Treatment of chronic plantar fasciitis with pulsed radio frequency energy therapy

Michel, R

doi:10.1016/j.foot.2009.10.008

Cited by 1 publication

(1 citation statement)

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“…Treatment for this syndrome is usually conservative and is directed toward decreasing the pain via a nonsteroidal anti-inflammatory drug and a reduction in activity level 3 ) . Several studies have attempted to decrease pain in the heel compared to this type of conservative treatment using extracorporeal shock wave 4 ) or pulsed radio frequency energy 5 ) as well as conservative treatment in combination with extracorporeal shockwave therapy 6 , 7 ) or with contrast baths, stretching exercises, or wearing low-heeled shoes 8 ) . During treatment, the level of pain in each patient was determined using a telephone survey 3 ) or by manual palpation 1 ) .…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of raising the heel height of shoes to reduce heel pain in patients with calcaneal spurs

Wibowo

Harahap²,

Widodo

et al. 2017

J Phys Ther Sci

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[Purpose] To investigate the effect of heel height on the distribution of plantar foot force and heel pain in patients with a heel spur. [Subjects and Methods] Plantar force was measured using 8 force sensors in 16 patients (3 men, 13 women), with symptomatic heel spur for 4 heel heights (0–4 cm). Sensors were located at the hallux (T1); medial to lateral metatarsals (M1 through M3), mid-foot (MF); and at the central, lateral, and medial heel (CH, LH, and MH). Pain was evaluated using the minimum compression force that caused pain and was measured using an algometer. [Results] Load bearing shifted from the heel (CH) to the mid-foot (MF) and hallux (T1) with increasing heel height. Raising the heel from 2 to 3 cm reduced the magnitude of load bearing, relative to the minimum compression force for pain, by 3.70% at the LH and 2.35% at the MH. Excellent clinical outcomes, defined by a 70–100% decrease in pain, were achieved in 10/16 participants with the use of a 2-cm and 3-cm heel height in men and women, respectively. [Conclusion] Increasing heel height effectively decreases the plantar force on the heel during weight-bearing activities.

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