Evaluation of Low-Energy Extracorporeal Shock-Wave Application for Treatment of Chronic Plantar Fasciitis

Electrohydraulic High-Energy Shock-Wave Treatment for Chronic Plantar Fasciitis

“…Extracorporeal shock-wave treatments have been applied to patients with chronic plantar fasciitis who have failed to respond to multiple conservative pharmacologic and therapeutic interventions [29][30][31][32][33][34][35][36][37][38] . Recent randomized, controlled stud- ies have been published but with varying results because of differences in study design, direction of the shock-wave delivery, energy levels, size (volume) of the focused energy ellipsoid (f 2 ) that is transcutaneously transmitted to the fascia, and method of forming the shock wave (electrohydraulic, electromagnetic, and piezoelectric) 32,[39][40][41][42][43][44][45][46][47][48][49][50][51][52] . One study found that satisfactory results were maintained five years following electromagnetic shock-wave treatment 43 .…”

“…Recent randomized, controlled stud- ies have been published but with varying results because of differences in study design, direction of the shock-wave delivery, energy levels, size (volume) of the focused energy ellipsoid (f 2 ) that is transcutaneously transmitted to the fascia, and method of forming the shock wave (electrohydraulic, electromagnetic, and piezoelectric) 32,[39][40][41][42][43][44][45][46][47][48][49][50][51][52] . One study found that satisfactory results were maintained five years following electromagnetic shock-wave treatment 43 . Randomized, placebo-controlled clinical trials for musculoskeletal applications of high-energy shock waves have been conducted in the United States 43,46 .…”

“…One study found that satisfactory results were maintained five years following electromagnetic shock-wave treatment 43 . Randomized, placebo-controlled clinical trials for musculoskeletal applications of high-energy shock waves have been conducted in the United States 43,46 . One trial led to Food and Drug Administration approval of the use of electrohydraulic high-energy extracorporeal shock waves for the treatment of plantar fasciitis in October 2000 44,53 .…”

“…This anesthetic technique also allows the treatment of both heels when appropriate levels of chronic fascial pain are present bilaterally 67 . Rompe et al performed several studies on the treatment of plantar fasciitis with shock waves 4,32,39,43 . Those studies all used electromagnetically generated shock waves, involved multiple treatments, and varied considerably with respect to the treatment protocols.…”

Ultrasound-Assisted Endoscopic Partial Plantar Fascia Release

“…[1][2][3][4] Although most cases respond well to such conservative therapy, some patients do not respond to this type of treatment or have recurrence of symptoms and may progress to surgical release. 5,6 Various surgical procedures for plantar fasciitis release exist, such as open surgery, [7][8][9][10] percutaneous release, and endoscopic surgery. [11][12][13][14] Skin trouble, nerve disturbance, infection, and persistent pain associated with prolonged recovery time are complications of open surgery.…”