Painful plantar heel spur treatment with Co-60 teletherapy: factors influencing treatment outcome

Koca, Timur; Aydin, A.; Sezen, Duygu; Basaran, Hamit; Karaca, Sibel

doi:10.1186/2193-1801-3-21

Cited by 17 publications

(14 citation statements)

References 11 publications

(20 reference statements)

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“…Low‐dose radiation therapy (LD‐RT) is normally administered for the treatment of inflammatory and degenerative diseases including painful heel spur, tennis/golfer's elbow, painful osteoarthritis, and hyper‐proliferative syndromes in humans . Although the specific mechanisms underlying the analgesic effect are yet to be ascertained, it could be attributed to anti‐inflammatory activity .…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Complications of Palliative Irradiation in Three Scottish Fold Cats with Osteochondrodysplasia

Fujiwara‐Igarashi

Igarashi

Hasegawa

et al. 2015

Veterinary Internal Medicne

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Section: Discussionmentioning

confidence: 99%

Efficacy and Complications of Palliative Irradiation in Three Scottish Fold Cats with Osteochondrodysplasia

Fujiwara‐Igarashi

Igarashi

Hasegawa

et al. 2015

Veterinary Internal Medicne

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“…Therefore, our study is unique since we organized it to compare injection steroid and Ultra Sound therapies, easily applicable to our society, applied in combination with the exercise therapy for Planter fasciitis treatment. Jasiak-Tyrkalska B. et al [19] proved that ultraphonophoresis (ultrasound therapy with ketoprofen gel applied as a couplant) produced better effects than the application of paraffin as a couplant. Pain intensity decreased by 4.2 points in the group treated with phonophoresis and by 2.8 points in the group exposed to ultrasound waves.…”

Section: Discussionmentioning

confidence: 99%

“…The first steps cause the rupture of tissues that fused at night. The pain tends to increase after periods of rest, after overloading the foot resulting from walking on a hard surface or carrying heavy loads, and at the end of the day [12] . The pain may also grow stronger when walking up the stairs or standing on tiptoe [12] .…”

Section: Introductionmentioning

confidence: 99%

“…The pain tends to increase after periods of rest, after overloading the foot resulting from walking on a hard surface or carrying heavy loads, and at the end of the day [12] . The pain may also grow stronger when walking up the stairs or standing on tiptoe [12] . Physical therapeutic procedures are most commonly applied in the conservative treatment of planter fasciitis.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of ultrasound therapy versus steroid injection in plantar fasciitis patients in western region of Nepal

Shrestha¹,

Sapkota²

2018

Int. J. Orthop. Sci.

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Background: Plantar fasciitis is a common painful disorder affecting the heel and plantar aspect of the foot. There are various methods of treatment like steroid injection, nonsteroid anti-inflammatory medication, iontophoresis, laser, ultrasound, ESWT, orthotic support therapy and exercise therapies. The aim of this study is to compare the effects of ultrasound therapy versus steroid injection in plantar fasciitis patients. Methods: This is a prospective study done on 60 patients. 30 patients were treated with single dose of local injection steroid (Group A) and 30 patients were treated with Ultrasound Therapy (Group B), 7 minutes in one session / day for 6 days /week for 2 weeks. All patients were taught plantar fascia active and passive stretching exercises to do for 10 minutes morning and 10 minutes evening at home. VAS Scores and FFI (Foot function Index) were measured. Results: Pain Intensity was decreased in both the groups in 2 weeks and 4 weeks follow up. VAS scores were rapidly decreased to 4.17 in Group A and 4.52 in Group B in 2 weeks follow up, which is statistically significant (p value). There was statistically significant (p value< 0.05) in FFI (Foot function Index) in both the groups at 2 weeks and 4 weeks follow up. In Group A, FFI decreased to 30.03 ± 1.44 in 4 weeks interval whereas it was decreased to 36.40 ± 2.83 in Group B in same interval. Conclusion: Both Ultrasound therapy with stretching exercise and steroid injection with stretching exercise were effective methods for moderating pain and improving function of the foot in plantar fasciitis. It was seen that steroid injection was more superior to the Ultrasound therapy combined with exercise. Keywords: Plantar fasciitis, VAS Scores, FFI (Foot function Index) IntroductionPlantar fasciitis is a common painful disorder affecting the heel and plantar aspect of the foot. It is a disorder of the insertion site of tendon on the bone and is characterized by scarring, inflammation, or structural breakdown of the foot's plantar fascia. It is mostly caused due to overuse of the plantar fascia, increases in exercise, weight or age. Although plantar fasciitis was originally thought to be an inflammatory process, newer studies have demonstrated structural changes more consistent with a degenerative process [1,2] . As a result of this new observation, many in the clinical community have stated the condition should be renamed plantar fasciitis. Plantar fasciitis is the most common injury of the plantar fascia and is the most common cause of heel pain [3] . Plantar fasciitis associated with calcaneal spur is considered to be the most common cause of foot pain in adults [4] . The etiology of plantar fasciitis is not known. It affects 10-15% of the population [5] . In 70-85% of the cases, enthesopathy of plantar fascia occurs on one side and its symptoms are always more intense on the same side. It is noteworthy that approximately 50% of individuals have had calcaneal spur and associated plantar fasciitis diagnosed [4] . Still, the correlation bet...

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“…RT has a long history in the management of painful heel spur and plantar fasciitis. Accumulated data from several centers have consistently reported effective palliation of painful plantar fasciitis and heel spur; however, dose fractionation schemes and treatment fields may vary among the institutions and are typically based on retrospective data and experiences (2,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26).…”

Section: Original Articlementioning

confidence: 99%

Evaluation of the radiotherapeutic management of refractory painful heel spur and plantar fasciitis: a single center experience of 45 years

Beyzadeoğlu¹,

Sager²,

Dincoglan³

et al. 2020

GMJ

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Aim: Heel spur is exostosis of the calcaneus. Plantar fasciitis and heel spur constitute a very common cause of plantar pain, which may be managed with radiation therapy (RT). In this study, we assessed the radiotherapeutic management of refractory painful heel spur and plantar fasciitis. Methods:In this retrospective study, we report our single center experience with RT for refractory painful heel spur and plantar fasciitis management over a period of 45 years and describe patient and treatment characteristics.Results: Between 1974 and 2019, a total of 4904 patients received RT at our department using cobalt-60 teletherapy machine for the management of refractory painful heel spur and plantar fasciitis. Out of the total 4904 patients, 2012 patients (41%) were male and 2892 patients (59%) were female. The median age was 51 (range: 41-85) years. All patients had received previous therapies for refractory painful heel spur and plantar fasciitis before the management with RT. Total RT dose was 8 Gy delivered in 2 consecutive days with daily fractions of 4 Gy using 2 opposing anterior-posterior RT fields to both heels without bolus material. Treatment response was assessed 3 to 5 weeks after the completion of RT. Response to RT was complete in 3579 patients (73%), partial in 1188 patients (24.2%), and none in 137 patients (2.8%). No therapyrelated toxicity was observed in the whole series. Conclusion:RT for refractory painful heel spur and plantar fasciitis may offer effective palliation of pain and may be considered as a viable therapeutic option for selected patients exhausted with other treatment modalities. ABSTRACT Date

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Painful plantar heel spur treatment with Co-60 teletherapy: factors influencing treatment outcome

Cited by 17 publications

References 11 publications

Efficacy and Complications of Palliative Irradiation in Three Scottish Fold Cats with Osteochondrodysplasia

Efficacy and Complications of Palliative Irradiation in Three Scottish Fold Cats with Osteochondrodysplasia

Effectiveness of ultrasound therapy versus steroid injection in plantar fasciitis patients in western region of Nepal

Evaluation of the radiotherapeutic management of refractory painful heel spur and plantar fasciitis: a single center experience of 45 years

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