Shockwave therapy for plantar heel pain (plantar fasciitis)

Jessup, Rebecca; Oates, Matthew; Johnston, Renea V; Buchbinder, Rachelle

doi:10.1002/14651858.cd013490

Cited by 2 publications

(2 citation statements)

References 61 publications

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“…walking occupations, incorrect training (1)(2)(3). Patients with plantar fasciitis often present a heel spur, but it also occurs in asymptomatic populations, so its causal role in the development of plantar fasciitis is uncertain (4). The diagnosis is primarily based on symptoms and clinical evaluation.…”

Section: Introductionmentioning

confidence: 99%

Demographic and Clinical Factors Predict Focused Shockwave Therapy Results on Patients With Plantar Fasciitis. A Multilevel Analysis

Vertuccio¹,

Perugia²,

Lanzetti³

et al. 2021

Muscle Ligaments and Tendons J

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Background. Plantar fasciitis (PF) is one of the most common causes of heel pain. The use of ESWT is approved in the treatment of chronic PF. The aim of this study was to conduct a retrospective analysis to create models for a pre-treatment evaluation in people with PF, and to assess whether demographic and clinical features could be used to predict medium-term outcomes six months after fESWT. Methods. 183 cases of plantar fasciitis were treated with fESWT. The outcome was NRS variation at three and six months. Age, gender, Likert scale and FAOS were the predictive factors evaluated. Results. A significant improvement in the mean values of NRS and FAOS was observed at the follow up controls. Patients with unfavorable characteristics association (age ≥ 56 years, FAOS < 66.7, Likert scale 3-4) showed higher NRS values, instead patients with favorable characteristics association (age < 56 years, FAOS ≥ 66.7, Likert scale 1-2) showed lower NRS values. Conclusions. The multilevel modeling creates clinical models for a pre-treatment evaluation of patients with PF, predicting a better or worse medium-term after fESWT. The patient presenting a combination of unfavorable characteristics could be informed about a worst therapeutic response, and modification on therapy protocol or association of different therapies could be considered.

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Section: Introductionmentioning

confidence: 99%

Demographic and Clinical Factors Predict Focused Shockwave Therapy Results on Patients With Plantar Fasciitis. A Multilevel Analysis

Vertuccio¹,

Perugia²,

Lanzetti³

et al. 2021

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

show abstract

“…The findings from this study have highlighted diverse and distinct management strategies ranging from cushioning, pressure redistribution, and immobilisation, to enhancement of sagittal plane motion. However, further work is required to determine how assessment outcomes can be used to inform the most optimal management strategy, including when referrals should be instigated, and whether adjunct modalities used successfully in other chronic pain conditions including plantar heel pain and Achilles tendinopathy may also play a role (e.g., electrophysical agents including extracorporeal shockwave therapy, and iontophoresis) [ 30 , 31 ]. Prospective studies, and ideally, randomised controlled trials, are needed to evaluate the effectiveness of different podiatric interventions for sesamoiditis, specifically cushioning, offloading and immobilisation techniques that can be tailored to the individual.…”

Section: Discussionmentioning

confidence: 99%

The assessment and management of sesamoiditis: a focus group study of podiatrists in Aotearoa New Zealand

Kaur

Carroll

Stewart

2023

Journal of Foot and Ankle Research

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Background Sesamoiditis is a common inflammatory condition affecting the sesamoid bones at the plantar aspect of the first metatarsophalangeal joint (1MTPJ). However, there are currently no recommendations or clinical guidelines to support podiatrists in their assessment or management of sesamoiditis. The aim of this study was to explore the views of podiatrists in Aotearoa New Zealand on their approaches to the assessment and management of patients with sesamoiditis. Methods This qualitative study included focus group discussions with registered podiatrists. Focus groups took place online via Zoom and were guided by a detailed focus group question schedule. The questions were designed to encourage discussion around assessment approaches used in the diagnosis of sesamoiditis and the treatment tools used to manage patients with sesamoiditis. Focus groups were audio-recorded and transcribed verbatim. Reflexive thematic analysis was used to analyse the data. Results A total of 12 registered podiatrists participated in one of three focus groups. Four themes were constructed relating to the assessment of sesamoiditis: (1) obtaining a patient history; (2) recreating patient symptoms; (3) determining contributing biomechanical factors; and (4) ruling out differential diagnoses. Seven themes were constructed relating to the management of sesamoiditis: (1) consideration of patient factors; (2) patient education; (3) cushioning of the sesamoids to allow more comfortable weightbearing of the 1MTPJ; (4) pressure redistribution and offloading of the sesamoids; (5) immobilisation of the 1MTPJ and sesamoids; (6) facilitating efficient sagittal plane motion during gait; (7) referring to other health professionals to find different ways to treat or manage patient symptoms. Conclusion Podiatrists in Aotearoa New Zealand demonstrate an analytical approach in the assessment and management of patients with sesamoiditis based on their clinical experience and knowledge of lower limb anatomy. A range of assessment and management techniques are selected based on the practitioners personal preferences, as well as the patient’s social factors, symptomology, and lower limb biomechanics.

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Shockwave therapy for plantar heel pain (plantar fasciitis)

Abstract: Trusted evidence. Informed decisions. Better health.

Cited by 2 publications

References 61 publications

Demographic and Clinical Factors Predict Focused Shockwave Therapy Results on Patients With Plantar Fasciitis. A Multilevel Analysis

Demographic and Clinical Factors Predict Focused Shockwave Therapy Results on Patients With Plantar Fasciitis. A Multilevel Analysis

The assessment and management of sesamoiditis: a focus group study of podiatrists in Aotearoa New Zealand

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