Comparative effectiveness of extracorporeal shock wave, ultrasound, low-level laser therapy, noninvasive interactive neurostimulation, and pulsed radiofrequency treatment for treating plantar fasciitis

Li, Xian; Zhang, Li; Gu, Shuming; Sun, Jianfeng; Qin, Zongshi; Yue, Jiaji; Zhong, Yu; Ding, Ning; Gao, Rui

doi:10.1097/md.0000000000012819

Cited by 36 publications

(44 citation statements)

References 48 publications

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“…The treatment of plantar fasciopathy is primarily nonoperative and includes stretching exercises, non-steroidal anti-inflammatory drugs, low laser therapy, local injection and extracorporeal shock wave therapy (ESWT) [25][26][27]. Recent systematic reviews with meta-analysis showed that ESWT seems to be particularly effective in relieving pain associated with chronic plantar fasciopathy compared with other conservative treatment.…”

Section: Introductionmentioning

confidence: 99%

Elastosonographic evaluation after extracorporeal shockwave treatment in plantar fasciopathy

et al. 2019

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Aim: To assess the ultrasound features in patients with plantar fasciopathy before and after extracorporeal shock waves therapy (ESWT), using conventional grey-scale imaging and both strain (SE) and shear wave (SWE) elastosonographic evaluation.Material and method: Consecutive patients of both sexes attending our outpatient’s clinic, with diagnosis of unilateral plantar fasciopathy, were enrolled. Patients were treated with 3 sessions of ESWT once a week, and underwent clinical and ultrasound evaluation at baseline and at one and three months after treatment. Roles and Maudsley score (RM), visual analog scale (VAS) and 17-Italian Foot Function Index (FFI), were used to assess pain and functional improvement.Results: Twenty patients (11 female and 9 male) were enrolled in the study. Contralateral asymptomatic healthy plantar fascia was used as a control. At baseline, SWE velocity (SWEv) showed statistically significant difference between affected 3.8 (1.5; 5.1) m/s and healthy side 4.7 (4.07; 7.04) m/s, (p=0.006); no significant difference was found for strain ratio values (p=0.656). SWEv post hoc test results showed a significant difference from baseline 3.8 (1.5-5.1) m/s and three month 5.23 (4.55-6.74) m/s follow up visit (p=0.003). Significant statistical negative correlation was found between the SWEv and VAS (p=0.001) and positive correlation between the SWEv and FFI (p=0.012).Conclusion: SWE was effective in assessing plantar fascia elasticity and its alteration in fasciopathy. Furthermore, on the basis of the correlation with pain and functional scales, this technique appears to be a useful additional technique to conventional ultrasound for monitoring the efficacy of treatment

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Section: Introductionmentioning

confidence: 99%

Elastosonographic evaluation after extracorporeal shockwave treatment in plantar fasciopathy

et al. 2019

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“…Many authors emphasize the beneficial effect of RF on damage to many structures in the body, such as trigeminal neuralgia, treatment of knee injuries, and shoulder pain of various origins [17][18][19][20][21][22][23][24][25]. Van Tilburg et al in double-blind studies showed a beneficial effect of RF on spinal pain in the lumbar region [24].…”

Section: Research Results and Discussionmentioning

confidence: 99%

“…Van Tilburg et al in double-blind studies showed a beneficial effect of RF on spinal pain in the lumbar region [24]. Li et al [17] evaluated the influence of several therapeutic methods (biostimulation laser, shock wave, ultrasounds, and radio frequency) on the effectiveness of pain treatment in case of heel tendonitis. e evaluation of RF effectiveness was positive.…”

Section: Research Results and Discussionmentioning

confidence: 99%

“…Treatments are used mainly to improve blood supply to the irradiated tissue, stimulate regenerative processes, reduce muscle tension, and obtain an analgesic effect. e heat generated inside the tissue results within the tissue in dilatation of blood vessels, improvement of tissue blood circulation, stimulation of metabolic processes, acceleration of tissue absorption processes, increase in the number of leukocytes, reduction of muscle tension, reduction of excitability of the musculoskeletal-neural system, and analgesic effect [16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

“…Among the growing number of publications on the beneficial effects of RF on muscle tissues, there are only a single data on its beneficial therapeutic effects in patients with joint disorders and head and neck ailments, which were the inspiration for this study [16,17].…”

Section: Introductionmentioning

confidence: 99%

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The Application of Radiofrequency Waves in Supportive Treatment of Temporomandibular Disorders

Pihut

Górnicki

Orczykowska

et al. 2020

Pain Research and Management

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In recent years, the number of patients applying for prosthetic treatment due to temporomandibular joint disorders (TMD) has been increasing. The main methods for treating disorders are the use of occlusal splints and physiotherapeutic rehabilitation as supportive treatment. Radio waves are electromagnetic waves with radiation frequency between 3 Hz and 3 THz, used for physiotherapeutic treatment of skeletal muscle relaxation in the range of 3 to 6 MHz. The rehabilitation effect of these waves is based on diathermy by means of high-voltage quick alternating current. Aim. The aim of the study was to evaluate the influence of radiofrequency waves on the pain of the masticatory muscles in the course of TMD and the usefulness of these procedures in the supporting treatment of these disorders. Materials and Methods. Patients aged 19 to 45 years, of both sexes, reported to the Consulting Room of TMD at the Institute of Dentistry in Krakow to undertake prosthetic treatment of TMD (I a—according to RDC/TMD). Study group (SG) consists of 20 patients who had 10 supportive treatments with radiofrequency currents. In the case of application of radiation to the muscle area, the energy was 20 J to the area of the masticatory muscles, the frequency was 3 MHz, bipolar technique, the duration of the procedure was 10 minutes, and the coupling substance was a gel for ultrasound examinations. The control group (CG) consisted of 20 patients who had 10 supportive treatments with sonophoresis procedures. For the area of masticatory muscles, 0.9 W/cm2 treatments were applied, the duty factor was 80%, the treatment time was 10 minutes, and the medical substance was 25% Voltaren gel. Results. Analysis of the results of the first clinical examinations (axis I) conducted in both groups shows a homogeneous clinical material and similar results. The second clinical examination revealed improved clinical parameters, but it showed a greater improvement in the SG. In the SG, the mean level of VAS was 6.25, and the extreme values were 5.9–0.14, the median was 2.15, and the standard deviation was 1.54. In the CG, the average value of VAS was 6.20 (peak of 5.2–0.7), the median was 2.4, and the standard deviation was 1.87. Summary. The search for new methods of supportive treatment of TMD is an important research direction due to the complex etiology of this disease and the lack of an explicit treatment algorithm. Conclusion. The results of our own research clearly indicate that the use of the radiofrequency waves brings pain relief and improvement of clinical parameters to a greater extent than in sonophoresis. It can be a very important new method in supportive treatment of TMD. Research needs to be continued.

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Effectiveness of photobiomodulation therapy in the treatment of patients with an ankle sprain: a systematic review and meta-analysis

Alayat,

Takaroni,

Elsodany

et al. 2024

Lasers Med Sci

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Comparative effectiveness of extracorporeal shock wave, ultrasound, low-level laser therapy, noninvasive interactive neurostimulation, and pulsed radiofrequency treatment for treating plantar fasciitis

Abstract: Supplemental Digital Content is available in the text

Cited by 36 publications

References 48 publications

Elastosonographic evaluation after extracorporeal shockwave treatment in plantar fasciopathy

Elastosonographic evaluation after extracorporeal shockwave treatment in plantar fasciopathy

The Application of Radiofrequency Waves in Supportive Treatment of Temporomandibular Disorders

Effectiveness of photobiomodulation therapy in the treatment of patients with an ankle sprain: a systematic review and meta-analysis

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