Management of plantar fasciitis in the outpatient setting

Lim, Ang Tee; How, Choon How; Tan, Benedict

doi:10.11622/smedj.2016069

Cited by 63 publications

(78 citation statements)

References 23 publications

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“…The diagnosis is essentially clinical. Plain radiography has limited value, while ultrasonography is an useful, non-invasive, well-tolerated and reliable tool 7 . Plantar fasciopathy is not always self-limiting.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous release of the plantar fascia. New surgical procedure

Oliva

Piccirilli

Tarantino

et al. 2017

MLTJ

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SummaryBackground: Plantar fasciopathy presents with pain at the plantar and medial aspect of the heel. If chronic, it can negatively impact on quality of life. Plantar fasciopathy is not always self-limiting, and can be debilitating. Methods: Surgical management involves different procedures. We describe a percutaneous plantar fascia release. A minimally invasive access to the plantar tuberosity of the calcaneus is performed, and a small scalpel blade is used to release the fascia. Conclusion: With this procedure, skin healing problems, nerve injuries, infection and prolonged recovery time are minimised, allowing early return to normal activities. Level of Evidence: V.KEY WORDS: plantar fasciopathy, plantar fascia release, mininvasive release, percoutaneous surgery.

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Section: Introductionmentioning

confidence: 99%

Percutaneous release of the plantar fascia. New surgical procedure

Oliva

Piccirilli

Tarantino

et al. 2017

MLTJ

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“…Although there was a trend noted in NSAID group in 2 to 6 months follow up towards pain relief and disability improvement which provided some evidence of NSAIDs being useful in plantar fasciitis management. Other studies also founds that NSAIDs have a limited efficacy in treatment of plantar fasciitis [6] . Local steroid injections use for treatment of plantar fasciitis is also a widespread practice.…”

Section: Discussionmentioning

confidence: 97%

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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“…Stretching is frequently utilized as a conservative treatment for plantar heel pain [14,15] and systematic reviews and studies investigating the efficacy of conservative treatments for plantar fascia published different findings [16][17][18]. Di Giovanni et al found that exercise program focused on distension of the plantar fascia resulted in less pain, better patient satisfaction, and a higher functional status than exercise focusing on distension of the Achilles tendon and plantar fascia [19,20].…”

Section: Stretchingmentioning

confidence: 99%

Conservative Treatment of Plantar Fasciitis and Posterior Heel Pain: A Review

Bistolfi¹,

Zanovello²,

Vannicola³

et al. 2016

Int J Phys Med Rehabil

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This review focuses on the various techniques of conservative treatment of plantar fasciitis and posterior heel pain. Being the optimal therapy controversial, the intent is to drive surgeons and rehabilitation specialists in the choice of the strategies. The Data sources were MEDLINE, PubMed, CINAHL, EMBASE, and Psych INFO databases using the selected key words. Studies have been selected for review using as criteria English, adults, clinical population and intervention. Among several published studies about rehabilitation and fasciitis, only a few showed bases on scientific evidence. Moreover, many studies were heterogeneous and included different outcomes and evaluations. There is consensus that a specific rehabilitation program is necessary to avoid chronicity. However, the real efficacy of every specific treatment (orthoses, stretching, radiotherapy, botulin toxin, shock waves, corticosteroid therapy, and platelet rich plasma) is still questionable, and often related to the experience of the authors. In conclusion, patients undergoing physiotherapy obtain a better and faster outcome achievement than non-treated patients; however, evidence-based treatments, protocols and clinical trials are recommended.

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Management of plantar fasciitis in the outpatient setting

Cited by 63 publications

References 23 publications

Percutaneous release of the plantar fascia. New surgical procedure

Percutaneous release of the plantar fascia. New surgical procedure

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

Conservative Treatment of Plantar Fasciitis and Posterior Heel Pain: A Review

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