Extracorporeal shockwave therapy (ESWT) in patients with chronic proximal plantar fasciitis.

Dietrich S Hammer, Stefan Rupp, Andreas Kreutz, Dietrich Pape, Dieter Kohn, Romain Seil

Journal: Foot & ankle international 2002;23(4):309-13

PMID: 11991475

Abstract

The aim of this study was to compare the effect of extracorporeal shockwave therapy (ESWT) in patients with chronically painful proximal plantar fasciitis with a conventional conservative treatment consisting of nonsteroidal anti-inflammatory drugs, heel cup, orthoses and/or shoe modifications, local steroid injections and electrotherapy. Forty-seven patients (49 feet) with a previously unsuccessful conservative treatment of at least six months were randomized to two groups. Treatment of Group 1 (25 heels) started immediately with three sessions of ESWT (3000 shockwaves/session of 0.2 mJ/mm2) at weekly intervals. In the patients of Group 2 (24 heels) treatment was continued for 12 weeks. After this period they were treated using the protocol of Group 1. No significant difference of pain and walking time after further non-ESWT treatment (three months) was seen. Six months after ESWT pain decreased by 64% to 88% on the visual analog scale (VAS) and the comfortable walking time had increased significantly in both groups.

Address: Orthopaedic University Hospital, Homburg/Saar, Germany. [email protected]

DOI: 10.1177/107110070202300403

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MeSH Terms: Adult, Anti-Inflammatory Agents, Non-Steroidal, Chronic Disease, Exostoses, Fasciitis, Female, Foot Diseases, Heel, Humans, Iontophoresis, Lithotripsy, Male, Middle Aged, Orthotic Devices, Pain, Pain Management, Pain Measurement, Prospective Studies, Statistics, Nonparametric