Efficacy of tibial nerve block, local steroid injection or both in the treatment of Plantar Heel Pain Syndrome

Mulherin, D.; Price, Matt D.

doi:10.1016/j.foot.2009.01.003

Cited by 14 publications

(8 citation statements)

References 11 publications

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“…1) [20–66]. Data were unable to be obtained from three trials [32, 48, 55] after contacting the authors, and five trials [33, 34, 37, 47, 53] could not be included in meta-analyses as the data were from composite outcome measures. Data from a four group trial [56] that sub-divided participants on the presence of perifascial oedema were combined to two groups so the data were similar to other trials.…”

Section: Resultsmentioning

confidence: 99%

Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis

Whittaker

Munteanu

Menz

et al. 2019

BMC Musculoskelet Disord

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Background Corticosteroid injection is frequently used for plantar heel pain (plantar fasciitis), although there is limited high-quality evidence to support this treatment. Therefore, this study reviewed randomised trials to estimate the effectiveness of corticosteroid injection for plantar heel pain. Methods A systematic review and meta-analysis of randomised trials that compared corticosteroid injection to any comparator. Primary outcomes were pain and function, categorised as short (0 to 6 weeks), medium (7 to 12 weeks) or longer term (13 to 52 weeks). Results A total of 47 trials (2989 participants) were included. For reducing pain in the short term, corticosteroid injection was more effective than autologous blood injection (SMD -0.56; 95% CI, − 0.86 to − 0.26) and foot orthoses (SMD -0.91; 95% CI, − 1.69 to − 0.13). There were no significant findings in the medium term. In the longer term, corticosteroid injection was less effective than dry needling (SMD 1.45; 95% CI, 0.70 to 2.19) and platelet-rich plasma injection (SMD 0.61; 95% CI, 0.16 to 1.06). Notably, corticosteroid injection was found to have similar effectiveness to placebo injection for reducing pain in the short (SMD -0.98; 95% CI, − 2.06, 0.11) and medium terms (SMD -0.86; 95% CI, − 1.90 to 0.19). For improving function, corticosteroid injection was more effective than physical therapy in the short term (SMD -0.69; 95% CI, − 1.31 to − 0.07). When trials considered to have high risk of bias were excluded, there were no significant findings. Conclusions Based on the findings of this review, corticosteroid injection is more effective than some comparators for the reduction of pain and the improvement of function in people with plantar heel pain. However, corticosteroid injection is not more effective than placebo injection for reducing pain or improving function. Further trials that are of low risk of bias will strengthen this evidence. Registration PROSPERO registration number CRD42016053216 . Electronic supplementary material The online version of this article (10.1186/s12891-019-2749-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis

Whittaker

Munteanu

Menz

et al. 2019

BMC Musculoskelet Disord

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“…Of the 22 studies, 16 specifically reported the absence of serious side events related to the included treatments and 6 did not make any mention of this factor 49 51 57 63 66 67…”

Section: Resultsmentioning

confidence: 99%

Injection therapies for plantar fasciopathy (‘plantar fasciitis’): a systematic review and network meta-analysis of 22 randomised controlled trials

2016

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“…Obesity, prolonged standing, excessive walking, running and foot malalignment (pes planus or pes cavus) increase the risk of getting plantar fasciitis [26]. A commonly used treatment for plantar fasciitis (PF) is local injection of corticosteroids, which has been shown to have a positive short-term 1 3 efect of [1,4,12,18,20,25]. However, a recent Cochrane review concluded that only moderate evidence exists for a short-term positive efect, and that long-term efect seems inconsequential [5].…”

Section: Introductionmentioning

confidence: 99%

Corticosteroid injection is the best treatment in plantar fasciitis if combined with controlled training

Johannsen

Herzog

Malmgaard-Clausen

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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Purpose Plantar fasciitis is a very common (lifetime incidence ~ 10%) and long-lasting injury with major impact on daily function. Combining corticosteroid injection and physical training (strength training and stretching) was hypothesized to result in a superior efect compared to each treatment separately. Methods A single blinded randomized controlled superiority trial conducted in 2013-2014 with a 2-year follow-up (end Sept 2016). 123 consecutive patients (20-65 years) referred to two study centers

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Efficacy of tibial nerve block, local steroid injection or both in the treatment of Plantar Heel Pain Syndrome

Cited by 14 publications

References 11 publications

Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis

Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis

Injection therapies for plantar fasciopathy (‘plantar fasciitis’): a systematic review and network meta-analysis of 22 randomised controlled trials

Corticosteroid injection is the best treatment in plantar fasciitis if combined with controlled training

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