Radiofrequency Thermal Lesioning and Extracorporeal Shockwave Therapy: A Comparison of Two Methods in the Treatment of Plantar Fasciitis

Ozan, Fırat; Koyuncu, Şemmi; Gürbüz, Kaan; Öncel, Eyyüp Sabri; Altay, Taşkın

doi:10.1177/1938640016675408

Cited by 18 publications

(24 citation statements)

References 33 publications

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“…A broad range of techniques can be incorporated under the term physical therapies. Besides extracorporeal shockwave therapy (ESWT) and radiofrequency thermal lesioning [ 13 ], there is acupuncture [ 14 ] and related techniques such as dry needling [ 15 ], as well as the injection of substances other than corticosteroids [ 16 ], which have been described as beneficial. Corticosteroid injections should be used with caution as multiple injections have been associated with fascia weakness and rupture [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Neural therapy of an athlete’s chronic plantar fasciitis: a case report and review of the literature

2018

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BackgroundThe focus of this case report is on the role of inflammation as a contributor to pain in plantar fasciitis and its cure by the injection of local anesthetics.Case presentationThis is a case report on a 24-year-old white man, a middle-distance runner, with chronic unilateral plantar fasciitis and perceived heel pain for almost 1.5 years. He was treated with neural therapy (that is, injection of < 1 ml procaine 1% which is a local anesthetic with strong anti-inflammatory properties) of the surgical scar and along the surgical puncture channel. The follow-up period from the time of first presentation until publication was 2.5 years. At admission, pain intensity (visual analog scale) in the affected leg was severe (10 cm, visual analog scale; range 0–10 cm) when walking and moderate (5 cm, visual analog scale) when standing. After the first session of injections he could stand pain-free and pain when walking was markedly reduced (− 90%). After the third session, he reported no pain in the affected leg and could return to sports at his former level (no difference in training load compared to non-injured state). There was no recurrence of inflammatory signs or heel pain despite intense athletics training up to the date of publication.ConclusionsIn prolonged cases of plantar fasciitis, inflammation is an important component in the development of persistent pain. The results of our case describe the effects of three neural therapy sessions that abolished inflammation and associated heel pain. Neural therapy might be an effective and time-efficient approach in the treatment of plantar fasciitis, enabling an early return to sports.

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Section: Introductionmentioning

confidence: 99%

Neural therapy of an athlete’s chronic plantar fasciitis: a case report and review of the literature

2018

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“…In another prospective study by Ozan et.al. (31), the ESWT and RFNA were compared for the management of chronic PF and both of the treatment modalities were found to be safe and effective without superiority to each other. The present study is not without some limitations.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Three Different Treatment Modalities in the Treatment of Chronic Plantar Fasciitis: Corticosteroid Injection, Extracorporeal Shock Wave Therapy and Radiofrequency Nerve Ablation

Turhan

Arıcan

2019

Düzce Tıp Fakültesi Dergisi

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Aim: In this study, it was aimed to compare the clinical and functional outcomes of three popular conservative treatment options in the treatment of chronic plantar fasciitis (PF): corticosteroid injection (CSI), extracorporeal shock wave therapy (ESWT) and radiofrequency nerve ablation (RFNA). Material and Methods: Patients with chronic PF refractory to other conservative treatment methods were included in this retrospective study. From January 2017 to February 2019, all the patients with the diagnosis of chronic PF who were treated with conservative treatment modalities were evaluated. Forty eight patients who met our eligibility criteria and treated either with CSI, ESWT or RFNA methods were included in the study. Clinical and functional assessments of the patients were done by American Orthopaedic Foot and Ankle Society (AOFAS) scoring system and Visual Analogue Scale (VAS) just before the treatment, at 6 th and at 12 th weeks of the last session. Results: There was a statistically significant difference in terms of VAS scores between the groups both for before treatment and for 6 th week (both p<0.001), but there was not a statistically significant difference between the groups in terms of VAS scores at 12 th week (p=0.436). Also, there was not a statistically significant difference between the three groups in terms of AOFAS scores before treatment, 6 th and 12 th week assessments (p=0.076, p=0.081, p=0.478 respectively). Conclusion:Although the three treatment modalities showed significant improvements in the chronic PF treatment, no differences were found among effectiveness of them at the final follow-up period.

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“…The first level of treatment would include the use of non-steroidal anti-inflammatory drugs (NASAIDs), specific physical exercises (such as stretching of the plantar fascia), foot insoles, night splints, ice massage, and patient's instructions to lose weight, activity modifications, and not to use flat shoes or walk barefoot (Akınoğlu and Köse, 2018;Celik et al, 2016;Cinar et al, 2018;Huffer et al, 2017;Lim et al, 2016Lim et al, , 2016Montesano et al, 2020;Oliva et al, 2017;Palermi et al, 2020;Sirico et al, 2018). Other treatment options are local injections of corticosteroids (CSs) (Gurcay et al, 2017), anaesthetic, and botulinum toxin (Ahmad et al, 2017); extracorporeal shock wave therapy Hsu et al, 2018;Reilly et al, 2018); ultrasound scanning; radiofrequency ablation (Akınoğlu and Köse, 2018;Ozan et al, 2017); cryopreserved human amniotic membrane injections (Hanselman et al, 2015); prolotherapy (Kim and Lee, 2014;Ryan et al, 2009); ozone injections (Bahrami et al, 2019); hyaluronic acid injections (Kumai et al, 2018); platelet-rich plasma injections (PRP) (Chen et al, 2019;Franceschi et al, 2014;Singh et al, 2017;Sirico et al, 2017;Soraganvi et al, 2019); and surgical, such as endoscopic release (Al-Ashhab et al, 2018;Bernhard et al, 2018;Oliva et al, 2017). However, as yet, there is no consensus regarding the optimal treatment method , Eftekharsadat et al, 2016Kiter et al, 2006;Say et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided collagen injections for treatment of plantar fasciopathy in runners: A pilot study and case series

Corrado¹,

Bonini²,

Tarantino³

et al. 2020

Journal of Human Sport and Exercise - 2020 - Spring Conferences of Sports Science

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Background. Plantar fasciopathy is a frequent source of foot pain in athletes, and it is caused by the degeneration of the proximal insertion of the plantar fascia, usually triggered by repetitive microtrauma. Type I porcine collagen was shown to enhance tendon repair in vitro, and collagen injections are currently used to treat different tendinopathies. The aim of this study is to verify the effectiveness of collagen injections on pain and function in runners with plantar fasciopathy. Methods. Runners, who have been suffering from plantar fasciopathy for at least 6 months, were treated with a series of 4 ultrasound-guided type I porcine collagen injections, at weekly intervals. The Visual Analogue Scale, American Orthopedic Foot and Ankle Society-Ankle Hindfoot score and pressure algometry were used to verify the effects of collagen injections at 1-month and 3-month follow-up. Results. Compared to baseline, minor (p ≥ .05) and major (p ≤ .001) improvements on pain and function were registered at 1-month and 3-month follow-up, respectively. Conclusion. This is the first study that evaluates the effectiveness of collagen injections in the treatment of plantar fasciopathy in runners. Despite the limitations of this study, the positive findings could represent the starting point for further clinical trials.

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Radiofrequency Thermal Lesioning and Extracorporeal Shockwave Therapy: A Comparison of Two Methods in the Treatment of Plantar Fasciitis

Abstract: Level II: Therapeutic study.

Cited by 18 publications

References 33 publications

Neural therapy of an athlete’s chronic plantar fasciitis: a case report and review of the literature

Neural therapy of an athlete’s chronic plantar fasciitis: a case report and review of the literature

Comparison of Three Different Treatment Modalities in the Treatment of Chronic Plantar Fasciitis: Corticosteroid Injection, Extracorporeal Shock Wave Therapy and Radiofrequency Nerve Ablation

Ultrasound-guided collagen injections for treatment of plantar fasciopathy in runners: A pilot study and case series

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