Comparison of a Physiotherapy Program Versus Dexamethasone Injections for Plantar Fasciopathy in Prolonged Standing Workers

Ryan, Michael; Hartwell, Jamie; Fraser, Scott P.; Newsham-West, Richard; Taunton, Jack

doi:10.1097/jsm.0000000000000021

Cited by 29 publications

(42 citation statements)

References 33 publications

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“…(7) One study (18) reported better results in the botulinum toxin A injection group (intervention group) compared to the corticosteroid injection group. The remaining four studies (15,16,19,21) showed significant pain reduction in both intervention groups at follow-up intervals when compared to baseline but no significant differences between the intervention groups.…”

Section: Patient-assessed Outcome: Foot Painmentioning

confidence: 99%

“…Five RCTs explored the use of long-acting corticosteroids, i.e. dexamethasone (14,16,18) and betamethasone, (17,19) while the other five investigated the use of intermediate-acting corticosteroids, i.e. methylprednisolone, (13,15,21) prednisolone (7) and triamcinolone.…”

Section: Corticosteroid Injectionsmentioning

confidence: 99%

“…Some of these scales were not designed to assess patients with plantar fasciitis; for example, the Maryland Foot Score was designed to assess foot injuries, the American Orthopaedic Foot and Ankle Society's Ankle-Hindfoot Scale was designed to assess ankle and hindfoot joint injuries, while the Foot and Ankle Disability Index (FADI) is used to detect functional limitations in subjects with chronic ankle instability. However, all three scales were used in conjunction with VAS in the studies (16,18,21) concerned.…”

Section: Patient-assessed Outcome: Foot Painmentioning

confidence: 99%

“…The duration of their symptoms was 2-180 months, with the majority suffering from plantar heel pain for at least six months. (7,13,16,17,(19)(20)(21) Five of the ten RCTs included study populations that had failed conservative therapies for at least 2-6 months. …”

Section: Study Qualitymentioning

confidence: 99%

“…methylprednisolone, (13,15,21) prednisolone (7) and triamcinolone. (20) To guide the corticosteroid injections, seven RCTs used the palpation method, (7,15,16,(18)(19)(20)(21) two used USguidance, (14,17) and one used both US-and palpation-guided injections in different arms. (13) Three approaches of injections were employed in the studies: eight RCTs adopted the medial approach, (7,(14)(15)(16)(17)(18)(19)(20) one adopted the posterior approach (13) and one involved injections through the plantar aspect of the heel pad.…”

Section: Corticosteroid Injectionsmentioning

confidence: 99%

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The effectiveness of corticosteroid injection in the treatment of plantar fasciitis

Ang¹

2015

smedj

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Plantar fasciitis is a common cause of heel pain in adults. Although it is usually a self-limiting condition, the pain may become prolonged and severe enough to cause significant distress and disruption to the patient's daily activities and work. PubMed and Cochrane Central Register of Controlled Trials databases were searched for randomised controlled trials (RCTs) and a total of ten RCTs were selected for evaluation. These RCTs involved the use of either palpation-or ultrasonography-guided corticosteroid injections in patients diagnosed with plantar fasciitis. All placebo-controlled RCTs showed a significant reduction in pain with the use of corticosteroid injections. Some studies also showed that corticosteroid injections yielded better results than other treatment modalities. However, it is evident from these studies that the effects of corticosteroid injections are usually short-term, lasting 4-12 weeks in duration. Complications such as plantar fascia rupture are uncommon, but physicians need to weigh the treatment benefits against such risks.

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