Steroid injection for heel pain: evidence of short-term effectiveness. A randomized controlled trial

Crawford, Fay; Atkins, Dianne L.; Young, Phillip M.; Edwards, Jayne E

doi:10.1093/rheumatology/38.10.974

Cited by 171 publications

(123 citation statements)

References 12 publications

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“…All of the included studies compared corticosteroid injection and placebo injection in the treatment of plantar fasciitis. Two studies were performed in UK (7,10), one in Australia (8) and one in Kenya (9). The patients in the included studies were middle-aged and elderly, with an average age of between 43.1 and 58.2 years.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…The follow-up duration varied among the included studies, and the results were pooled based on different follow-up durations. The VAS scores after one, two and three month(s) were reported in three (7-9), two (8,9) and three (7,8,10) studies, respectively. The results showed that pain relief was achieved after one month by corticosteroid injection (SMD, -0.32; 95% CI, -0.59--0.06; P=0.02) (Fig.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…At present, several published randomized controlled trials (RCTs) (7)(8)(9)(10) have compared the efficacy of corticosteroid injection with that of placebo injection for the management of plantar fasciitis; however, the efficacy of corticosteroid injection remains controversial. The present meta-analysis was performed to determine the efficacy of corticosteroid versus placebo injection for the treatment of plantar fasciitis.…”

Section: Introductionmentioning

confidence: 99%

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Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials

et al. 2015

Experimental and Therapeutic Medicine

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Abstract. The aim of this meta-analysis was to determine the efficacy of corticosteroid versus placebo injection for the treatment of plantar fasciitis. Databases (Medline, Embase, the Cochrane Library and Google Scholar) and study references were searched for randomized controlled trials comparing corticosteroid with placebo injection for plantar fasciitis. Studies that met the inclusion criteria were selected for the analysis. The risk of bias tool was used for the methodological assessment. Outcomes including visual analogue score (VAS) and plantar fascia thickness (PFT) were extracted and pooled. Egger's test was used to detect publication bias. The evidence quality was assessed by the Grading of Recommendations Assessment, Development and Evaluation system. Statistical analysis was performed using RevMan 5.2. A total of four studies with 289 patients were included in the analysis. Compared with the placebo, corticosteroid injection provided better pain relief after one month [standardized mean difference (SMD), -0.32; 95% confidence interval (CI), -0.59--0.06); P=0.02). No difference was detected with respect to the VAS after two months (SMD, -0.04; 95% CI, -0.35-0.27; P= 0.79) or three months (SMD, 95% CI, P=0.15) or to the PFT (MD, 0.70; 95% CI, P= 0.20), although a tendency of favoring corticosteroid injection was observed. No obvious publication bias was detected. In conclusion, corticosteroid injection may provide pain relief for a short period of time, but the efficacy may disappear with the progression of time.

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Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials

et al. 2015

Experimental and Therapeutic Medicine

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“…[20][21][22][23][24] In a study by Li et al, [20] treatment with steroid injections had-a significant effect only at the 1-month, and not the 6-or 12-month, follow-ups. In a randomized controlled study involving 106 patients, Crawford et al [21] reported that CS injections were superior to placebo at 1 month, but not at subse- PAIN A RI quent follow-up assessments. In another randomized study, Ball et al [22] reported that CS injection had short-and medium-term benefits in a study involving 65 patients with plantar fasciitis.…”

Section: Discussionmentioning

confidence: 99%

Short-term efficacy of joint and soft tissue injections for musculoskeletal pain: An interventional cohort study

Sucuoğlu

Özbayrak

Uludağ

et al. 2016

Agri

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SummaryObjectives: Musculoskeletal injections (MIs) are frequently used in conservative treatment-resistant cases. Joint or soft tissue (ST) corticosteroid (CS) or local anesthetic (LA) injections can be used to relieve musculoskeletal pain. Assessed in the present study was the short-term efficacy of MIs for pain relief, as was the relative efficacy of injections in various joint and ST sites. Methods: An interventional prospective cohort design was employed in the present study. Joint or ST injections for musculoskeletal pathologies were performed in patients over 18 years of age who were resistant to conservative treatment methods. Pain during rest and activity were evaluated using visual analog scale (VAS) by different clinicians prior to treatment and 3 weeks after. At the end of the study, efficacy at 7 injection sites (myofascial trigger points, shoulder, knee, lateral epicondyle, plantar fascia, lumbar, and coccyx regions) was analyzed. Results: Injections were administered to 225 of the 250 patients included. A total of 128 patients, of whom 94 were female, completed the study. Resting VAS values before and after treatment were 4.35±1.49 and 1.63±1.74, respectively. Activity VAS values before and after treatment were 8.41±1.33 and 4.04±2.37, respectively. Changes in resting and activity VAS values were significant (p<0.005). Significant reductions in pain were observed at all injection sites following treatment. Conclusion: Significant improvement in pain scores was observed 3 weeks after injections among all injection sites. LA or CS injections can be used safely and efficiently for pain relief over short time periods.Keywords: Injection; joint; soft tissue; pain; rehabilitation. ÖzetAmaç: Muskuloskeletal enjeksiyonlar konservatif tedaviye dirençli olgularda sıklıkla kullanılmaktadır. Eklem veya yumuşak doku (YD), kortikosteroid (KS) veya lokal anestezik (LA) enjeksiyonları kas-iskelet ağrısını gidermek için kullanılabilir. Bu çalış-mada, Mİ'ların farklı eklem ve YD bölgelerinde ağrı tedavisi üzerine kısa dönem etkinliği değerlendirildi. Gereç ve Yöntem: Bu çalışma, girişimsel prospektif kohort olarak tasarlandı. Konservatif tedavi yöntemlerine dirençli 18 yaş üzeri hastalara, kas iskelet patolojilerine göre eklem ve YD enjeksiyonları yapılmıştır. Hastaların, istirahat ve aktivite sırasındaki ağrıları başka bir doktor tarafından visual analog skalası (VAS) ile tedavi öncesi, tedavi sonrası 3. haftada değerlendirildi. Çalış-manın sonunda, yedi enjeksiyon bölgesine göre (miyofasyal tetik noktalar, omuz, diz, lateral epikondil, plantar fasya, lomber ve kuyruk sokumu) analiz yapıldı. Bulgular: Enjeksiyon çalışmaya dahil edilen 250 hastanın 225'ine uygulandı. 94'ü kadın, toplam 128 hasta çalışmayı tamamladı. Tedavi öncesi ve sonrası istirahat VAS değerleri sırasıyla 4.35±1,49 ve 1,74±1,63 idi. Tedavi öncesi ve sonrası aktivite VAS değerleri sırasıyla 8.41±1.33 ve 4.04±2,37 idi. İstirahat ve aktivite VAS değerlerinde değişiklikler anlamlıydı (p<0.05). Ayrıca ağrıdaki düzelme tedavi sonrası tüm enjeksiyon böl...

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“…Although there are evidences of therapeutic ultrasound, laser and iontophoresis being used as a treatment method for plantar fasciitis [14,15], the best results have been found with extracorporeal shock wave therapy (ESWT) [16]. ESWT uses pulses of high-pressure sound waves on damaged tissue to relieve pain associated with PF.…”

Section: Electrotherapymentioning

confidence: 99%

Plantar Fasciitis: A Concise View on Physiotherapy Management

Dabadghav¹

2016

Clin Res Foot Ankle

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Plantar fasciitis is degenerative tendinosis of the plantar fascia. It is the most common cause of heel pain. It affects approximately 1 in 10 people in the world. The symptoms associated with plantar fasciitis are pain and tenderness on the inferior aspect of the calcaneum. Most of the cases respond to conservative treatment. The treatment options available are electrotherapy, manual therapy, exercises, taping, orthosis and footwear modifications. Most of the cases resolve in 12-18 months of treatment.

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Steroid injection for heel pain: evidence of short-term effectiveness. A randomized controlled trial

Abstract: A steroid injection can provide relief from heel pain in the short term. There appears to be no increase in patient comfort from anaesthetizing the heel prior to infiltration.

Cited by 171 publications

References 12 publications

Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials

Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials

Short-term efficacy of joint and soft tissue injections for musculoskeletal pain: An interventional cohort study

Plantar Fasciitis: A Concise View on Physiotherapy Management

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