Interventions for treating plantar heel pain

Crawford, Fay; Thomson, Colin E

doi:10.1002/14651858.cd000416.pub2

Cited by 89 publications

(101 citation statements)

References 33 publications

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“…3). Three studies contributed to an analysis on overall success rate in heel pain improvement [5][6][7]. There was significant heterogeneity among trials (df = 2; I 2 = 80; Q = 10.21; p \ 0.01).…”

Section: Resultsmentioning

confidence: 99%

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Extracorporeal Shock Wave Therapy Is Effective In Treating Chronic Plantar Fasciitis: A Meta-analysis of RCTs

Aqil

Siddiqui

Solan

et al. 2013

Clinical Orthopaedics &Amp; Related Research

110

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Background Plantar fasciitis is the most common cause of heel pain. It may remain symptomatic despite conservative treatment with orthoses and analgesia. There is conflicting evidence concerning the role of extracorporeal shock wave therapy (ESWT) in the management of this condition. Questions/purposes We investigated whether there was a significant difference in the change of (1) VAS scores and (2) Roles and Maudsley scores from baseline when treated with ESWT and placebo. Specifically we compared overall improvement from baseline composite VAS, reduction in overall VAS pain, success rate of improving overall VAS pain by 60%, success rate of improving VAS pain by 60% when taking first steps, doing daily activities, and during application of a pain pressure meter.Methods MEDLINE, Embase, and CINAHL databases were searched from January 1980 to January 2013 and a double extraction technique was used to obtain relevant studies. Studies had to be prospective randomized controlled trials on adults and must not have used local anesthesia as part of their treatment protocol. Studies must have specifically recruited patients who continued to be symptomatic despite a minimum of 3 months of conservative treatments. All papers were assessed regarding their methodologic quality and a meta-analysis performed. Seven prospective randomized controlled trials were included in this study. There were 369 patients included in the placebo group and 294 in the ESWT group. Results After ESWT, patients had better composite VAS scores (random effects model, standardized mean difference [SMD] = 0.38; 95% CI, 0.05, 0.72; z = 2.27). They also had a greater reduction in their absolute VAS scores compared with placebo (random effects model, SMD = 0.60; 95% CI, 0.34, 0.85; z = 4.64). Greater success of improving heel pain by 60% was observed after ESWT when taking first steps (random effects model, risk ratio [RR] = 1.30; 95% CI, 1.04, 1.62; z = 2.29) and during daily activities (random effects model, RR = 1.44; 95% CI, 1.13, 1.84; z = 2.96). Subjective measurement of pain using a pressure meter similarly favored ESWT (random effects model, RR = 1.37, 95% CI, 1.06, 1.78; z = 2.41). There was a significant difference in the change to

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Section: Resultsmentioning

confidence: 99%

“…However, 10% to 20% develop chronic pain and may require surgery [15]. Surgery may be associated with long recovery times, failure rates as much as 17%, and can be unpopular for patients who wish to continue weightbearing during recovery [1,3,5,15].…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal Shock Wave Therapy Is Effective In Treating Chronic Plantar Fasciitis: A Meta-analysis of RCTs

Aqil

Siddiqui

Solan

et al. 2013

Clinical Orthopaedics &Amp; Related Research

110

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“…A physiotherapist with 6 years of musculoskeletal experience and manual therapy skills performed the treatment. The manual intervention consisted of 1 passive joint manipulation of the ankle and foot (using both the Maitland mobilization techniques 17 and Mulligan mobilization techniques 18 ) 2 ; myofascial maneuvers of the gastrocnemius, soleus muscles, and plantar fascia 3 ; neural mobilization of the tibial nerve; and 4 stretching of the plantar fascia and triceps surae. Strengthening the hip muscles (flexors, abductors, adductors, and extensors) included exercises with increasing resistance.…”

Section: Case Reportmentioning

confidence: 99%

“…1 This painful condition can cause impairment of activity and disability. 2 In the United States, about 2 million people are treated annually for this complaint. 3,4 Patients usually report pain after palpation of the proximal insertion of the plantar fascia and plantar medial heel, and the pain is most noticeable when patients begin walking after a period of inactivity.…”

Section: Introductionmentioning

confidence: 99%

“…2 In the United States, about 2 million people are treated annually for this complaint. 3,4 Patients usually report pain after palpation of the proximal insertion of the plantar fascia and plantar medial heel, and the pain is most noticeable when patients begin walking after a period of inactivity. 1 Clinicians have used many approaches for treating pain and enhancing function.…”

Section: Introductionmentioning

confidence: 99%

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Combination of Hip Strengthening and Manipulative Therapy for the Treatment of Plantar Fasciitis: A Case Report

Santos

Corrêa

Santos

et al. 2016

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the management of using a combination of hip strengthening and manipulative therapy (MT) for a patient with plantar fasciitis. Clinical Features: A 44-year-old patient reported heel pain for approximately 1 year before treatment. The patient reported plantar heel pain and tenderness at the calcaneal tuberosity. The pain was most noticeable in the morning but was reduced after a 30-minute walk. A diagnosis of plantar fasciitis was made at the initial assessment. Intervention and Outcomes: Initially, a clinical evaluation was performed to measure pain intensity (Numeric Pain Rating Scale), pressure-pain threshold (algometry), and perceived exertion (OMNI Resistance Exercise Scale). The patient then underwent 10 sessions of hip strengthening and MT over a period of 3 months. After the treatment, the intensity of pain and the pressure-pain threshold was reevaluated. The patient reported an improvement in pain intensity (baseline score = 6 vs final score = 1) and an increase in the pressure-pain threshold (initial score = 2.6 vs final score = 7.1). Perceived exertion was also improved after hip muscle strength training (initial score = 10 vs final score = 8). Conclusion: The combination of hip strengthening and MT improved foot pain in a patient with a clinical diagnosis of plantar fasciitis. (J Chiropr Med 2016;15:310-313)

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