Intense Therapeutic Ultrasound for Treatment of Chronic Plantar Fasciitis: A Pivotal Study Exploring Efficacy, Safety, and Patient Tolerance

Heigh, Evelyn G.; Bohman, Laura; Briskin, Gary; Slayton, Michael H.; Amodei, Richard C.; Compton, Keegan B.; Baravarian, Bob

doi:10.1053/j.jfas.2018.10.002

Cited by 7 publications

(3 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of TUS to treat pain in plantar fasciitis is supported by studies. In a recent pivotal study 20 on N = 33 patients, the use of intense TUS, an established US-based therapy, in which sound waves were focused into a well-defined specific area of musculoskeletal tissue, 20 resulted in significant pain reduction at weeks 4, 8, 12, and 26 compared with baseline ( P < .001) at −39%, −49%, −51%, and −44%, respectively. A concomitant reduction of fluid-filled cysts (from −32% to −44%) was also observed.…”

Section: Ultrasound Impedancementioning

confidence: 99%

The Role of Ultrasound Therapy in the Management of Musculoskeletal Soft Tissue Pain

Papadopoulos

Mani

2020

The International Journal of Lower Extremity Wounds

View full text Add to dashboard Cite

Ultrasound is an invaluable physical modality widely used for diagnosis and therapy in humans and animals. It is noninvasive, atraumatic, and may be used repeatedly. As a therapeutic tool, ultrasound has been in use for some 6 decades. Therapeutic ultrasound (TUS) is used for the treatment of musculoskeletal disorders, including acute soft tissue injuries, overuse syndromes, as well as chronic orthopedic and rheumatologic conditions. The aim of this review was to investigate the clinical effectiveness of TUS in musculoskeletal acute and chronic pain, mainly through the control of inflammation and the promotion of soft tissue injury healing. Based on the evidence presented, TUS is clinically effective in some musculoskeletal soft tissue pain conditions, but due to conflicting results in some studies, no specific positive recommendations can be made, nor does it permit exclusion of TUS from clinical practice. In phonophoresis, TUS plays a significant role, without reported adverse effects. There is scope for improving the evidence base with better designed studies.

show abstract

Section: Ultrasound Impedancementioning

confidence: 99%

The Role of Ultrasound Therapy in the Management of Musculoskeletal Soft Tissue Pain

Papadopoulos

Mani

2020

The International Journal of Lower Extremity Wounds

View full text Add to dashboard Cite

show abstract

“…S the scope of therapeutic ultrasound applications in clinical medicine continues to expand in areas ranging from pain reduction [1,2] to drug delivery to the brain [3] and solid tumors [4,5], so too does the need for treatment monitoring methods that can help reduce risk and enhance efficacy. Current non-invasive options include techniques based on magnetic resonance (thermometry, elastography) and ultrasound (conventional B-mode, elastography, passive cavitation detection) [6].…”

Section: Introductionmentioning

confidence: 99%

Dual-Array Passive Acoustic Mapping for Cavitation Imaging With Enhanced 2-D Resolution

Gray

Elbes

Paverd

et al. 2021

IEEE Trans. Ultrason., Ferroelect., Freq. Contr.

View full text Add to dashboard Cite

Passive acoustic mapping (PAM) techniques have been developed for the purposes of detecting, localizing and quantifying cavitation activity during therapeutic ultrasound procedures. Implementation with conventional diagnostic ultrasound arrays has allowed planar mapping of bubble acoustic emissions to be overlaid with B-mode anatomical images, with a variety of beamforming approaches providing enhanced resolution at the cost of extended computation times. However, no passive signal processing techniques implemented to date have overcome the fundamental physical limitation of the conventional diagnostic array aperture that results in point spread functions with axial/lateral beamwidth ratios of nearly an order of magnitude. To mitigate this problem, the use of a pair of orthogonally oriented diagnostic arrays was recently proposed, with potential benefits arising from the substantially expanded range of observation angles. This paper presents experiments and simulations intended to demonstrate the performance and limitations of the dual-array system concept. The key finding of this study is that source pair resolution of better than 1 mm is now possible in both dimensions of the imaging plane using a pair of 7.5 MHz center frequency conventional arrays at a distance of 7.6 cm. With an eye toward accelerating computations for real time applications, channel count reductions of up to a factor of eight induce negligible performance losses. Modest sensitivities to sound speed and relative array position uncertainties were identified, but if these can be kept on the order of 1% and 1 mm, respectively, then the proposed methods offer the potential for a step improvement in cavitation monitoring capability.

show abstract

“…However, most symptoms can be mitigated or eliminated after 6 months of conservative treatment. 1,5,14,25 Refractory plantar fasciitis is defined as a failure of conservative treatment (eg, orthotics, physical therapy, injections, platelet-rich plasma, footwear, and night splints) accompanied by persistent pain for over 12 months. Plantar fasciotomy is the most common surgical treatment for refractory plantar fasciitis.…”

mentioning

confidence: 99%

Endoscopic Partial Plantar Fasciotomy via 2 Medial Portals vs Mini-Open Procedure for Refractory Plantar Fasciitis

et al. 2020

View full text Add to dashboard Cite

Background: The treatment of plantar fasciitis may require surgical intervention in patients with ineffective response to conservative treatment. There is a lack of evidence regarding the differences in clinical outcomes between the endoscopic and the mini-open procedures. The purpose of this study was to compare the clinical outcomes of the endoscopic partial plantar fasciotomy via 2 medial portals with mini-open partial plantar fasciotomy for treating refractory plantar fasciitis. Methods: A retrospective analysis was carried out on 62 patients with refractory plantar fasciitis from January 2015 to July 2017. Thirty-three patients received endoscopic partial plantar fasciotomy, while the other 29 received mini-open procedure by patient preference. Two medial portals were used in the endoscopic group while single mini-medial method was used in the open group. All patients were followed up for 24 months. The pain visual analog scale (VAS), the American Orthopaedic Foot & Ankle Society (AOFAS) score, the calcaneodynia score (CS), and the 36-item Short Form Health Survey questionnaire (SF-36) were employed to evaluate the clinical outcomes of the 2 groups. Results: There was increase in the functional scores (eg, VAS, AOFAS, CS, and SF-36) in both groups recorded at 3 months, 6 months, 1 year, and 2 years after surgery. The patients in the endoscopic group had better VAS, AOFAS, CS, and SF-36 scores at 3 months after the surgery compared with those of the open group. During the 6-month follow-up, although the 2 groups showed similar VAS and AOFAS, the CS and SF-36 scores of the endoscopic group were significantly higher than those of the open group. During the 1-year and 2-year follow-ups, the endoscopic group gained equivalent VAS, AOFAS, CS, and SF-36 scores compared with those of the open group. The recurrence rate was similar in both groups. Moreover, the patients in the endoscopic group achieved earlier recovery in comparison to those in the open group. Conclusion: For refractory plantar fasciitis, endoscopic partial plantar fasciotomy via 2 medial portals produced better short-term and equivalent long-term subjective outcomes than the mini-open surgery. Level of Evidence: Level II, comparative study.

show abstract

Intense Therapeutic Ultrasound for Treatment of Chronic Plantar Fasciitis: A Pivotal Study Exploring Efficacy, Safety, and Patient Tolerance

Cited by 7 publications

References 40 publications

The Role of Ultrasound Therapy in the Management of Musculoskeletal Soft Tissue Pain

The Role of Ultrasound Therapy in the Management of Musculoskeletal Soft Tissue Pain

Dual-Array Passive Acoustic Mapping for Cavitation Imaging With Enhanced 2-D Resolution

Endoscopic Partial Plantar Fasciotomy via 2 Medial Portals vs Mini-Open Procedure for Refractory Plantar Fasciitis

Contact Info

Product

Resources

About