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

Abstract

Background: It remains unclear whether application of local anesthesia (LA) interferes with clinical efficacy of extracorporeal shock wave therapy (ESWT) for chronic plantar fasciitis.Aims: To evaluate the effect of local anesthesia on the clinical outcome after repetitive low-energy ESWT for chronic plantar fasciitis.Methods: Eighty-six patients with chronic plantar fasciitis were randomly assigned to receive either low-energy ESWT without

High-Energy Extracorporeal Shock Wave Therapy as a Treatment for Insertional Achilles Tendinopathy

“…At 3 months after treatment, 67% of patients who had ESWT without local anesthesia achieved ≥ 50% reduction of heel pain, compared with 29% of patients who had ESWT with local anesthesia (P < .001). 38 In the current study, when considering improvement in VAS, it appears that the use of a local anesthesia field block decreased the effectiveness of the high-energy ESWT procedure. At 1, 3, and 12 months after treatment, the mean improvement in VAS for the LA subgroup was significantly less than the corresponding gain noted in the NLA subgroup.…”

“…§ There are now multiple, randomized, double-blinded, clinical trials that support the use of ESWT for plantar fasciitis, lateral epicondylitis, and calcific tendinitis of the shoulder. 5,10,27,28,35,38,39,45 In contrast, there are only a few reports that have investigated the efficacy of ESWT as a treatment for chronic Achilles tendinopathy. 19,31,32 None of these pilot studies focused exclusively on the insertional form of Achilles tendinopathy.…”

“…12 Some authors have suggested that the application of local anesthesia before shock wave therapy reduces the efficiency of low-energy ESWT in patients with chronic plantar fasciitis. 38 The purpose of this study was to determine the efficacy of high-energy ESWT for the treatment of adults with chronic insertional Achilles tendinopathy and to determine if the use of a local anesthesia field block had an adverse effect on outcome.…”

Stoßwellentherapie bei Tendinopathien der oberen Extremität

“…Eine konfirmatorische Untersuchung von Rompe et al [32] baute auf diesen Daten auf. Verglichen wurde bei Patienten mit chronischer Plantarfasziopathie eine SWT ohne Lokalanästhesie mit einer SWT unter Lokalanästhesie.…”

Radial Shock Wave Therapy for Plantar Fasciitis: A One Year Follow-Up Study / Радиальная ударно-волновая терапия при подошвенном фасциите; прослеживание в течение года

“…While there are a lot of studies about the effect of focused shock wave therapy, the effect of radial shock wave therapy is the subject of little research. [6][7][8][9][10][11][12][13][14] The aim of the present study was to assess the efficacy of radial shock wave therapy in the treatment of chronic plantar fasciitis with one-year follow-up.…”