Managing chronic plantar fasciitis: When conservative strategies fail

Molloy, Laura

doi:10.1097/01720610-201211000-00009

Cited by 12 publications

(9 citation statements)

References 14 publications

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“…Corticosteroid injection for the treatment of plantar fasciitis can significantly improve the heel pain, particularly in the short term; however, it can also cause serious complications, including plantar fascia rupture, fat pad atrophy, plantar fascia calcification, nerve injury, sterile abscess, calcaneal osteomyelitis and even impaired vision (19)(20)(21)(22). In the present analysis, two studies (8,10) reported that no adverse event occurred.…”

Section: Quality Assessment -----------------------------------------mentioning

confidence: 80%

Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials

et al. 2015

Experimental and Therapeutic Medicine

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Abstract. The aim of this meta-analysis was to determine the efficacy of corticosteroid versus placebo injection for the treatment of plantar fasciitis. Databases (Medline, Embase, the Cochrane Library and Google Scholar) and study references were searched for randomized controlled trials comparing corticosteroid with placebo injection for plantar fasciitis. Studies that met the inclusion criteria were selected for the analysis. The risk of bias tool was used for the methodological assessment. Outcomes including visual analogue score (VAS) and plantar fascia thickness (PFT) were extracted and pooled. Egger's test was used to detect publication bias. The evidence quality was assessed by the Grading of Recommendations Assessment, Development and Evaluation system. Statistical analysis was performed using RevMan 5.2. A total of four studies with 289 patients were included in the analysis. Compared with the placebo, corticosteroid injection provided better pain relief after one month [standardized mean difference (SMD), -0.32; 95% confidence interval (CI), -0.59--0.06); P=0.02). No difference was detected with respect to the VAS after two months (SMD, -0.04; 95% CI, -0.35-0.27; P= 0.79) or three months (SMD, 95% CI, P=0.15) or to the PFT (MD, 0.70; 95% CI, P= 0.20), although a tendency of favoring corticosteroid injection was observed. No obvious publication bias was detected. In conclusion, corticosteroid injection may provide pain relief for a short period of time, but the efficacy may disappear with the progression of time.

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Section: Quality Assessment -----------------------------------------mentioning

confidence: 80%

Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials

et al. 2015

Experimental and Therapeutic Medicine

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“…No patient was found to have fat atrophy, infections or rupture of the plantar fascia. Studies of Molloy et al [19] , Gidumal et al [20] , Buccilli et al [21] reports serious complications after corticosteroid injection.…”

Section: Resultsmentioning

confidence: 99%

Comparative Study of 30 Cases of Local Injection of Autologous Blood and Corticosteroids in Treatment of Plantar Fascitis

Brar¹

2017

JMSCR

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“…The tendency of flat feet to excessively roll inward during walking or running makes them more susceptible to plantar faciitis. [16][17][18] Obesity is seen in 70% of individuals who present with plantar fasciitis and is an independent risk factor. 19 Studies have suggested a strong association exists between an increased body mass index and the development of plantar fasciitis in the non-athletic population; this association between weight and plantar fasciitis has not been observed in the athletic population.…”

Section: Discussionmentioning

confidence: 99%

A study on effect of strain-counterstrain in plantar fasciitis

et al. 2017

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Background: Bipedal locomotion is a unique feature of human beings and has the advantage of upright mobility. Hence, foot becomes the most important weight loading structure and gets the maximum pressure per unit area. Plantar fasciitis is a painful inflammatory process of the plantar fascia, the connective tissue on the sole of the foot. Thus a study was conducted to determine the effect of strain-counterstrain in plantar fasciitis.Methods: 30 individuals aged between 18-35 years both male and female with plantar fasciitis were recruited for the study. The patients were treated for a period of 7 days using the technique of strain-counterstrain. Pre-intervention and post-intervention scores of Plantar Fasciitis Pain and Disability scale were assessed and were analysed using unpaired t-test and repeated ANOVA.Results: There was equal distribution of occurrence of plantar fasciitis among both the genders out of the population of study. A significant difference was noted between the pre and post interventional measure of a type of manual therapy called strain-counterstrain (p<0.0001). The difference between pre intervention and after third day intervention did not show much of a difference. However after fifth day a considerable difference was noted (p <0.0001). It was noted that limited dorsiflexion improved after one week of interventional measure of strain-counterstrain (p <0.0001).Conclusions: The technique of strain-counterstrain which is a type of manual therapy is effective in patients affected by plantar fasciitis. It also showed an improvement in the limited ankle dorsiflexion range.

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Managing chronic plantar fasciitis: When conservative strategies fail

Cited by 12 publications

References 14 publications

Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials

Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials

Comparative Study of 30 Cases of Local Injection of Autologous Blood and Corticosteroids in Treatment of Plantar Fascitis

A study on effect of strain-counterstrain in plantar fasciitis

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