Objective assessment of corticosteroid effect in plantar fasciitis: additional utility of ultrasound

Moustafa, Ahmed; Hassanein, E; Foti, Calogero

doi:10.32098/mltj.04.2015.07

Cited by 14 publications

(13 citation statements)

References 15 publications

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“…Musculoskeletal ultrasonography is an effective technique to visualize normal and pathological tendons and to non-invasively evaluate (qualitative assessment) 1,2 or measure (quantitative analysis) parameters reflecting tendon size (length, thickness, and cross-sectional area) and structure (echo-intensity) [3][4][5][6] . Patellar tendon ultrasonography is commonly performed in the routine management of athletes of different disciplines to investigate tendon abnormalities that may occur due to repetitive tendon overload [7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Quantitative analysis of patellar tendon size and structure in asymptomatic professional players: sonographic study

Giacchino

Caresio

Gorji

et al. 2019

Muscle Ligaments and Tendons J

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Background: Ultrasonographic abnormalities of the patellar tendon frequently occur in asymptomatic athletes and it is not always clear whether they precede (and may predict) the development of tendinopathy.Objective: This study aimed to investigate by ultrasonography the prevalence of patellar tendon abnormalities in players of "pallapugno" and to establish whether structural tendon abnormalities predict tendinopathy development. Methods: Ultrasound B-mode images of the patellar tendon of both sides were acquired in fourteen throwers. Qualitative assessments of tendon structure and neovascularization and quantitative assessments of tendon thickness, cross sectional area (CSA), and echo-intensity were performed. Results: Qualitative assessments showed a subclinical tendinopathy of the non-dominant tendon in 5 out of 14 throwers (35% of cases), while quantitative assessments showed abnormalities of the nondominant tendon in 8 out of 14 players (57% of cases). Echo-intensity and CSA were the quantitative variables most discriminant between asymptomatic players without structural tendon abnormalities and those with tendon abnormalities. Two players (2 out of 8 cases: 25%) developed a clinical tendinopathy after a follow-up of six months. Conclusion: The prevalence of subclinical tendinopathy in the non-dominant patellar tendon of throwers was high. Patellar tendon abnormalities at baseline seem to increase the risk of development of subsequent patellar tendinopathy. Level of evidence: II b (individual cohort study).

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Section: Introductionmentioning

confidence: 99%

Quantitative analysis of patellar tendon size and structure in asymptomatic professional players: sonographic study

Giacchino

Caresio

Gorji

et al. 2019

Muscle Ligaments and Tendons J

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“…Up to our knowledge, no studies have examined the change in echogenicity in PF after the treatment with ESWT or LLLT yet. However, Moustafa et al (18) showed statistically significant reduction in number of hypoechoic feet after dexamethasone injection in patients with PF (p <0.05) (18) . Even though the present study supports the short-term effectiveness of ESWT and LLLT in the management of PF with a better improvement in pain in LLLT group, these findings should be interpreted in the light of some limitations.…”

Section: Discussionmentioning

confidence: 96%

“…Images obtained just medial to the midline at proximal end of plantar fascia distal to its origin from the medial tubercle of calcaneus. Thickness of the plantar fascia is measured at the thickest portion from the base of the medial calcaneal tubercle where a bright echogenic line was easily visible (18) . A perpendicular measurement was then taken to the top of the plantar fascia image where the most inferior border of the plantar fascia was discernable from fat.…”

Section: Methodsmentioning

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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“…Plantar fasciopathy is one of the main causes of heel pain in adults, with approximately 10% of the population suffering from this condition at some point of their lives. 1–3 Pain and stiffness in the heel, especially at the first steps in the morning, are common in patients with plantar fasciopathy, and can negatively impact activities of daily living. 4 Patients generally report poor quality of life because heel pain prevents them from performing basic activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

“…4 Patients generally report poor quality of life because heel pain prevents them from performing basic activities of daily living. 2,5…”

Section: Introductionmentioning

confidence: 99%

Effects of insoles adapted in flip-flop sandals in people with plantar fasciopathy: a randomized, double-blind clinical, controlled study

et al. 2019

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Objective: To evaluate the effects of insoles adapted into flip-flop sandals on pain and function in individuals with plantar fasciopathy (PF). Design: Randomized, double-blind controlled study. Setting: Physiotherapy clinic of the Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil. Subjects: Sixty-six patients of both genders with PF were randomized into two groups: sandal insole group (SI; n = 34), which received a pair of custom flip-flop sandals with insoles covered with smooth synthetic leather; and plain sandal group (PS; n = 32), which received an identical pair of flip-flop sandals, but without the insoles. Interventions: Patients were instructed to wear the flip-flops for 12 weeks for at least 4 hours/day. Main measures: Pain (visual analogue scale—VAS) in the morning and at the end of the day were considered primary outcomes. Function (Foot Function Index—FFI and Foot and Ankle Ability Measure—FAAM) and functional capacity (6-minute walk test—6MWT) were considered secondary outcomes. The outcomes were evaluated at baseline and immediately after the intervention by a blind assessor. Results: Between-group differences were observed in terms of morning pain (mean difference (MD) = –1.82 cm; 95% confidence interval (CI) = –3.3 to −0.3; P = 0.016) and function (MD = –0.10; 95% CI = –0.19 to −0.01; P = 0.023) after the interventions with the SI group showing superior improvements in comparison to the PS group. Conclusion: The use of insoles adapted in flip-flop sandals for 12 weeks was effective at improving pain and function in individuals with PF. Level of evidence: 1b.

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Objective assessment of corticosteroid effect in plantar fasciitis: additional utility of ultrasound

Cited by 14 publications

References 15 publications

Quantitative analysis of patellar tendon size and structure in asymptomatic professional players: sonographic study

Quantitative analysis of patellar tendon size and structure in asymptomatic professional players: sonographic study

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

Effects of insoles adapted in flip-flop sandals in people with plantar fasciopathy: a randomized, double-blind clinical, controlled study

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