Treatment of chronic plantar fasciitis with extra corporeal shock wave therapy: ultrasonographic morphological aspect and functional evaluation

Androsoni, Roberto; Netto, Alfonso Apostólico; Macedo, Rafael Rocha; Fasolin, Ricardo Pozzi; Boni, Guilherme; Moreira, Rodrigo Fileto Gavaldão

doi:10.1016/j.rboe.2013.12.019

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…In the study by Androsoni, 3 it was revealed that there is efficacy in the use of ESWT in plantar fasciitis. Thirty patients (36 feet) resistant to other conservative treatments were recruited.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of extracorphorus shock wave therapy in musculoskeletal pathologies

Bageto¹,

Moreira²

2020

IPMRJ

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have great penetrating power in the tissues (10 cm) and impact force (0.28-0.6 mj/mm 2), providing mechanical and biological effects, such as stimulation of tissue neovascularization and destruction of fibrosis. Radials are pneumatic waves produced by air compressions, which are transmitted radially with shorter penetration (3 cm), less impact (0.02-0.08 mJ / mm2) and limited biological effect. They are effective in more superficial musculoskeletal conditions. Nevertheless, they cause disintegration of calcifications and fibrosis and increase local blood circulation. 4 Contraindications to ESWT are: pregnancy, infection in the area to be treated, neoplasms, children under 18 years of age, epiphysis in adolescents, ribs, bones vertebral and skull disorders, coagulation disorders and use of anticoagulant medication. 5 Its side effects are repeatedly transient and are associated with the energy density of the wave, which usually occur when it is higher. Nausea / dizziness, migraines, pain during treatment, petechiae and redness of the skin can be mentioned. Other side effects include error in the direction of the waves, which can result in nerve or vascular damage. 6 Studies have been developed with the purpose of investigating the action of ESWT in different human tissues, verifying the intensity, depth, interval between applications, side effects and effectiveness. Treatment is indicated for patients with chronic pain for at least three months and who have not obtained results with other conservative treatments, such as physical therapy, medications, infiltrations and orthoses. The procedure is not adopted in cases of acute pathologies, and its protocol may vary according to the type of wave, and the focal ones, as they are more intense and deeper than the radias, require fewer sessions. 2 This study aims to investigate the effectiveness of ESWT in diseases of the musculoskeletal system, thus being able to assist professionals in the field of orthopedics to understand the effects of this technique and its use in treatments where there has been no success with conservative methods.

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Section: Resultsmentioning

confidence: 99%

“…The increase in angiogenesis (neovascularization) has also been proven after experimental microscopic analysis on tissues previously submitted to treatment. 3 It is subdivided into two types: focal and radial. The focal points of the posterior chain.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of extracorphorus shock wave therapy in musculoskeletal pathologies

Bageto¹,

Moreira²

2020

IPMRJ

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“…Previous studies involving other tendon locations have also used different numbers of treatment sessions, with one study using up to 10 ESWT sessions performed on alternate days for patients with tennis elbow, 50 and several studies with patients with plantar fasciitis have reported using up to 6 ESWT sessions. [51][52][53] This evidence from other tendon sites suggests that an increased number of sessions may be safe, but there is no evidence as yet to demonstrate that these protocols are more effective.…”

Section: Considerationsmentioning

confidence: 99%

Three Sessions of Radial Extracorporeal Shockwave Therapy Gives No Additional Benefit Over “Minimal-Dose” Radial Extracorporeal Shockwave Therapy for Patients With Chronic Greater Trochanteric Pain Syndrome: A Double-Blinded, Randomized, Controlled Trial

Wheeler

Dudson

Calver

et al. 2021

Clinical Journal of Sport Medicine

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To investigate the outcomes following 3 weekly sessions of radial extracorporeal shockwave therapy (rESWT) in patients with chronic greater trochanteric pain syndrome (GTPS) presenting to an NHS Sports Medicine Clinic in the United Kingdom. Design: Double-blinded randomized controlled trial. Setting: A single NHS Sports Medicine Clinic, in the United Kingdom. Patients: One hundred twenty patients in an NHS Sports Medicine clinic presenting with symptoms of GTPS who had failed to improve with a minimum of 3 months of rehabilitation were enrolled in the study and randomized equally to the intervention and treatment groups. Mean age was 60.6 6 11.5 years; 82% were female, and the mean duration of symptoms was 45.4 6 33.4 months (range, 6 months to 30 years). Interventions: Participants were randomized to receive either 3 sessions of ESWT at either the "recommended"/"maximally comfortably tolerated" dose or at "minimal dose." All patients received a structured home exercise program involving flexibility, strength, and balance exercises. Main Outcome Measures: Follow-up was at 6 weeks, 3 months, and 6 months. Outcome measures included local hip pain, validated hip PROMs (Oxford hip score, non-arthritic hip score, Victorian Institute of Sport assessment questionnaire), and wider measures of function including sleep (Pittsburgh sleep quality index) and mood (hospital anxiety and depression scale). Results: Results were available for 98% of patients at the 6-month period. There were statistically significant within-group improvements in pain, local function, and sleep seen in both groups. However, fewer benefits were seen in other outcome measures, including activity or mood. Conclusion: There were no time 3 group interaction effects seen between the groups at any time point, indicating that in the 3 sessions, the "recommended-dose" rESWT had no measurable benefit compared with "minimal dose" rESWT in this group of patients with GTPS. The underlying reason remains unclear; it may be that rESWT is ineffective in the treatment of patients with chronic GTPS, that "minimal dose" rESWT is sufficient for a therapeutic effect, or that a greater number of treatment sessions are required for maximal benefit. These issues need to be considered in further research.

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Effectiveness of shockwave therapy in the treatment of plantar fasciitis

et al. 2020

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Objective: To evaluate the effectiveness of single-dose focal shockwave therapy in plantar fasciitis treatment. Methods: a primary, prospective study of a series of cases, conducted in the city of São Paulo, Brazil, by the Department of Orthopedics and Traumatology of the Universidade Federal de São Paulo, in Hospital São Paulo. All outcomes were measured at the time of inclusion of the patient in the study and at the post-intervention moments as it follows: three, six and twelve weeks. The VAS, AOFAS and SF-36 scales were applied by teams other than those who performed the SWT. Results: Data from 56 patients were collected during 2017 and 2018. There was improvement of the parameter evaluated (p < 0.005 and 95%CI) in all the periods in which the patients were reevaluated (3, 6 and 12 weeks), progressive improvement were observed in the three outcomes evaluated. Conclusion: Shock wave therapy was effective for plantar fasciitis treatment according to the proposed protocol considering pain, function and quality of life. Level of Evidence Ic, Case-series Study.

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Treatment of chronic plantar fasciitis with extra corporeal shock wave therapy: ultrasonographic morphological aspect and functional evaluation

Cited by 3 publications

References 23 publications

Effectiveness of extracorphorus shock wave therapy in musculoskeletal pathologies

Effectiveness of extracorphorus shock wave therapy in musculoskeletal pathologies

Three Sessions of Radial Extracorporeal Shockwave Therapy Gives No Additional Benefit Over “Minimal-Dose” Radial Extracorporeal Shockwave Therapy for Patients With Chronic Greater Trochanteric Pain Syndrome: A Double-Blinded, Randomized, Controlled Trial

Effectiveness of shockwave therapy in the treatment of plantar fasciitis

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