and runners [41]. Risk factors include reduced ankle dorsiflexion, prolonged standing in the workplace, and obesity [42].…”

Section: Plantar Fasciitismentioning

confidence: 99%

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

et al. 2020

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Purpose of Review: This is a comprehensive literature review of the available evidence and techniques of foot injections for chronic pain conditions. It briefly describes common foot chronic pain syndromes and then reviews available injection techniques for each of these syndromes, weighing the available evidence and comparing the available approaches. Recent Findings: Foot and ankle pain affects 20% of the population over 50 and significantly impairs mobility and ability to participate in activities of daily living (ADLs), as well as increases fall risk. It is commonly treated with costly surgery, at times with questionable efficacy. Injection therapy is challenging when the etiology is anatomical or compressive. Morton's neuroma is a budging of the interdigital nerve. Steroid, alcohol, and capsaicin injections Enhanced Digital Features To view enhanced digital features for this article go to https://doi.org/10.6084/ m9.figshare.11836971.

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Section: Plantar Fasciitismentioning

confidence: 99%

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

et al. 2020

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“…Drug injection is also a common treatment for fasciitis. Rastegar et al found that steroid injection could palliate plantar heel pain rapidly but dry needling can provide more satisfactory results for patients with plantar fasciitis in the long term in a random clinical trial [20]. PRP injection was associated with improved pain and function scores at 3-month follow-up when compared with corticosteroid injections [21,22].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis

Yuan

Lü

et al. 2020

J Orthop Surg Res

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Background: Heel pain is one of the most common complaints in foot and ankle clinic, and one of the leading causes of heel pain is plantar fasciitis. Methods: A retrospective analysis was carried out in 31 cases (39 feet) of patients with intractable plantar fasciitis. In the enrolled 26 cases, 16 patients (19 feet) received open plantar fascia release, and the other 15 patients (20 feet) received percutaneous radiofrequency ablation. The surgical results were assessed by visual analog scale (VAS) and American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS-AH) before and after surgery in all patients.Results: All 31 patients were followed up successfully, with a mean follow-up time of 58.77 months. There were no differences of patient's demographics and characteristics information between the two groups. The average operative time of the feet in the open plantar fascia release is longer than that in the percutaneous radiofrequency ablation. Furthermore, the percutaneous radiofrequency ablation group had a shorter recovery time to normal activity than the open plantar fascia release group. There were no differences of postoperative VAS scores and the AOFAS-AH scores between the two groups. All patients reported satisfaction after either operation. Conclusion:The symptoms of pain and limb function were significantly improved in patients both of the partial plantar fascia release treated group and the percutaneous radiofrequency ablation treated group. The two types of surgical procedures shared the same long-term curative effects. However, percutaneous radiofrequency ablation was a better technique from the point of shorter operative time and postoperative recovery time. Trial registration: Retrospectively registered.

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“…It has been suggested that the beneficial effect of needling results from improved muscle activation pattern, increased joint range of motion, and alleviation of pain [35]. In the context of plantar fasciitis, needling may be responsible for the central release of opioid peptides, increased regional blood flow and anti-inflammatory effects presumably through inhibition of production of tumor necrosis factor-alpha, interleukin-1 beta, and interleukin-6 [28,36]. Rastegar et al [36] compared the effect of needling and steroid injection in the treatment of plantar fasciitis.…”

Section: Originalmentioning

confidence: 99%

“…In the context of plantar fasciitis, needling may be responsible for the central release of opioid peptides, increased regional blood flow and anti-inflammatory effects presumably through inhibition of production of tumor necrosis factor-alpha, interleukin-1 beta, and interleukin-6 [28,36]. Rastegar et al [36] compared the effect of needling and steroid injection in the treatment of plantar fasciitis. They found that needling was superior to steroid injection in patients with plantar fasciitis in the long term.…”

Section: Originalmentioning

confidence: 99%

Platelet-Rich Plasma in Treatment of Plantar Fasciitis: Randomized Double-Blinded Placebo Controlled Study

Deghady¹,

Hamid²,

Helal³

et al. 2019

JACP

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Objective: Plantar fasciitis is one of the most common causes of heel pain. Conservative noninvasive lines of treatment are numerous, among which platelet-rich plasma (PRP) has recently been demonstrated to be helpful in managing plantar fasciitis. The aim of this study is to evaluate the platelet-rich plasma-ultrasound-guided injection in the treatment of plantar fasciitis through randomized double-blinded placebo-controlled study. Methods: Sixty-two adult plantar fasciitis patients were involved in the current study. They were randomly selected from the outpatient clinics of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University. They were randomly divided to receive either saline (group 1) or PRP (group 2) injection under ultrasonography (US)-guidance. Assessment was done using visual analogue scale (VAS) for pain intensity at baseline and during 2 nd and 6 th weeks after injection. Functionally, foot function index (FFI) was used at baseline and during 6 th week after injection. Pain relief score (PRS) was measured during 2 nd and 6 th weeks after injection. Plantar fascia thickness was also measured sonographically by US at baseline and during 2 nd and 6 th weeks after injection. Results: There was no statistically significant difference between both groups as regards age, Body Mass Index and baseline US, VAS, and FFI scores. PRP (group 2) showed significant improvement in pain severity and physical limitations in patients with plantar fasciitis. It also showed significant improvement compared to saline group injection considering VAS, US, PRS, and FFI. Conclusion: The use of PRP injection for treatment of plantar fasciitis resulted in significant improvement in pain according to VAS, PRS, and FFI and a reduction in the thickness of the plantar fascia as measured by US, compared to the saline group.

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Comparison of dry needling and steroid injection in the treatment of plantar fasciitis: a single-blind randomized clinical trial

Abstract: Steroid injection can palliate plantar heel pain rapidly but dry needling can provide more satisfactory results for patients with plantar fasciitis in the long term.

Cited by 33 publications

References 26 publications

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis

Platelet-Rich Plasma in Treatment of Plantar Fasciitis: Randomized Double-Blinded Placebo Controlled Study

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