Extracorporeal shockwave therapy versus corticosteroid injection in chronic plantar fasciitis
DOI:
https://doi.org/10.1016/j.rccot.2017.07.004Keywords:
plantar fasciitis, extracorporeal shock wave therapy, steroid injection, local anesthesiaAbstract
Background: Chronic plantar fasciitis (CPF) is a painful condition where the primary goal of treatment is relieve the pain and restore function. Extracorporeal shockwaves therapy (ESWT) has shown efficacy in the treatment of plantar fasciitis with reported few side effects compared to other conservative methods. The purpose of the study is to compare the response to treatment of ESWT against corticosteroid infiltration for PF using VAS (Visual Analogue Scale) and AOFAS (American Orthopedic Foot and Ankle Society’s) hind foot scales.
Materials & methods: Sixty patients with PF were randomized to receive ESWT (group A, n = 36) or corticosteroid infiltration (group B, n = 24) through a program of random number generation. They were evaluated with VAS and AOFAS hind foot scales before treatment, immediately after treatment and at 3, 6 and 12 months post treatment.
Results: The two groups were similar in demographic characteristics. Both groups improved during treatment and follow-up period. The mean VAS decreased from 8 to 1.68 (p < 0.001) in group A and 6.75 to 1.31 (p < 0.001) in group B and presented a mean increase in AOFAS scale from 50.3 to 67.8 (p < 0.001) in group A and 51.3 to 66 (p < 0.001) in group B at 12 months follow up. At 3 months, the B group presented a lower average score in VAS when compared with patients in group A (1.12 vs 1.96; p = 0.035). Finally, follow-up improvement was seen in both groups with no significant differences.
Discussion: ESWT and corticosteroid injections are both effective in reducing symptoms and increased functionality when applied to patients diagnosed with CPF.
Evidence level: II.
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References
Rosenbaum AJ, Dipreta JA, Misener D. Plantar heel pain. Med Clin North Am. 2014;98:339-52. https://doi.org/10.1016/j.mcna.2013.10.009
Cutts S, Obi N, Pasapula C, Chan W. Plantar fasciitis. Ann R Coll Surg Engl. 2012;94:539-42. https://doi.org/10.1308/003588412X13171221592456
Puttaswamaiah R, Chandran P. Degenerative plantar fasciitis: A review of current concepts. Foot. 2007;17:3-9. https://doi.org/10.1016/j.foot.2006.07.005
Crawford F, Thomson C. Interventions for treating plantar heel pain. Cochrane Database Syst Rev. 2003:CD000416. https://doi.org/10.1002/14651858.CD000416
Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int. 2004;25:303-10. https://doi.org/10.1177/107110070402500505
Uden H, Boesch E, Kumar S. Plantar fasciitis - to jab or to support? A systematic review of the current best evidence. J Multidiscip Healthc. 2011;4:155-64. https://doi.org/10.2147/JMDH.S20053
Ball EM, McKeeman HM, Patterson C, Burns J, Yau WH, Moore OA, et al. Steroid injection for inferior heel pain: a randomised controlled trial. Ann Rheum Dis. 2013;72:996-1002. https://doi.org/10.1136/annrheumdis-2012-201508
Mulherin D, Price M. Efficacy of tibial nerve block, local steroid injection or both in the treatment of plantar heel pain syndrome. Foot. 2009;19:98-100. https://doi.org/10.1016/j.foot.2009.01.003
Buccilli TA Jr, Hall HR, Solmen JD. Sterile abscess formation following a corticosteroid injection for the treatment of plantar fasciitis. J Foot Ankle Surg. 2005;44:466-8. https://doi.org/10.1053/j.jfas.2005.07.020
Acevedo JI, Beskin JL. Complications of plantar fascia rupture associated with corticosteroid injection. Foot Ankle Int. 1998;19:91-7. https://doi.org/10.1177/107110079801900207
Dean BJ, Lostis E, Oakley T, Rombach I, Morrey ME, Carr AJ. The risks and benefits of glucocorticoid treatment for tendinopathy: a systematic review of the effects of local glucocorticoid on tendon. Semin Arthritis Rheum. 2014;43:570-6. https://doi.org/10.1016/j.semarthrit.2013.08.006
Ang TWA. The effectiveness of corticosteroid injection in the treatment of plantar fasciitis. Singapore Med J. 2015;56:423-32. https://doi.org/10.11622/smedj.2015118
Pribut SM. Current approaches to the management of plantar heel pain syndrome, including the role of injectable corticosteroids. J Am Podiatr Med Assoc. 2007;97:68-74. https://doi.org/10.7547/0970068
Porter MD, Shadbolt B. Intralesional corticosteroid injection versus extracorporeal shock wave therapy for plantar fasciopathy. Clin J Sport Med. 2005;15:119-24. https://doi.org/10.1097/01.jsm.0000164039.91787.dc
Berbrayer D, Fredericson M. Update on evidence-based treatments for plantar fasciopathy. PM R. 2014;6:159-69. https://doi.org/10.1016/j.pmrj.2013.08.609
Furia JP, Rompe JD, Cacchio A, Maffulli N. Shock wave therapy as a treatment of nonunions, avascular necrosis, and delayed healing of stress fractures. Foot Ankle Clin. 2010;15:651-62. https://doi.org/10.1016/j.fcl.2010.07.002
Wilner JM, Strash WW. Extracorporeal shockwave therapy for plantar fasciitis and other musculoskeletal conditions utilizing the Ossatron-an update. Clin Podiatr Med Surg. 2004;21:441-7. https://doi.org/10.1016/j.cpm.2004.03.002
Rompe JD, Schoellner C, Nafe B. Evaluation of low-energy extracorporeal shock-wave application for treatment of chronic plantar fasciitis. J Bone Joint Surg Am. 2002;84-A:335-41. https://doi.org/10.2106/00004623-200203000-00001
Perez M, Weiner R, Gilley JC. Extracorporeal shock wave therapy for plantar fasciitis. Clin Podiatr Med Surg. 2003;20:323-34. https://doi.org/10.1016/S0891-8422(03)00002-8
Thomas JL, Christensen JC, Kravitz SR, Mendicino RW, Schuberth JM, Vanore JV, et al. The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg. 2010;49 Suppl:S1-19. https://doi.org/10.1053/j.jfas.2010.01.001
Imamura M, Fischer AA, Imamura ST, Kaziyama HS, Carvalho AE, Salomao O. Treatment of myofascial pain components in plantar fasciitis speeds up recovery: Documentation by algometry. J Musculoskelet Pain. 1998;6:91-110. https://doi.org/10.1300/J094v06n01_07
Martin RL, Davenport TE, Reischl SF, McPoil TG, Matheson JW, Wukich DK, et al. Heel Pain-Plantar Fasciitis: Revision 2014. J Orthop Sports Phys Ther. 2014;44:A1-33. https://doi.org/10.2519/jospt.2014.0303
Rodrigues RC, Masiero D, Mizusaki JM, Imoto AM, Peccin MS, Cohen M, et al. Tradução, adaptação cultural e validação do "American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale". Acta Ortopédica Brasileira. 2008;16: 107-11. https://doi.org/10.1590/S1413-78522008000200009
Mellado-Romero M, Bravo-Giménez B, Martín López CM, Cano-Egea JM, Vilà, Rico J, Resines Érasun C. Tratamiento artroscópico de las lesiones osteocondrales de astrágalo: estudio de 73 casos. RECOT. 2013;57:224-30. https://doi.org/10.1016/j.recot.2013.03.006
Toomey EP. Plantar heel pain. Foot Ankle Clin. 2009;14:229-45. https://doi.org/10.1016/j.fcl.2009.02.001
Buchbinder R. Clinical practice. Plantar fasciitis. N Engl J Med. 2004;350:2159-66. https://doi.org/10.1056/NEJMcp032745
Lim AT, How CH, Tan B. Management of plantar fasciitis in the outpatient setting. Singapore Med J. 2016;57:168-71. https://doi.org/10.11622/smedj.2016069
Tong KB, Furia J. Economic burden of plantar fasciitis treatment in the United States. Am J Orthop. 2010;39:227-31.
Crawford F, Atkins D, Young P, Edwards J. Steroid injection for heel pain: evidence of short-term effectiveness. A randomized controlled trial. Rheumatoly (Oxford). 1999;38:974-7. https://doi.org/10.1093/rheumatology/38.10.974
Gudeman SD, Eisele SA, Heidt RS Jr, Colosimo AJ, Stroupe AL. Treatment of plantar fasciitis by iontophoresis of 0.4% dexamethasone. A randomized, double-blind, placebo-controlled study. Am J Sports Med. 1997;25:312-6. https://doi.org/10.1177/036354659702500307
Tsai WC, Wang CL, Tang FT, Hsu TC, Hsu KH, Wong MK. Treatment of proximal plantar fasciitis with ultrasound-guided steroid injection. Arch Phys Med Rehabil. 2000;81:1416-21. https://doi.org/10.1053/apmr.2000.9175
Speed CA. Extracorporeal shock-wave therapy in the management of chronic soft-tissue conditions. J Bone Joint Surg Br. 2004;86:165-71. https://doi.org/10.1302/0301-620X.86B2.14253
Wang CJ, Huang HY, Pai CH. Shock wave-enhanced neovascularization at the tendon-bone junction: an experiment in dogs. J Foot Ankle Surg. 2002;41:16-22. https://doi.org/10.1016/S1067-2516(02)80005-9
Rompe JD. Repetitive low-energy shock wave treatment is effective for chronic symptomatic plantar fasciitis. Knee Surg Sports Traumatol Arthrosc. 2007;15:107, author reply 8. https://doi.org/10.1007/s00167-006-0238-z
Rompe JD. Shock-wave therapy for plantar fasciitis. J Bone Joint Surg Am. 2005;87:681-2, author reply 2-3. https://doi.org/10.2106/00004623-200503000-00044
Malay DS, Pressman MM, Assili A, Kline JT, York S, Buren B, et al. Extracorporeal shockwave therapy versus placebo for the treatment of chronic proximal plantar fasciitis: results of a randomized, placebo-controlled, double-blinded, multicenter intervention trial. J Foot Ankle Surg. 2006;45: 196-210. https://doi.org/10.1053/j.jfas.2006.04.007
Gollwitzer H, Saxena A, DiDomenico LA, Galli L, Bouche RT, Caminear DS, et al. Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am. 2015;97:701-8. https://doi.org/10.2106/JBJS.M.01331
Ogden JA, Alvarez RG, Marlow M. Shockwave therapy for chronic proximal plantar fasciitis: a meta-analysis. Foot Ankle Int. 2002;23:301-8. https://doi.org/10.1177/107110070202300402
Sistermann R, Katthagen BD. [5-years lithotripsy of plantar of plantar heel spur: experiences and results-a follow-up study after 36.9 months]. Zeitschrift fur Orthopadie und ihre Grenzgebiete. 1998;136:402-6. https://doi.org/10.1055/s-2008-1053675
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