Chronic plantar fasciitis is mediated by local hemodynamics: Implications for emerging therapies

Miller, Larry E.; Latt, Daniel

doi:10.4103/1947-2714.150080

Cited by 18 publications

(18 citation statements)

References 57 publications

(54 reference statements)

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“…With regard to the 8% recurrence rate, this study found three key factors for recurrence: female sex, pretreatment pain duration, and the number of ESWT sessions received. With regard to the pretreatment pain duration, it is thought that recalcitrant PF could be caused by “plantar fascia thickening and loss of normal tissue elasticity,” that is, tissue degeneration over a period of time [ 45 ]. Therefore if a patient presents with advanced changes then they may be less receptive to conservative management.…”

Section: Discussionmentioning

confidence: 99%

Success and Recurrence Rate after Radial Extracorporeal Shock Wave Therapy for Plantar Fasciopathy: A Retrospective Study

Malliaropoulos

Crate

Meke³

et al. 2016

BioMed Research International

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Background and Aims. The exploration of an individualised protocol of radial extracorporeal shock wave therapy (rESWT) for plantar fasciopathy, assessing success rates and the recurrence rate over a 1-year period after treatment, is not yet identified in literature. Methods and Results. Between 2006 and 2013, 68 patients (78 heels) were assessed for plantar fasciopathy. An individualised rESWT treatment protocol was applied and retrospectively analysed. Heels were analysed for mean number of shock wave impulses, mean pressure, and mean frequency applied. Significant mean pain reductions were assessed through Visual Analogue Scale (VAS) after 1-month, 3-month, and 1-year follow-up. Success rates were estimated as the percentage of patients having more than 60% VAS pain decrease at each follow-up. 1-year recurrence rate was estimated. The mean VAS score before treatment at 6.9 reduced to 3.6, 1 month after the last session, and to 2.2 and 0.9, after 3 months and 1 year, respectively. Success rates were estimated at 19% (1 month), 70% (3 months), and 98% (1 year). The 1-year recurrence rate was 8%. Moderate positive Spearman's rho correlation (r = 0.462, p < 0.001) was found between pretreatment pain duration and the total number of rESWT sessions applied. Conclusions. Individualised rESWT protocol constitutes a suitable treatment for patients undergoing rESWT for plantar fasciitis.

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Section: Discussionmentioning

confidence: 99%

Success and Recurrence Rate after Radial Extracorporeal Shock Wave Therapy for Plantar Fasciopathy: A Retrospective Study

Malliaropoulos

Crate

Meke³

et al. 2016

BioMed Research International

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“…Patients with heel pain for 6 months or more that is recalcitrant to the nonoperative treatments may undergo minimally invasive procedures that relieve pain (corticosteroid injection), decrease heel cord tightness (botulinum toxin injection), or stimulate the body’s healing response (platelet rich plasma [PRP] injection, dry needling, extracorporeal shock wave therapy (ESWT), intense therapeutic ultrasound). 34…”

Section: Nonoperative Treatmentmentioning

confidence: 99%

Evaluation and Treatment of Chronic Plantar Fasciitis

Latt

Jaffe

Tang

et al. 2020

Foot & Ankle Orthopaedics

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Plantar fasciitis is the most common cause of chronic heel pain in adults, affecting both young active patients and older sedentary individuals. It results from repetitive stress to the plantar fascia at its origin on the medial tubercle of the calcaneus and is often associated with gastrocnemius tightness. The diagnosis can be made clinically with a focused history and physical examination; imaging is reserved for atypical presentations and those that do not respond to initial treatment. The most common presenting symptom is aching plantar heel pain, which is worst with first step in the morning or after periods of rest. Diagnosis is confirmed with point tenderness at the origin of the plantar fascia on the medial tubercle of the calcaneus. Initial treatment consists of activity modification, anti-inflammatory medication, gastrocnemius and plantar fascia stretching, and an in-shoe orthosis that lifts and cushions the heel. These nonoperative treatments lead to complete resolution of pain in 90% of patients but can take 3-6 months. Patients who remain symptomatic despite a 6-month trial of nonoperative therapy may be considered for minimally invasive treatment or surgery. Platelet-rich plasma injections and therapeutic ultrasound are among a number of minimally invasive treatments that stimulate the body’s healing response. Corticosteroid injections temporarily relieve pain, but may increase the risk of plantar fascia rupture and fat pad atrophy. Botulinum toxin injections relax the calf muscles, which decreases the stress in the plantar fascia. Operative treatments include gastrocnemius recession and medial head of gastrocnemius release, which decrease the stress on the plantar fascia and partial planter fasciotomy, which stimulates a healing response. Level of Evidence: Level V, expert opinion.

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“…infections, nerve damage and chronic pain) 11,21 . In recalcitrant PF, literature reported promising outcomes with minimally invasive radiofrequency microtenotomy 28 .…”

Section: Blood Analysismentioning

confidence: 99%

“…The complete recovery from PF symptoms is a very long process, which usually occurs within two years 4 . Thanks to conservative therapies, about 85-90% of subjects with PF can be successfully treated 11,28 . Plantar fascia rupture may be a consequence of PF especially in athletes that are subjected to an excessive overload.…”

Section: Blood Analysismentioning

confidence: 99%

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Plantar fasciitis in athletes: diagnostic and treatment strategies. A systematic review

Petraglia

Ramazzina

Cipolla

2017

MLTJ

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SummaryBackground: Plantar fasciitis (PF) is reported in different sports mainly in running and soccer athletes. Purpose of this study is to conduct a systematic review of published literature concerning the diagnosis and treatment of PF in both recreational and élite athletes. The review was conducted and reported in accordance with the PRIS-MA statement. Methods: The following electronic databases were searched: PubMed, Cochrane Library and Scopus. As far as PF diagnosis, we investigated the electronic databases from January 2006 to June 2016, whereas in considering treatments all data in literature were investigated. Results: For both diagnosis and treatment, 17 studies matched inclusion criteria. The results have highlighted that the most frequently used diagnostic techniques were Ultrasonography and Magnetic Resonance Imaging. Conventional, complementary, and alternative treatment approaches were assessed. Conclusions: In reviewing literature, we were unable to find any specific diagnostic algorithm for PF in athletes, due to the fact that no different diagnostic strategies were used for athletes and non-athletes. As for treatment, a few literature data are available and it makes difficult to suggest practice guidelines. Specific studies are necessary to define the best treatment algorithm for both recreational and élite athletes. Level of evidence: Ib.

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Chronic plantar fasciitis is mediated by local hemodynamics: Implications for emerging therapies

Cited by 18 publications

References 57 publications

Success and Recurrence Rate after Radial Extracorporeal Shock Wave Therapy for Plantar Fasciopathy: A Retrospective Study

Success and Recurrence Rate after Radial Extracorporeal Shock Wave Therapy for Plantar Fasciopathy: A Retrospective Study

Evaluation and Treatment of Chronic Plantar Fasciitis

Plantar fasciitis in athletes: diagnostic and treatment strategies. A systematic review

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