Should foot orthoses be used for plantar heel pain?

Whittaker, Glen A; Munteanu, Shannon E.; Menz, Hylton B.; Landorf, Karl B

doi:10.1136/bjsports-2018-099426

Cited by 5 publications

(5 citation statements)

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“…as a PHP treatment in the included study [62]. There was no significant difference between ESWT and stretching versus CFO and stretching, however CFO or standard orthotics are recommended as an earlier intervention strategy than ESWT [73]. Although systematic reviews have suggested no benefits of standardised orthotics for PHP [74], recent RCTs have shown effectiveness of CFO for PHP [75,76].…”

Section: Discussionmentioning

confidence: 90%

The effectiveness of combined extracorporeal shockwave therapy and exercise for plantar heel pain: A systematic review

Burton¹

2020

Preprint

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Background: Plantar heel pain (PHP) is a common musculoskeletal disorder, with both extracorporeal shockwave therapy (ESWT) and specific exercise such as plantar fascia specific stretching shown to be effective treatments. This review aimed to evaluate the effectiveness of combined ESWT and exercise interventions versus other interventions in treating PHP. Methods: A systematic review of effectiveness was conducted, adhering to the PRISMA guidelines. Five databases were searched for studies published between January 2000 and March 2020, with 12 studies meeting the inclusion criteria. The Grading of Recommendations Assessment Development and Evaluation (GRADE) framework was used to determine quality of recommendations. Results: The 12 included studies (n = 861) compared ESWT and stretching with various other treatments. Due to clinical and methodological heterogeneity, pooling of data was not possible, and a narrative synthesis of findings was provided. There was high quality evidence that combined ESWT and stretching interventions are more effective than those using either alone or botulinum toxin injections, and low-quality evidence of superiority versus ultrasound and stretching. There was moderate quality evidence that combined ESWT and stretching is no more effective than corticosteroid injection (CSI), and high quality evidence that the combination is no more effective than blood-derived injection therapies, custom orthotics or low-level laser therapy (LLLT) combined with stretching. There is high quality evidence that the use of topical corticosteroid or laser therapy in combination with ESWT and stretching increases effectiveness compared to ESWT and stretching alone, and moderate quality evidence for the additive effective of dry needling. Conclusions: Combined ESWT and stretching treatments are effective and may be recommended where they are available and practical to implement. Further high-quality studies with larger sample sizes and longer follow-up durations comparing combined interventions for PHP, including different exercise types such as resistance training are required.

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Section: Discussionmentioning

confidence: 90%

The effectiveness of combined extracorporeal shockwave therapy and exercise for plantar heel pain: A systematic review

Burton¹

2020

Preprint

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“…El efecto de las ortesis plantares en el tratamiento de la fasciopatía plantar sigue siendo un aspecto controvertido actualmente. Los estudios muestran resultados controvertidos en los que es difícil sacar conclusiones definitivas al respecto 7,8,11 . El presente trabajo muestra que las plantillas a medida realizadas en polipropileno con elemen-Excluidos (n = 10) Perdidos en el seguimiento (n = 8) (no acudieron a revisión de tos de descarga específica podrían ser eficaces para la reducción del dolor en casos de fasciopatía plantar con componente compresivo que se localiza en el proceso medial de la tuberosidad posterior de calcáneo.…”

Section: Discussionunclassified

“…A pesar de que en los últimos años ha crecido la investigación en torno a esta patología, no existen todavía argumentos claros para el uso de ortesis plantares como línea de tratamiento en el dolor asociado a fasciopatía plantar. La calidad de la evidencia publicada es baja-moderada en la mayoría de los casos y, aunque a medio plazo el uso de plantillas parece ser eficaz para reducir el dolor, a corto y largo plazo su papel es mucho más controvertido [7][8][9] . Igualmente, el uso de plantillas a medida en estos pacientes no ha mostrado efectos superiores en la reducción del dolor al uso de plantillas estándar o prefabricadas 10,11 .…”

Section: Introductionunclassified

Efecto de las ortesis plantares rígidas a medida en la fasciopatía plantar compresiva: serie de casos prospectiva.

Huerta¹,

Villa²,

Fernández³

2022

Rev. Esp. Pod.

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Este es un artículo Open Access bajo la licencia CC Reconocimiento 4.0 Internacional (www.creativecommons.org/licenses/by/4.0/). ResumenObjetivos: No existen todavía evidencias sólidas para el uso de ortesis plantares en el tratamiento de pacientes con dolor de talón asociado a fasciopatía plantar. El presente trabajo valora el efecto de un tipo de ortesis plantar a medida con elementos específicos de descarga en el dolor y el grosor de la fascia plantar.Pacientes y métodos: Se realizó estudio prospectivo de serie de casos en pacientes con fasciopatía plantar unilateral con tratamiento conservador por medio de ortesis plantares a medida rígidas en polipropileno con molde en semicarga y con descarga específica del proceso medial de la tuberosidad posterior del calcáneo y aumento de la cazoleta posterior. Se midió el dolor mediante escala analógica visual y grosor de la fascia plantar en 4 localizaciones antes del tratamiento y durante el tratamiento al mes, tres y seis meses.Resultados: De los 42 pacientes inicialmente reclutados hubo pérdidas hasta llegar a 18 pacientes a los 6 meses. Se observó una disminución del dolor al mes, a los 3 meses y a los 6 meses, que fue estadísticamente significativa en todas las comparaciones. Se observaron diferencias estadísticamente significativas en el grosor de la fascia plantar entre la valoración inicial y al sexto mes con disminución del grosor.Conclusiones: A pesar de no tratarse de un ensayo clínico aleatorizado, los resultados mostraron una reducción estadísticamente significativa del dolor al primer, tercer y sexto mes, sugiriendo que las plantillas con este tipo de prescripción específica podrían ser efectivas en la mejoría sintomática de estos pacientes.

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“…29 There was no significant difference between ESWT and stretching versus CFO and stretching; however CFO or standard orthotics are recommended as an earlier intervention strategy over ESWT. 37 Although earlier systematic reviews have suggested no benefits of standardised orthotics for PHP, recent RCTs have demonstrated the effectiveness of CFO for PHP. 38 The effectiveness of combined ESWT and stretching was also found to be increased when topical corticosteroid was used prior to ESWT and when LLLT was used following ESWT.…”

Section: Eswt and Stretching Combined With Dry Needlingmentioning

confidence: 99%

The Effectiveness of Combined Extracorporeal Shockwave Therapy and Exercise for Plantar Heel Pain: A Systematic Review

Burton¹,

McCormack²

2022

Explor Res Hypothesis Med

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Plantar heel pain (PHP) is a common musculoskeletal disorder that is effectively treated with extracorporeal shockwave therapy (ESWT) and exercise. This review aimed to evaluate the effectiveness of combined ESWT and exercise versus other interventions in treating PHP. A systematic review of effectiveness was conducted, adhering to the PRISMA guidelines. Five databases were searched for studies published between January 2000 and September 2021 with 12 studies (n = 861) meeting the inclusion criteria, which compared ESWT and stretching to various other treatments. High-quality evidence indicates that combined ESWT and stretching interventions are more effective than their individual use or botulinum toxin injections, and low-quality evidence of superiority versus ultrasound and stretching. There was moderate quality evidence that combined ESWT and stretching is no more effective than corticosteroid injection, and high-quality evidence that the combination is no more effective than blood-derived injection therapies, custom orthotics, or low-level laser therapy combined with stretching. There is high-quality evidence that topical corticosteroid or laser therapy in combination with ESWT and stretching increases its effectiveness and moderate-quality evidence for the additive effective of dry needling. Overall, combined ESWT and stretching treatments are effective and may be recommended where they are available and practical to implement. Further high-quality studies comparing combined interventions for PHP, including different exercise activities like resistance training, are required. PROSPERO registration number: CRD42020213286

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Should foot orthoses be used for plantar heel pain?

Cited by 5 publications

References 5 publications

The effectiveness of combined extracorporeal shockwave therapy and exercise for plantar heel pain: A systematic review

The effectiveness of combined extracorporeal shockwave therapy and exercise for plantar heel pain: A systematic review

Efecto de las ortesis plantares rígidas a medida en la fasciopatía plantar compresiva: serie de casos prospectiva.

The Effectiveness of Combined Extracorporeal Shockwave Therapy and Exercise for Plantar Heel Pain: A Systematic Review

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