Effectiveness of Local Tenoxicam Versus Corticosteroid Injection for Plantar Fasciitis Treatment

Güner, Savaş; Önder, Hacı; Güner, Şükriye İlkay; Ceylan, Mehmet Fethi; Gökalp, Mehmet Ata; Keskin, Sıddık

doi:10.3928/01477447-20130920-27

Cited by 16 publications

(18 citation statements)

References 15 publications

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“…(7) One study (18) reported better results in the botulinum toxin A injection group (intervention group) compared to the corticosteroid injection group. The remaining four studies (15,16,19,21) showed significant pain reduction in both intervention groups at follow-up intervals when compared to baseline but no significant differences between the intervention groups.…”

Section: Patient-assessed Outcome: Foot Painmentioning

confidence: 99%

“…(12) Two of the RCTs had a Jadad score of 5, (13,14) two had a score of 4 (7,15) and six had a score of 3. (16)(17)(18)(19)(20)(21) Characteristics of the study population…”

Section: Study Qualitymentioning

confidence: 99%

“…dexamethasone (14,16,18) and betamethasone, (17,19) while the other five investigated the use of intermediate-acting corticosteroids, i.e. methylprednisolone, (13,15,21) prednisolone (7) and triamcinolone. (20) To guide the corticosteroid injections, seven RCTs used the palpation method, (7,15,16,(18)(19)(20)(21) two used USguidance, (14,17) and one used both US-and palpation-guided injections in different arms.…”

Section: Corticosteroid Injectionsmentioning

confidence: 99%

“…(20) To guide the corticosteroid injections, seven RCTs used the palpation method, (7,15,16,(18)(19)(20)(21) two used USguidance, (14,17) and one used both US-and palpation-guided injections in different arms. (13) Three approaches of injections were employed in the studies: eight RCTs adopted the medial approach, (7,(14)(15)(16)(17)(18)(19)(20) one adopted the posterior approach (13) and one involved injections through the plantar aspect of the heel pad. …”

Section: Corticosteroid Injectionsmentioning

confidence: 99%

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The effectiveness of corticosteroid injection in the treatment of plantar fasciitis

Ang¹

2015

smedj

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Plantar fasciitis is a common cause of heel pain in adults. Although it is usually a self-limiting condition, the pain may become prolonged and severe enough to cause significant distress and disruption to the patient's daily activities and work. PubMed and Cochrane Central Register of Controlled Trials databases were searched for randomised controlled trials (RCTs) and a total of ten RCTs were selected for evaluation. These RCTs involved the use of either palpation-or ultrasonography-guided corticosteroid injections in patients diagnosed with plantar fasciitis. All placebo-controlled RCTs showed a significant reduction in pain with the use of corticosteroid injections. Some studies also showed that corticosteroid injections yielded better results than other treatment modalities. However, it is evident from these studies that the effects of corticosteroid injections are usually short-term, lasting 4-12 weeks in duration. Complications such as plantar fascia rupture are uncommon, but physicians need to weigh the treatment benefits against such risks.

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Section: Patient-assessed Outcome: Foot Painmentioning

confidence: 99%

“…(12) Two of the RCTs had a Jadad score of 5, (13,14) two had a score of 4 (7,15) and six had a score of 3. (16)(17)(18)(19)(20)(21) Characteristics of the study population…”

Section: Study Qualitymentioning

confidence: 99%

Section: Corticosteroid Injectionsmentioning

confidence: 99%

Section: Corticosteroid Injectionsmentioning

confidence: 99%

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The effectiveness of corticosteroid injection in the treatment of plantar fasciitis

Ang¹

2015

smedj

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“…[9,11] One study compared corticosteroid injection with NSAID (tenoxicam) injection. [10] one study compared corticosteroid injection with PRP and placebo injection. [12] The primary outcomes that were common in the 4 studies were pain, function, and patientreported outcomes.…”

Section: Discussionmentioning

confidence: 99%

Plantar fasciitis treatment: What is better, oral nonsteroidal anti-inflammatory agents or locally injectable steroid?

Mittal¹,

Js²,

Ashok³

et al. 2018

Int. J. Orthop. Sci.

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Plantar fasciitis is the one of the most common causes of painful heel in adults. It is assumed to be caused by inflammation and is typically precipitated by biomechanical stress. Conservative management is the mainstream treatment option for plantar fasciitis like non steroidal anti-inflammatory drugs (NSAIDs), steroid injections, PRP injection, stretching exercises. There is no consensus on the efficacy of any particular conservative treatment regimen. This study was taken with objective to compare the efficacy of NSAID and local steroid injection in treating plantar fasciitis. Method: Sixty patients were randomized into 2 groups, group I patients were treat with oral NSAIDs and group II patients were treated with local steroid injection. Patients of both groups are given common supportive measures such as soft heel and advised same stretching exercises. The patients were evaluated using VAS score for pain assessment at pre-treatment stage, 1 week, 2 weeks, 4 weeks, 2 months and 3 months. Results: 60 patients were randomized into 2 groups, both groups had similar demographics. The VAS scores at pre treatment level in group I was 6.60±1.14 and in group II was 6.46±1.05. The VAS score reduced to 3.10±1.18 in group II after injection and in group I reduced to 4.9±1.33 after a starting oral NSAIDs. The VAS scores consistently reduced in both the groups till 4 weeks of follow up but group II VAS scores were always lower than group I (p-value < 0.001). After 4 weeks, a trend towards increase in VAS scores was noted in both groups, patients had complaints of relapse of pain or increase in intensity of it. Conclusion : With this study we concluded that as compared to NSAIDs the use of local injection of steroid gives better and more sustained pain relief with fewer complications and lesser recurrences of heel pain in cases of plantar fasciitis.

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Injected corticosteroids for treating plantar heel pain in adults

David

Sankarapandian

Christopher

et al. 2017

Cochrane Database of Systematic Reviews

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Effectiveness of Local Tenoxicam Versus Corticosteroid Injection for Plantar Fasciitis Treatment

Abstract: Plantar fasciitis is one of the most common causes of foot pain in adults. In this prospective study, the outcomes of local tenoxicam injection and corticosteroid therapy for the treatment of plantar fasciitis were compared.

Cited by 16 publications

References 15 publications

The effectiveness of corticosteroid injection in the treatment of plantar fasciitis

The effectiveness of corticosteroid injection in the treatment of plantar fasciitis

Plantar fasciitis treatment: What is better, oral nonsteroidal anti-inflammatory agents or locally injectable steroid?

Injected corticosteroids for treating plantar heel pain in adults

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