Repetitive low-energy shock wave application without local anesthesia is more efficient than repetitive low-energy shock wave application with local anesthesia in the treatment of chronic plantar fasciitis

Rompe, Jan D.; Meurer, Andrea; Nafe, B.; Hofmann, Alexander; Gerdesmeyer, Ludger

doi:10.1016/j.orthres.2004.09.003

Cited by 86 publications

(100 citation statements)

References 53 publications

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“…The efficacy and safety of ESWT on chronic PF have been demonstrated in several randomized clinical trials. [22][23][24][25][26] ESWT causes extreme excitement of the axon, destroys unmyelinated sensory fibers, improves symptoms by initiating an inflammatory response to the secretion of growth factors or nitrous oxide and revitalizes tissues by increasing angiogenesis. 3,9 Some researchers have reported that ESWT is effective in the treatment of PF in comparison to a control group.…”

Section: Discussionmentioning

confidence: 99%

“…27,28 This discrepancy may be explained by methodological differences. For example, the use of local anesthesia, 23,29,30 applicator position, 23 and the use of different energy densities of ESWT 31 are all factors that may have affected study results. In a study by Lee et al, 31 a medium-energy (0.16 mj/mm 2 ) ESWT group showed statistically significant pain reduction and improved function scores compared to a low-energy (0.08 mj/mm 2 ) group.…”

Section: Discussionmentioning

confidence: 99%

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Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial

et al. 2017

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Objectives:This study aims to compare the efficacy of extracorporeal shockwave therapy (ESWT) and kinesiology taping in the treatment of plantar fasciitis. Patients and methods:The study included 80 patients diagnosed with plantar fasciitis. The patients were randomized into two groups as ESWT (9 males, 28 females; mean age 47.8±12.4 years; range 40 to 55 years) and kinesiology taping (KT, 7 males, 26 females; mean age 47.7±9.8 years; range 40 to 55 years) groups. Groups were similar regarding age, sex, and body mass index (all p>0.05). Three patients in ESWT group and seven patients in KT group were lost to follow-up. ESWT was applied once a week for five weeks, while KT was applied every five days for five weeks. Patients' pain and functional status were evaluated with visual analog scale, heel tenderness index, and foot and ankle outcome score before and after treatment. Results: At the study onset, there were no statistically significant differences between the two groups in their visual analog scale, heel tenderness index, and foot and ankle outcome scores. Five weeks later, both groups showed significant improvement in all parameters (p<0.05), but no significant differences were observed between the groups in the visual analog scale, heel tenderness index, and foot and ankle outcome score scores. Conclusion: Both ESWT and KT treatments improved pain levels and function and quality of life in individuals with plantar fasciitis. Neither method was superior in treating plantar fasciitis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial

et al. 2017

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“…A reduced pain level was reported for patients who additionally stretching exercised three times or more each week [41]. Rompe et al [42] and Labek et al [43] showed that the use of anesthesia can reduce the efficacy of the shockwaves. It was also demonstrated as the high-energy shock waves decreased the painful symptoms [44][45][46].…”

Section: Shock Wavesmentioning

confidence: 99%

Conservative Treatment of Plantar Fasciitis and Posterior Heel Pain: A Review

Bistolfi¹,

Zanovello²,

Vannicola³

et al. 2016

Int J Phys Med Rehabil

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This review focuses on the various techniques of conservative treatment of plantar fasciitis and posterior heel pain. Being the optimal therapy controversial, the intent is to drive surgeons and rehabilitation specialists in the choice of the strategies. The Data sources were MEDLINE, PubMed, CINAHL, EMBASE, and Psych INFO databases using the selected key words. Studies have been selected for review using as criteria English, adults, clinical population and intervention. Among several published studies about rehabilitation and fasciitis, only a few showed bases on scientific evidence. Moreover, many studies were heterogeneous and included different outcomes and evaluations. There is consensus that a specific rehabilitation program is necessary to avoid chronicity. However, the real efficacy of every specific treatment (orthoses, stretching, radiotherapy, botulin toxin, shock waves, corticosteroid therapy, and platelet rich plasma) is still questionable, and often related to the experience of the authors. In conclusion, patients undergoing physiotherapy obtain a better and faster outcome achievement than non-treated patients; however, evidence-based treatments, protocols and clinical trials are recommended.

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“…In contrast, high-energy shock wave therapy can be applied in one visit but requires local anesthesia. Controversy revolves around whether the use of anesthesia compromises clinical outcomes [35]. In theory, the infiltration of local anesthesia may interfere with the focusing of the shock wave to the site of maximal discomfort [35].…”

Section: Extracorporeal Shock Wave Therapymentioning

confidence: 99%

“…Controversy revolves around whether the use of anesthesia compromises clinical outcomes [35]. In theory, the infiltration of local anesthesia may interfere with the focusing of the shock wave to the site of maximal discomfort [35]. Also local anesthesia may alter the inflammatory response and angiogenesis ESWT invokes.…”

Section: Extracorporeal Shock Wave Therapymentioning

confidence: 99%

Shock wave therapy for Achilles tendinopathy

Wilson

Stacy

2010

Curr Rev Musculoskelet Med

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Achilles tendinopathy has been reported as the most common overuse injury in sports medicine clinics (Clement et al. Am J Sports Med 12: 179-184, 1984). Standard treatment regimens include activity modification, heel lifts, arch supports, stretching exercises, nonsteroidal anti-inflammatories, and eccentric loading. There is a lack of consensus regarding treatment. Even so, most athletes will respond to this regimen. However, conservative management will prove to be inadequate for a subset of patients. When conservative therapy fails, other noninvasive treatment measures may be considered. Extracorporeal shock wave therapy (ESWT) has been used in soft-tissue disorders including lateral epicondylitis, plantar fasciitis, and calcific tendonitis of the shoulder. Conclusive evidence recommending ESWT as a treatment for Achilles tendinopathy is lacking. This article explores the role of shock wave therapy in the management of recalcitrant Achilles tendinopathy in patients attempting to avoid an invasive intervention.

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Repetitive low-energy shock wave application without local anesthesia is more efficient than repetitive low-energy shock wave application with local anesthesia in the treatment of chronic plantar fasciitis

Cited by 86 publications

References 53 publications

Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial

Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial

Conservative Treatment of Plantar Fasciitis and Posterior Heel Pain: A Review

Shock wave therapy for Achilles tendinopathy

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