Demographic, clinical and treatment related predictors for event-free probability following low-dose radiotherapy for painful heel spurs – a retrospective multicenter study of 502 patients

Muecke, Ralph; Micke, Oliver; Reichl, Berthold; Heyder, Rainer; Prott, Franz‐Josef; Seegenschmiedt, M. H.; Glatzel, M.; Schneider, Oliver; Schäfer, Ulrich; Kundt, Guenther

doi:10.1080/02841860600731935

Cited by 42 publications

(37 citation statements)

References 32 publications

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“…To the best of our knowledge, in no study, an influence of gender on treatment outcome has been confirmed [22,24,30,38,39]. In contrast to radiotherapy for oncological indications with high doses, efficacy and tolerability of LD-EBRT seems to be the same concerning gender.…”

Section: Gendermentioning

confidence: 91%

“…Since 1937 [21] for decades, large retrospective studies on the efficacy of LD-EBRT in calcaneodynia have been published (overview in 22). In 1970, one negative randomized trial was reported and heavily criticized but had not been repeated [23].…”

Section: Results Of Randomized Trials On Radiotherapy For Painful Heementioning

confidence: 99%

“…Muecke et al analyzed in a retrospective multicenter study 502 patients [22]. Duration of symptoms ≤6 months was associated with 76% treatment success vs. 44% after a history >6 months.…”

Section: History Of Symptomsmentioning

confidence: 99%

“…Muecke et al analyzed in a retrospective multicenter study the influence of different treatment techniques in 502 patients [22]. Treatment failure was defined as pain persistence after LD-EBRT and recurrence of pain during follow-up.…”

Section: Use Of Megavoltage Techniques/linear Acceleratorsmentioning

confidence: 99%

“…Age somewhat over 50 years seems to be important: >50 years [40], > 53 [38], or > 58 [22]. For a possible explanation see Section 2.3.7.…”

Section: Patients' Agementioning

confidence: 99%

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Low-Dose Radiotherapy of Painful Heel Spur/Plantar Fasciitis as an Example of Treatment Effects in Benign Diseases

Hermann¹,

Bruns²,

Nitsche³

2017

Radiotherapy

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Degenerative changes in the plantar fascia may cause the so-called "painful heel" with typical projections of tenderness. This condition is often associated with a plantar heel spur. Radiotherapy with low doses (LD-EBRT) has been well known for its anti-inflammatory potential. In the recent years, several microbiological mechanisms were elucidated to explain immunomodulation by LD-EBRT. Furthermore, a randomized study proved the clinical efficacy of this therapy in plantar fasciitis. Two other trials defined a fractionation schedule of 6 × 0.5 Gy twice weekly as the new standard therapy. Taken together, LD-EBRT is an effective and safe therapeutic option for patients over 30 years of age and after exclusion of pregnancy. In case of an insufficient response, a second course can be offered to the patient. There are still open questions concerning target volume definition and fractionation of LD-EBRT. Furthermore, studies randomizing LD-EBRT with other conservative therapeutic approaches are missing.

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Section: Gendermentioning

confidence: 91%

Section: Results Of Randomized Trials On Radiotherapy For Painful Heementioning

confidence: 99%

“…Muecke et al analyzed in a retrospective multicenter study 502 patients [22]. Duration of symptoms ≤6 months was associated with 76% treatment success vs. 44% after a history >6 months.…”

Section: History Of Symptomsmentioning

confidence: 99%

Section: Use Of Megavoltage Techniques/linear Acceleratorsmentioning

confidence: 99%

“…Age somewhat over 50 years seems to be important: >50 years [40], > 53 [38], or > 58 [22]. For a possible explanation see Section 2.3.7.…”

Section: Patients' Agementioning

confidence: 99%

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