Format

Send to

Choose Destination

See 1 citation found using an alternative search:

Muscles Ligaments Tendons J. 2013 Jan 21;2(4):312-6. Print 2012 Oct.

Comparison between extracorporeal shockwave therapy, placebo ESWT and endoscopic plantar fasciotomy for the treatment of chronic plantar heel pain in the athlete.

Author information

1
Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA, USA.

Abstract

Plantar fasciitis can be a chronic and debilitating condition affecting athletes of all levels. The aim of this study is to compare treatment outcomes for the treatment of chronic plantar fasciitis in athletes, comparing focused extra corporeal sound wave therapy (ESWT) and the surgical endoscopic plantar fasciotomy (EPF). A total of 37 eligible patients were enrolled in the study between May 2006 and December 2008 at a single institution. Patients were either enrolled in the surgical group, or to the ESWT group which included a placebo controlled, randomized group (P-ESWT). Pre and post Visual Analog Scores (VAS) and Roles and Maudlsey (RM) scores were recorded and compared between the three groups. The patient's return to activity (RTA) was also documented. The results showed statistical improvement within the EPF and ESWT groups with both VAS & RM scores, with EPF being significantly better than both ESWT and P-ESWT in terms of treatment outcomes. Patients enrolled in the ESWT were able though to continue with their exercise regimen, while the EPF group was able to return to their athletic activity in an average of 2.8 months. In conclusion, EPF and ESWT are both effective forms of treatment for chronic plantar fasciitis; EPF being superior in outcomes yet ESWT treatment could be preferable since the athlete can remain active during treatment.

LEVEL OF EVIDENCE:

II.

KEYWORDS:

ESWT; athlete; endoscopic plantar fasciotomy; plantar fasciitis

PMID:
23738317
PMCID:
PMC3666533

Supplemental Content

Full text links

Icon for PubMed Central
Loading ...
Support Center