Preliminary Report on the Role of Dry Needling Versus Corticosteroid Injection, an Effective Treatment Method for Plantar Fasciitis: A Randomized Controlled Trial

Uygur, Esat; Aktaş, Birol; Ecevız, Engin; Yilmazoglu, Emime Gül; Poyanlı, Oğuz

doi:10.1053/j.jfas.2018.08.058

Cited by 18 publications

(47 citation statements)

References 23 publications

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“…6) [25, 52], dry needling (SMD -0.86; 95% CI, − 3.70 to 1.97) (Fig. 7) [51, 59], botulinum toxin-A injection (SMD 0.67; 95% CI, − 0.04 to 1.38) (Fig. 8) [27, 28], platelet-rich plasma injection (SMD -0.16; 95% CI, − 0.70 to 0.38) (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…In the longer term (13 to 52 weeks), there was low quality evidence that corticosteroid injection is less effective than dry needling (SMD 1.45; 95% CI, 0.70 to 2.19) [51, 59], and very low-quality evidence corticosteroid injection is less effective than platelet-rich plasma injection (SMD 0.61; 95% CI, 0.16 to 1.06) [21, 35, 36, 57, 58, 60]. There was very-low quality evidence that corticosteroid injection is similar to physical therapy (SMD -0.00; 95% CI − 0.39 to 0.38) [25, 37] autologous blood injection (SMD -0.05; 95% CI, − 0.31 to 0.21) [22, 39, 42, 62], extracorporeal shockwave therapy (SMD 0.45; 95% CI, − 0.09 to 0.99) [30, 33, 34, 50, 58], and local anaesthetic injection (SMD 0.22; 95% CI, − 0.87 to 1.31) [26].…”

Section: Resultsmentioning

confidence: 99%

“…Adverse events were assessed in 30/47 trials [21–24, 27–32, 34–38, 40, 42, 43, 46, 50, 55–59, 61–65]. In 25 of the 30 trials where adverse events were assessed [21, 22, 24, 25, 27–32, 35, 40, 43, 46, 53, 56, 57, 62–65], no adverse events were reported.…”

Section: Resultsmentioning

confidence: 99%

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Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis

Whittaker

Munteanu

Menz

et al. 2019

BMC Musculoskelet Disord

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Background Corticosteroid injection is frequently used for plantar heel pain (plantar fasciitis), although there is limited high-quality evidence to support this treatment. Therefore, this study reviewed randomised trials to estimate the effectiveness of corticosteroid injection for plantar heel pain. Methods A systematic review and meta-analysis of randomised trials that compared corticosteroid injection to any comparator. Primary outcomes were pain and function, categorised as short (0 to 6 weeks), medium (7 to 12 weeks) or longer term (13 to 52 weeks). Results A total of 47 trials (2989 participants) were included. For reducing pain in the short term, corticosteroid injection was more effective than autologous blood injection (SMD -0.56; 95% CI, − 0.86 to − 0.26) and foot orthoses (SMD -0.91; 95% CI, − 1.69 to − 0.13). There were no significant findings in the medium term. In the longer term, corticosteroid injection was less effective than dry needling (SMD 1.45; 95% CI, 0.70 to 2.19) and platelet-rich plasma injection (SMD 0.61; 95% CI, 0.16 to 1.06). Notably, corticosteroid injection was found to have similar effectiveness to placebo injection for reducing pain in the short (SMD -0.98; 95% CI, − 2.06, 0.11) and medium terms (SMD -0.86; 95% CI, − 1.90 to 0.19). For improving function, corticosteroid injection was more effective than physical therapy in the short term (SMD -0.69; 95% CI, − 1.31 to − 0.07). When trials considered to have high risk of bias were excluded, there were no significant findings. Conclusions Based on the findings of this review, corticosteroid injection is more effective than some comparators for the reduction of pain and the improvement of function in people with plantar heel pain. However, corticosteroid injection is not more effective than placebo injection for reducing pain or improving function. Further trials that are of low risk of bias will strengthen this evidence. Registration PROSPERO registration number CRD42016053216 . Electronic supplementary material The online version of this article (10.1186/s12891-019-2749-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis

Whittaker

Munteanu

Menz

et al. 2019

BMC Musculoskelet Disord

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“…Se analizaron un total de 7 artículos, todos ellos de los 6 últimos años. Según la escala USPSTF 23 los niveles de evidencia en todos ellos fue I [24][25][26][27][28][29][30] donde un total de 395 pacientes fueron analizados (Tabla II).…”

Section: Resultsunclassified

Efectividad de la punción seca en el tratamiento de la fascitis plantar relacionada con la presencia de puntos gatillo miofasciales: revisión narrativa

Francés-Cusco¹,

Alfaro-Santafé²,

Pérez-Morcillo³

et al. 2020

Rev. Esp. Pod.

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“… 8 However, no consensus has been reached regarding the most beneficial treatment method for PF. 9 Although conservative treatment of PF is successful in the vast majority of cases 10 and many PF cases are self-limiting and eventually enter remission, it can take up to months or even years for patients to recover. 11 Moreover, approximately 10% to 20% of patients are recalcitrant to conventional treatments, resulting in foot pain and/or disabilities for years.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of acupuncture versus sham acupuncture or waitlist control for patients with chronic plantar fasciitis: study protocol for a two-centre randomised controlled trial

Wang

Liu

et al. 2020

BMJ Open

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IntroductionPlantar fasciitis (PF) is reported to be the most common cause of plantar heel pain. Acupuncture has been used for patients experiencing PF, but evidence of the efficacy of acupuncture on PF is limited. The primary objective of this trial is to compare combined acupuncture and sham acupuncture (SA) versus waitlist control for improving the level of pain experienced by patients suffering from chronic PF.Methods and analysisThis will be a two-centre, parallel-group, sham and no-treatment controlled, assessor-blinded randomised trial. We will randomly allocate 120 participants with chronic PF to acupuncture, SA and waitlist control groups at a ratio of 2:1:1. Participants in the acupuncture and SA groups will receive a 30 min acupuncture or SA treatment for a total of 12 sessions over 4 weeks, with a 12-week follow-up. Participants in the waitlist control group will not undergo treatment for a period of 16 weeks but instead will have the option of 4 weeks (12 sessions) of acupuncture free of charge at the end of the follow-up period. The primary outcome will be the treatment response rate 4 weeks after randomisation, assessed as a minimum of 50% improvement in the worst pain intensity during the first steps in the morning compared with the baseline. All analyses will be performed with a two-sided p value of <0.05 considered significant following the intention-to-treat principle.Ethics and disseminationThe study has been approved by the Ethical Committee of the Guang’anmen Hospital, China Academy of Chinese Medical Sciences (approval no. 2019-210-KY). The results will be disseminated through presentation at a peer-reviewed medical journal, the relevant conferences and scientific meetings.Trial registrationNCT04185259.

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Preliminary Report on the Role of Dry Needling Versus Corticosteroid Injection, an Effective Treatment Method for Plantar Fasciitis: A Randomized Controlled Trial

Cited by 18 publications

References 23 publications

Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis

Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis

Efectividad de la punción seca en el tratamiento de la fascitis plantar relacionada con la presencia de puntos gatillo miofasciales: revisión narrativa

Efficacy of acupuncture versus sham acupuncture or waitlist control for patients with chronic plantar fasciitis: study protocol for a two-centre randomised controlled trial

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