Low-Level Laser Therapy for the Treatment of Chronic Plantar Fasciitis

Jastifer, James R.; Catena, Fernanda; Doty, Jesse F.; Stevens, Faustin R.; Coughlin, Michael J.

doi:10.1177/1071100714523275

Cited by 33 publications

(36 citation statements)

References 33 publications

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“…Many types of well-established conservative treatments are available for plantar heel pain, such as therapeutic exercise, foot and ankle mobilization, electrical stimulation for pain reduction, taping, footwear modification, orthotics, extracorporeal shock wave therapy, and laser therapy [41][42][43][46][47][48]. Trigger point dry needling is a treatment modality commonly used by physiotherapists for the management of individuals with musculoskeletal disorders such as plantar heel pain.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Dry Needling for the Management of Plantar Fasciitis: A Review Study

et al. 2019

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Introduction: Plantar Fasciitis (PF) is an overuse syndrome as it develops over time. It is most frequently seen in both the non-athletic and athletic populations. PF is a multifactorial and self-limiting disorder that several factors are involved in its onset. Many well-established treatments are available for plantar heel pain. The purpose of this review is to determine the effectiveness of dry needling for the management of PF. Materials and Methods:This article is a review study, in which we present the studies that compare dry needling with other treatments for the management of plantar heel pain. We included all of the studies on patients with plantar heel pain and plantar fasciitis that investigated the effects of dry needling. Finally, seven articles were included in this review. The study designs were randomized controlled, quasi-experimental, and case-control.The Physiotherapy Evidence-based Database (PED) scale was used to measure the methodological quality of the studies. Results:The PEDro scoring of the articles ranged between 2.10-7.10. The results of this review show that dry needling may be useful in improving the pain of individuals with plantar heel pain and plantar fasciitis. Conclusion:Further high-quality research studies are needed to determine the effectiveness of dry needling in the management of plantar heel pain. Because a variety of protocol treatments of dry needling were used in the studies, we cannot recommend dry needling schedule prescriptions for the management of individuals with plantar heel pain and plantar fasciitis.

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Section: Discussionmentioning

confidence: 99%

“…Other alternative treatment options for relieving PF symptoms include laser therapy [46,47], extracorporeal shockwave therapy [48], and dry needling [49][50][51][52][53][54][55]. Trigger point dry needling is an invasive option and has been widely used as an alternative treatment for PF [56].…”

Section: Dry Needlingmentioning

confidence: 99%

Effectiveness of Dry Needling for the Management of Plantar Fasciitis: A Review Study

et al. 2019

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“…Dental conditions producing pain such as orthodontic procedures [71], dentine hypersensitivity [72], and third molar surgery [73] respond well to treatment with LLLT. Neuropathic pain conditions can also be treated such as post herpetic neuralgia [74], trigeminal neuralgia (10), and diabetic neuropathy [75].…”

Section: Introductionmentioning

confidence: 99%

The Use of Low Level Laser Therapy (LLLT) For Musculoskeletal Pain

Cotler¹

2015

MOJOR

268

159

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Pain is the most common reason for physician consultation in the United States. One out of three Americans is affected by chronic pain annually. The number one reason for missed work or school days is musculoskeletal pain. Currently accepted therapies consist of non-steroidal anti-inflammatory drugs, steroid injections, opiate pain medications and surgery, each of which carries their own specific risk profiles. What is needed are effective treatments for pain which have an acceptably low risk-profile. For over forty years, low level laser (light) therapy (LLLT) and LED (light emitting diode) therapy (also known as photobiomodulation) has been shown to reduce inflammation and edema, induce analgesia, and promote healing in a range of musculoskeletal pathologies. The purpose of this paper is to review the use of LLLT for pain, the biochemical mechanisms of action, the dose response curves, and how LLLT may be employed by orthopedic surgeons to improve outcomes and reduce adverse events. With the predicted epidemic of chronic pain in developed countries, it is imperative to validate cost-effective and safe techniques for managing painful conditions which would allow people to live active and productive lives. Moreover the acceptance of LLLT (which is currently being used by many specialties around the world) into the armamentarium of the American health care provider would allow for additional treatment options for patients. A new cost-effective therapy for pain could elevate quality of life while reducing financial strains.

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“…The clinical manifestations can be disabling, and despite its high incidence, the specific cause of PF is poorly understood. It is likely that PF is multi-factorial and may be associated with local changes to the plantar fascia tissue, systemic disease, or altered ankle and foot biomechanics (1,2) . PF is thought to be due to biomechanical overuse from prolonged standing or running, consequently creating micro tears at the calcaneal enthesis.…”

Section: Introductionmentioning

confidence: 99%

“…Failure of these measures occurs in approximately 10% of patients, resulting in chronic PF which is a difficult clinical problem. There is also inadequate high-level of evidence guiding the management of this group of patients (1) . Therapeutic laser offers a safe, effective, and easily utilized primary or adjunctive therapy that is relatively cost effective for clinicians & patients.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal Shock Wave Therapy versus Low-Level Laser Therapy in the Management of Chronic Plantar Fasciitis

ELsehrawy

Nasef

Ibrahim

et al. 2018

Suez Canal University Medical Journal

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Objectives: to compare and evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) and low-level laser therapy (LLLT) using diagnostic ultrasound (US) in the management of chronic plantar fasciitis (PF). Patients and Methods: The study was done as a prospective, randomized, comparative clinical study. Patients with PF were randomly allocated into 2 groups: ESWT (n= 23), LLLT (n= 23), group 1 underwent 2 sessions of ESWT (2050 shocks, 2.5 bars) and group 2 underwent 6 sessions of LLLT (27 J/cm2; 830 nm). All patients were assessed using the visual analog scale (VAS), foot function index (FFI) and diagnostic US to measure plantar fascia thickness and to assess echogenicity before and 1 month after treatment. Results: There were significant improvement after one month of treatment in the mean VAS, FFI, thickness of the plantar fascia and echogenicity in both groups. LLLT proved significantly superior to ESWT in pain relief (p = 0.029), but no significant difference between both groups in FFI improvement (p= 0 .264). No statistically significant difference between both groups regarding improvement in US findings including plantar fascia thickness (p= 0.885) and echogenicity (p= 0.34). Conclusion: LLLT proved to be more effective than ESWT in pain relief in patients with PF after one month of treatment.

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Low-Level Laser Therapy for the Treatment of Chronic Plantar Fasciitis

Abstract: Level IV, case series.

Cited by 33 publications

References 33 publications

Effectiveness of Dry Needling for the Management of Plantar Fasciitis: A Review Study

Effectiveness of Dry Needling for the Management of Plantar Fasciitis: A Review Study

The Use of Low Level Laser Therapy (LLLT) For Musculoskeletal Pain

Extracorporeal Shock Wave Therapy versus Low-Level Laser Therapy in the Management of Chronic Plantar Fasciitis

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