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Med J Islam Repub Iran. 2016 Jul 23;30:401. eCollection 2016.

Dry needling in patients with chronic heel pain due to plantar fasciitis: A single-blinded randomized clinical trial.

Author information

1
MD, Associate Professor, Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. binasadat@yahoo.com.
2
MD, Assistant Professor, Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, Iran University of Medical Sciences, Tehran, Iran. arashbabaie@gmail.com.
3
MD, General Physician, Tabriz University of Medical Sciences, Tabriz, Iran. vahide.abediny@gmail.com.

Abstract

BACKGROUND:

This study examined the effects of dry needling on chronic heel pain due to plantar fasciitis.

METHODS:

During this single-blinded clinical trial, 20 eligible patients were randomized into two groups: A case group treated with dry needling and a control group. Patients' plantar pain severity, (using modified visual analog scale [VAS] scoring system), range of motion of ankle joint in dorsiflexion [ROMDF] and plantar extension[ROMPE] and foot function index (using standard questionnaires of SEM5 and MDC7) were assessed at baseline, four weeks after intervention and four weeks after withdrawing treatment. Independent sample t-test, Mann-Whitney U test, paired t-test, Wilcoxon signed rank tests, and chi square test were used for data analysis.

RESULTS:

The mean VAS scores in the case group was significantly lower than the control group after four weeks of intervention (p<0.001). Comparison of the ROMDF and ROMPE did not reveal any significant changes after four weeks of intervention in the case and control groups (p=0.7 and p=0.65, respectively). The mean of MDC7 and SEM5 scores in the case group were significantly lower than the control group following four weeks of intervention (p<0.001).

CONCLUSION:

Despite the insignificant effect on ROMDF and ROMPE, trigger point dry needling, by improving the severity of heel pain, can be used as a good alternative option before proceeding to more invasive therapies of plantar fasciitis.

KEYWORDS:

Chronic heel pain; Dry needling; Myofascial trigger points; Plantar fasciitis

PMID:
27683642
PMCID:
PMC5038993

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