Resistant plantar fasciopathy: shock wave versus endoscopic plantar fascial release

Radwan, Yasser; Mansour, Ali; Badawy, W.S.

doi:10.1007/s00264-012-1608-4

Cited by 42 publications

(32 citation statements)

References 38 publications

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“…However, there are multiple articles about other forms of treatment, including endoscopic release, 4,14,19,20,21 plateletrich plasma injections, 13,22,32 botulinum toxin A injection, 11,24 percutaneous frequency coblation, 31,35 extracorporeal shock wave therapy, 23,26 and radiotherapy. 2,15 One has to ask the question, If there are so many different modalities described, do any of them actually work?…”

Section: Discussionmentioning

confidence: 99%

Long-Term Outcome of Open Plantar Fascia Release

MacInnes

Roberts

Kimpton³

et al. 2015

Foot Ankle Int.

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Background: Plantar fasciitis is thought to be a self-limiting condition best treated by conservative measures, but despite this many patients have a prolonged duration of symptoms and surgery may be indicated. Partial plantar fascial release is reported to have a short-term success rate of up to 80%, but anecdotally this was not thought to represent our local experience. Methods: An audit of long-term patient-reported outcomes following open partial plantar fascia release was performed. A total of 30 patients (33 feet) were identified over a 10-year period and case notes were reviewed. Patients were contacted by letter and invited to complete 2 validated patient-reported outcome score questionnaires (Visual Analog Scale-Foot and Ankle [VAS-FA] and Manchester Oxford Foot Questionnaire [MOXFQ]). Responses were received from 24 patients (26 feet). The average ages were 42.4 (range 24-61) for male and 46.2 (range 33-60) for female patients, with a female/male ratio of 2.7:1. The average duration of treatment prior to operative intervention was 3.1 years (range 1-5). Preoperatively, our cohort underwent a range of conservative measures. All patients were reviewed postoperatively, and average time from surgery to completion of questionnaires was 80 months (range 14-130). Results: The outcomes were worse in patients who had received preoperative steroid injections and this was found to be statistically significant. The mean MOXFQ score was 33.6 ± 3.9 (0-64). Mean VAS-FA score was 57.8 ± 4.9 (24-100). Conclusion: This study found a negative correlation between duration of follow-up and outcome, in both MOXFQ and VAS-FA, showing that patients continued to improve many years postoperatively. The authors also found worse outcomes with preoperative steroid injections, better outcomes in older patients, and a weak gender bias, suggesting results in men were better than those in women. A prolonged recovery period and generally poor outcomes leads the authors to suggest that open plantar fascia release is of questionable clinical value and that patients may improve in the natural course of the disease, in spite of surgery. Level of Evidence: Level III, comparative study.

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Section: Discussionmentioning

confidence: 99%

Long-Term Outcome of Open Plantar Fascia Release

MacInnes

Roberts

Kimpton³

et al. 2015

Foot Ankle Int.

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“…The results were the same for the other group (Radwan, Mansour, & Badawy, 2012). Moreover, Bader et al evaluated the functional outcome of endoscopic plantar fasciotomy in 48 patients (56 feet).…”

Section: Post Operation Progressmentioning

confidence: 81%

“…Radwan et al also compared endoscopic plantar fasciotomy versus extracorporeal shock wave in 65 patients. They found "Excellent" or "Good" results obtained in 70.6% of extracorporeal shock wave group and 77.4% of endoscopic plantar fasciotomy group (Radwan, Mansour, & Badawy, 2012). In the study of Bader et al about the functional outcome of endoscopic plantar fasciotomy 48 patients (56 feet) underwent endoscopic plantar fasciotomy.…”

Section: Discussionmentioning

confidence: 99%

“…In the study of Radwan et al, the maximum walking distance improved according to Modified American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hind foot score from a mean of 4 points ranging from 2 to 4 points preoperatively to 5 points postoperatively ranging from 4 to 7 points at the one year follow up (Radwan et al, 2012).…”

Section: Maximum Walking Distancementioning

confidence: 99%

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Evaluation of the Results of Endoscopic Release of Plantar Fascia in Cases of Resistant Chronic Heel Pain

Ahmed¹,

A²,

A³

et al. 2017

GJHS

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Aim: To evaluate the results of endoscopic release of plantar fascia in resistant cases of heel pain.Methods: An experimental descriptive study involved twenty patients who presented to University hospital with resistant chronic plantar heel pain due to plantar fasciitis, were treated with endoscopic plantar fasciotomy. All patients completed a period of at least six months follow up. Data were collected by the modified American Orthopaedic Foot and Ankle Society (AOFAS) Questionnaire, informed consent was applied, and SPSS was used for data entry and analysis.Results: At the end of follow up the mean modified AOFAS of ankle-hind foot score was improved from 49.10 (ranging from 34 to 56) pre-operatively to 90.25 post operatively (ranging from 67 to 100). Seven patients (35%) had excellent results, ten patients (50%) had good results, two patients had fair results, and one patient (5%) had a poor result. AOFAS score of pain was improved from a mean of 14.0+9.40 points pre-operatively (range 0 -20) to 31.5 + 6.71 points post-operatively (range 20 -40). AOFAS score of activity of daily living improved from a mean of 4+0 points pre-operatively to 9.85+0.671post-operatively ranging from 7 to 10 points. Conclusion:Endoscopic release of plantar fascia has positive therapeutic effects in cases of resistant chronic heel pain.Keywords: endoscopic, release, plantar fascia, resistant chronic heel pain Importance of StudyChronic plantar heel pain is one of the most common conditions affecting the foot, by an experimental descriptive study conducted to evaluate the results of endoscopic release of plantar fascia in resistant cases of heel pain, and concluded that endoscopic release of plantar fascia as a positive therapeutic method that is used in cases of resistant chronic heel pain.

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“…In the 1980s, extracorporeal shock wave lithotripsy was first used for the treatment of urolithiasis [7]. Orthopaedics then used extracorporeal shock wave therapy (ESWT) to treat non-union fractures, tendinopathies, chronic epicondylitis [8], myofascial pain syndrome [9], plantar fasciitis [10], musculoskeletal disorders [11] and osteonecrosis [12]. The first application of ESWT in dermatology was in recalcitrant skin ulcers [13,14].…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal Shock Wave Therapy for Injection Site Panniculitis in Multiple Sclerosis Patients

Stieger

Schmid²,

Yawalkar³

et al. 2014

Dermatology

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Background: Painful cutaneous injection site reactions may hamper treatment with interferon β (IFN-β) and glatiramer acetate (GA) in multiple sclerosis (MS) patients. Objective: To maintain therapy adherence, efficient therapeutic modalities for these subcutaneous inflammatory lesions are urgently needed. We tested the application of local extracorporeal shock wave therapy (ESWT). Methods: We applied 5 sessions of ESWT to 8 patients suffering from MS who had developed painful panniculitis at the injection sites of either IFN-β or GA. Clinical outcomes, i.e. pain reduction and regression of induration, were assessed 3 and 6 months after completion of the ESWT using a visual analogue score. Results: All patients showed both significant pain reduction and reduction of the skin induration in the treated lesions, while in untreated control lesions there was no improvement. Conclusion: ESWT proved to be a non-invasive, safe and efficient physical treatment modality for injection-induced painful cutaneous side effects of disease-modifying drugs in MS.

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Resistant plantar fasciopathy: shock wave versus endoscopic plantar fascial release

Cited by 42 publications

References 38 publications

Long-Term Outcome of Open Plantar Fascia Release

Long-Term Outcome of Open Plantar Fascia Release

Evaluation of the Results of Endoscopic Release of Plantar Fascia in Cases of Resistant Chronic Heel Pain

Extracorporeal Shock Wave Therapy for Injection Site Panniculitis in Multiple Sclerosis Patients

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