Treatment Outcomes of Corticosteroid Injection and Extracorporeal Shock Wave Therapy as Two Primary Therapeutic Methods for Acute Plantar Fasciitis: A Prospective Randomized Clinical Trial

Mardani-Kivi, Mohsen; Mobarakeh, Mahmoud Karimi; Hassanzadeh, Zabihallah; Mirbolook, Ahmadreza; Kamran, Ali; Ettehad, Hossein; Hashemi-Motlagh, Keyvan; Saheb-Ekhtiari, Khashayar; Fallah-Alipour, Keyvan

doi:10.1053/j.jfas.2015.04.026

Cited by 43 publications

(48 citation statements)

References 33 publications

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“…Although there are numerous advantages to using non‐invasive therapeutic devices, their efficacy has not yet been maximized. For example, a recent study comparing shock wave therapy and corticosteroid injection found corticosteroids significantly reduced pain in patients with plantar fasciitis . Although corticosteroids are commonly used as anti‐inflammatory pain reducers in orthopaedics, their safety is controversial, and they do not play a role in tissue healing.…”

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confidence: 99%

“…For example, a recent study comparing shock wave therapy and corticosteroid injection found corticosteroids significantly reduced pain in patients with plantar fasciitis. 4 Although corticosteroids are commonly used as anti-inflammatory pain reducers in orthopaedics, their safety is controversial, and they do not play a role in tissue healing. Therefore, the investigation of alternative non-invasive therapeutic technologies is desirable.…”

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confidence: 99%

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Pulsed electromagnetic field therapy improves tendon‐to‐bone healing in a rat rotator cuff repair model

Tucker

Cirone

Morris

et al. 2016

Journal Orthopaedic Research

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Rotator cuff tears are common musculoskeletal injuries often requiring surgical intervention with high failure rates. Currently, pulsed electromagnetic fields (PEMFs) are used for treatment of long-bone fracture and lumbar and cervical spine fusion surgery. No studies have investigated PEMF in healing soft tissue. Therefore, we investigated the effect of PEMF on rotator cuff healing using a rat rotator cuff repair model. We hypothesized that PEMF exposure following rotator cuff repair would improve tendon mechanical properties, tissue morphology, and alter in vivo joint function. 70 adult male Sprague-Dawley rats were assigned to three groups: bilateral repair with PEMF (n=30), bilateral repair followed by cage activity (n=30), uninjured control with cage activity (n=10). Rats in the surgical groups were sacrificed at 4, 8, and 16 weeks. Control group was sacrificed at 8 weeks. Passive joint mechanics and gait analysis were assessed over time. Biomechanical analysis and µCT was performed on left shoulders; histological analysis on right shoulders. Results indicate no differences in passive joint mechanics and ambulation. At 4 weeks the PEMF group had decreased cross-sectional area and increased modulus and maximum stress. At 8 weeks the PEMF group had increased modulus and more rounded cells in the midsubstance. At 16 weeks the PEMF group had improved bone quality. Therefore, results indicate that PEMF improves early tendon healing and does not alter joint function in a rat rotator cuff repair model. Statement of Clinical Significance PEMF exposure following rotator cuff repair improves early tendon healing.

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confidence: 99%

mentioning

confidence: 99%

Pulsed electromagnetic field therapy improves tendon‐to‐bone healing in a rat rotator cuff repair model

Tucker

Cirone

Morris

et al. 2016

Journal Orthopaedic Research

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“…They concluded that a higher accuracy of injection under US guidance could be the reason for better results in the guided group in comparison with the blinded group (15). Corticosteroid injection is one of the most effective and common applicable methods in the treatment of tendinopathies10 being used in many types of tendon inflammations and pathological conditions (17)(18)(19)(20). On the other hand, the use of US technology in musculoskeletal interventions has gained more interest in recent years (1,11,12).…”

Section: Discussionmentioning

confidence: 99%

A Randomized Prospective Comparative Study of Four Methods of Biceps Tendonitis Treatment: Ultrasound, Low-Level Laser + Ultrasound, Intra-Sheath, and Extra-Sheath Corticosteroid Guided Injection

et al. 2018

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Background: The aim of this study was to compare the therapeutic effects of four methods of ultrasound (US) alone or in combination with low-level laser therapy (LLLT) (L/US), intra (InCI), and extra (ExCI) sheath US-guided corticosteroid injection in the treatment of long head of the biceps (LHB) tendonitis. Methods: In a randomized clinical trial, patients with LHB tendonitis were enrolled in four groups (US, L/US, InCI, and ExCI). Pain using visual analogue scale (VAS) and shoulder performance according to Constant-Murley score (CMS) were evaluated at five visits of before, one week, one month, three months, and one year after treatment. Results: VAS and CMS scores were improved after treatment in all four groups and at all visits in comparison with before treatment. The VAS score in the one-week visit was lower in the InCI group than in all other groups, but it became similar to the score of the ExCI group after this visit and was significantly lower than the score of the US group one year after treatment. CMS was similar at all visits between InCI and ExCI. At one-week and one-month visits, significant differences were seen between the injection groups and the two other non-injection groups, but at the last visit, CMS of the InCI group was only significantly different from that of the US group. Conclusions: Although intrasheath corticosteroid injection under US guidance is an effective method for the treatment of LHB tendonitis, especially in the 1st week after treatment, extra sheath injection also has acceptable results. Using L/US as a less invasive treatment could be as effective as using corticosteroid injection in long-term.

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“…74,75 The level of evidence is low, and no recent studies have reported a significant clinical benefit of this method in PF treatment. [76][77][78] An elevated BMI is an established risk factor for PF. 79 Weight loss may, therefore, represent an interesting approach to resolve PF.…”

Section: Casts Devices and Immobilizationmentioning

confidence: 99%

<p>Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management</p>

Gariani¹,

Waibel²,

Viehöfer³

et al. 2020

DMSO

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Plantar fasciitis (PF) is a common degenerative disorder and a frequent cause of heel pain, mostly affecting patients in their fourth and fifth decades. Diabetic patients are particularly at risk due to the presence of common risks and co-morbidities such as obesity or a sedentary lifestyle. The diagnosis of PF is mainly clinical. Imaging is not recommended for the initial approach. The initial management is conservative and should include physiotherapy, off-loading, stretching exercises, and nonsteroidal anti-inflammatory drugs. Glucocorticoid injections or surgery is an option at a later stage in recalcitrant cases. The overall management of PF does not differ between patients with diabetic foot problems and non-diabetic patients, although the details can differ. This narrative review summarizes the state of the art in terms of the risk factors, pathophysiology, diagnosis, assessment, and management of PF in diabetic patients.

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Treatment Outcomes of Corticosteroid Injection and Extracorporeal Shock Wave Therapy as Two Primary Therapeutic Methods for Acute Plantar Fasciitis: A Prospective Randomized Clinical Trial

Cited by 43 publications

References 33 publications

Pulsed electromagnetic field therapy improves tendon‐to‐bone healing in a rat rotator cuff repair model

Pulsed electromagnetic field therapy improves tendon‐to‐bone healing in a rat rotator cuff repair model

A Randomized Prospective Comparative Study of Four Methods of Biceps Tendonitis Treatment: Ultrasound, Low-Level Laser + Ultrasound, Intra-Sheath, and Extra-Sheath Corticosteroid Guided Injection

<p>Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management</p>

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