Radiation Therapy for Painful Heel Spurs

Heyd, Reinhard; Tselis, Nikolaos; Ackermann, Hanns; Röddiger, Sandra; Zamboglou, Nikolaos

doi:10.1007/s00066-007-1589-1

Cited by 64 publications

(33 citation statements)

References 34 publications

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“…However, other studies found no influence of this patient characteristic on treatment outcome [24,30,39].…”

Section: Patients' Agementioning

confidence: 81%

“…To the best of our knowledge, in no study, an influence of gender on treatment outcome has been confirmed [22,24,30,38,39]. In contrast to radiotherapy for oncological indications with high doses, efficacy and tolerability of LD-EBRT seems to be the same concerning gender.…”

Section: Gendermentioning

confidence: 84%

“…In standard schedules with fixed single doses a slight increase in pain during the treatment series was reported by 26% (during 6 × 0.5 Gy) vs. 29% (6 × 1 Gy) of the patients [30]. Unfortunately, a possible correlation of this phenomenon with definite treatment results was not investigated.…”

Section: Initial Increase In Pain During Ld-ebrtmentioning

confidence: 99%

“…The first trial was conducted by Heyd et al [30]. They randomized 130 patients between 6 × 0.5 Gy twice weekly (low dose) and 6 × 1 Gy (standard dose).…”

Section: Single Dose 05 Vs 1 Gymentioning

confidence: 99%

“…Ott et al randomized 457 patients between 6 × 0.5 Gy (low dose) and 6 × 1 Gy (standard dose). In contrast to the abovecited "Heyd-study" [30] an X-ray unit (orthovoltage) and not linear accelerators was used.…”

Section: Single Dose 05 Vs 1 Gymentioning

confidence: 99%

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Low-Dose Radiotherapy of Painful Heel Spur/Plantar Fasciitis as an Example of Treatment Effects in Benign Diseases

Hermann¹,

Bruns²,

Nitsche³

2017

Radiotherapy

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Degenerative changes in the plantar fascia may cause the so-called "painful heel" with typical projections of tenderness. This condition is often associated with a plantar heel spur. Radiotherapy with low doses (LD-EBRT) has been well known for its anti-inflammatory potential. In the recent years, several microbiological mechanisms were elucidated to explain immunomodulation by LD-EBRT. Furthermore, a randomized study proved the clinical efficacy of this therapy in plantar fasciitis. Two other trials defined a fractionation schedule of 6 × 0.5 Gy twice weekly as the new standard therapy. Taken together, LD-EBRT is an effective and safe therapeutic option for patients over 30 years of age and after exclusion of pregnancy. In case of an insufficient response, a second course can be offered to the patient. There are still open questions concerning target volume definition and fractionation of LD-EBRT. Furthermore, studies randomizing LD-EBRT with other conservative therapeutic approaches are missing.

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“…However, other studies found no influence of this patient characteristic on treatment outcome [24,30,39].…”

Section: Patients' Agementioning

confidence: 81%

Section: Gendermentioning

confidence: 84%

Section: Initial Increase In Pain During Ld-ebrtmentioning

confidence: 99%

“…The first trial was conducted by Heyd et al [30]. They randomized 130 patients between 6 × 0.5 Gy twice weekly (low dose) and 6 × 1 Gy (standard dose).…”

Section: Single Dose 05 Vs 1 Gymentioning

confidence: 99%

Section: Single Dose 05 Vs 1 Gymentioning

confidence: 99%

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