Extra Corporeal Shock Wave Therapy Versus Local Corticosteroid Injection in the Treatment of Chronic Plantar Fasciitis, a Single Blinded Randomized Clinical Trial

Eslamian, Fariba; Shakouri, Seyed Kazem; Jahanjoo, Fatemeh; Hajialiloo, Mehrzad; Notghi, Faraz

doi:10.1093/pm/pnw113

Cited by 62 publications

(84 citation statements)

References 31 publications

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“…All trials included were randomized trial designs [18–23]. Three trials [20–22] did not describe the methods of allocation concealment. Blinding of participants and personnel (performance bias) was unclear and incomplete outcome data (attrition bias) was high risk in one trial [20].…”

Section: Resultsmentioning

confidence: 99%

Comparison of efficacy of shock-wave therapy versus corticosteroids in plantar fasciitis: a meta-analysis of randomized controlled trials

Xiong

et al. 2018

Arch Orthop Trauma Surg

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BackgroundCorticosteroid (CS) injections have been proven to be effective in ameliorating symptoms of plantar fasciitis. Shock-wave (SW) therapy is another common treatment of plantar fasciitis, and several meta-analyses have documented its advantages when compared to placebo treatment. Despite this, few studies have focused on comparing the use of CS and SW in the treatment of plantar fasciitis. The purpose of this meta-analysis is to assess whether SW is superior to CS in managing plantar fasciitis, both in terms of ameliorating pain as well as improving functionality.MethodsA systematic search of the literature was conducted to identify relevant articles that were published in Pubmed, Medline, Embase, the Cochrane Library, SpringerLink, Clinical Trials.gov and OVID from the databases’ inception to July 2018. All studies comparing the efficacy of SW and CS in terms of pain levels and functionality improvement were included. Data on the two primary outcomes were collected and analyzed using the Review Manager 5.3.ResultsSix studies were included in the current meta-analysis. A significant difference in VAS score (MD = − 0.96, Cl − 1.28 to − 0.63, P < 0.00001, I2 = 96%) was noted between the SW group and the CS group. No significant difference was seen in the Mayo CSS or FFI or HFI or 100 Scoring System score at the 3 months follow-up (Chi2 = 0.62, I2 = 0%, P > 0.05).ConclusionsThe clinical relevance of the present study is that both SW and CS were effective and successful in relieving pain and improving self-reported function in the treatment of plantar fasciitis at 3 months. Although inter-group differences were not significant, the VAS score was better improved in the SW group, highlighting that shock-wave therapy may be a better alternative for the management of chronic plantar fasciitis.

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Section: Resultsmentioning

confidence: 99%

Comparison of efficacy of shock-wave therapy versus corticosteroids in plantar fasciitis: a meta-analysis of randomized controlled trials

Xiong

et al. 2018

Arch Orthop Trauma Surg

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“…After assessing the abstracts and full text articles, 10 studies were excluded because of comparisons between focused or radial shock wave and other treatments rather than sham therapy; [10–19] 6 were excluded for comparisons between different intensities, [20–25] 2 for comparisons between shock wave therapy combined with other therapies and sham therapy, [26,27] 4 for comparisons between different methods of shock wave therapy, [28–31] 5 for applying local anesthesia totally, [5,6,32–34] and 1 for lacking the success rate. [8] Finally, 9 studies, including 6 reports comparing FSW therapy with a placebo, [35–40] and 3 comparing RSW, [41–43] were eligible for data extraction and meta-analysis based on inclusion and exclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis

et al. 2017

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Background:Plantar fasciitis (PF) is the most common reason for heel pain. The efficacy of extracorporeal shock wave therapy (ESWT) as an ideal alternative to conservative treatments and surgery is controversial, and almost all previous articles compared general ESWT with placebo without indicating the kind of shock wave. We undertook a meta-analysis to compare the efficacy of general ESWT, focused shock wave (FSW), and radial shock wave (RSW) with placebo, to assess their effectiveness in chronic PF.Methods:The PubMed, Medline, EmBase, Web of Science, and Cochrane library databases were searched for studies comparing FSW or RSW therapy with placebo in chronic PF. Clinical outcomes included the odds ratios (ORs) of pain relief, pain reduction, and complications. Relevant data were analyzed using RevMan v5.3.Results:Nine studies involving 935 patients were included. ESWT had higher improvement rates than the placebo group (OR 2.58, 95% confidence interval [CI] 1.97–3.39, P < .00001). ESWT had markedly lower standardized mean difference than placebo, with heterogeneity observed (standardized mean difference 1.01, 95% CI −0.01 to 2.03, P = .05, I2 = 96%, P < .00001). FSW and RSW therapies had greater therapeutic success in pain relief than the placebo group (OR 2.17, 95% CI 1.49–3.16, P < .0001; OR 4.63, 95% CI 1.30–16.46, P = .02), but significant heterogeneity was observed in RSW therapy versus placebo (I2 = 81%, P = .005).Conclusion:This meta-analysis suggested that FSW therapy can relieve pain in chronic PF as an ideal alternative option; meanwhile, no firm conclusions of general ESWT and RSW effectiveness can be drawn. Due to variations in the included studies, additional trials are needed to validate these conclusions.

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“…Similarly, in the study of Eslamain et al [29], the mean FFI (pain and disability, score 0-170) decreased from 60. 25 week respectively, whereas we had a better improvement (59.3%) in FFI at one month.…”

Section: Discussionmentioning

confidence: 60%

Use of local corticosteroid injection in the treatment of plantar fasciitis

Sah¹,

Sharma

2018

Janaki Med. Coll. J. Med. Sci.

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Background and Objectives: Plantar fasciitis is a common pathological condition that affects the hind foot. Management of plantar fasciitis employs use of various non-surgical and surgical treatment methods. The aim of this study was to evaluate the efficacy of steroid injection in the treatment of plantar fasciitis in adults. Materials and Methods: From January 2016 to June 2017, fifty patients aged >18 years with plantar fasciitis symptomatic for three months or more were injected with a single dose of methylprednisolone acetate with 2% lignocaine. Assessment was done using visual analogue scale (VAS) and foot function index (pain sub-scale). Patients were followed-up for a period of 6 months. Results:There was significant reduction in VAS score and improvement in foot function index at 1 and 3 month follow-up (p<0.001) as compared to pre-injection score but this VAS reduction or improvement in foot function index was not significant at 6 month follow-up (p=0.057 and 0.729 respectively). There were no major adverse effects of the steroid injection. Conclusion: A single dose of corticosteroid injection provides only a short term benefit in plantar fasciitis.

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Extra Corporeal Shock Wave Therapy Versus Local Corticosteroid Injection in the Treatment of Chronic Plantar Fasciitis, a Single Blinded Randomized Clinical Trial

Cited by 62 publications

References 31 publications

Comparison of efficacy of shock-wave therapy versus corticosteroids in plantar fasciitis: a meta-analysis of randomized controlled trials

Comparison of efficacy of shock-wave therapy versus corticosteroids in plantar fasciitis: a meta-analysis of randomized controlled trials

Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis

Use of local corticosteroid injection in the treatment of plantar fasciitis

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