Steroid injection for inferior heel pain: a randomised controlled trial

Ball, Elisabeth; McKeeman, Helen M A; Patterson, Christopher; Burns, James; Yau, Wing H.; Moore, O.; Benson, Claire; Foo, Joanne; Wright, Gary; Taggart, A J

doi:10.1136/annrheumdis-2012-201508

Cited by 83 publications

(101 citation statements)

References 36 publications

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“…In corticosteroid injection group, Mean BMI was 27.6 while In autologous blood injection group, Mean BMI was 28.46 (p value = 0.47). Similar studies conducted by Modi et al [12] , Abdihakin et al [13] and Ball et al [16] favoured obesity and over-weight as a predisposing factor . Pre-injection Mean VAS score for two groups was 7.60 and 7.33 respectively (p value 0.225, not significant, hence comparable)( Table 2).…”

Section: Resultssupporting

confidence: 82%

Comparative Study of 30 Cases of Local Injection of Autologous Blood and Corticosteroids in Treatment of Plantar Fascitis

Brar¹

2017

JMSCR

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Section: Resultssupporting

confidence: 82%

Comparative Study of 30 Cases of Local Injection of Autologous Blood and Corticosteroids in Treatment of Plantar Fascitis

Brar¹

2017

JMSCR

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“…All of the included studies compared corticosteroid injection and placebo injection in the treatment of plantar fasciitis. Two studies were performed in UK (7,10), one in Australia (8) and one in Kenya (9). The patients in the included studies were middle-aged and elderly, with an average age of between 43.1 and 58.2 years.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…At present, several published randomized controlled trials (RCTs) (7)(8)(9)(10) have compared the efficacy of corticosteroid injection with that of placebo injection for the management of plantar fasciitis; however, the efficacy of corticosteroid injection remains controversial. The present meta-analysis was performed to determine the efficacy of corticosteroid versus placebo injection for the treatment of plantar fasciitis.…”

Section: Introductionmentioning

confidence: 99%

Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials

et al. 2015

Experimental and Therapeutic Medicine

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Abstract. The aim of this meta-analysis was to determine the efficacy of corticosteroid versus placebo injection for the treatment of plantar fasciitis. Databases (Medline, Embase, the Cochrane Library and Google Scholar) and study references were searched for randomized controlled trials comparing corticosteroid with placebo injection for plantar fasciitis. Studies that met the inclusion criteria were selected for the analysis. The risk of bias tool was used for the methodological assessment. Outcomes including visual analogue score (VAS) and plantar fascia thickness (PFT) were extracted and pooled. Egger's test was used to detect publication bias. The evidence quality was assessed by the Grading of Recommendations Assessment, Development and Evaluation system. Statistical analysis was performed using RevMan 5.2. A total of four studies with 289 patients were included in the analysis. Compared with the placebo, corticosteroid injection provided better pain relief after one month [standardized mean difference (SMD), -0.32; 95% confidence interval (CI), -0.59--0.06); P=0.02). No difference was detected with respect to the VAS after two months (SMD, -0.04; 95% CI, -0.35-0.27; P= 0.79) or three months (SMD, 95% CI, P=0.15) or to the PFT (MD, 0.70; 95% CI, P= 0.20), although a tendency of favoring corticosteroid injection was observed. No obvious publication bias was detected. In conclusion, corticosteroid injection may provide pain relief for a short period of time, but the efficacy may disappear with the progression of time.

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“…In a randomized controlled study involving 106 patients, Crawford et al [21] reported that CS injections were superior to placebo at 1 month, but not at subse- PAIN A RI quent follow-up assessments. In another randomized study, Ball et al [22] reported that CS injection had short-and medium-term benefits in a study involving 65 patients with plantar fasciitis. We observed a significant improvement in pain in 10 patients with plantar fasciitis after CS injections.…”

Section: Discussionmentioning

confidence: 99%

“…CS injections for plantar fasciitis are known to be an effective choice of treatment. [20][21][22][23][24] In a study by Li et al, [20] treatment with steroid injections had-a significant effect only at the 1-month, and not the 6-or 12-month, follow-ups. In a randomized controlled study involving 106 patients, Crawford et al [21] reported that CS injections were superior to placebo at 1 month, but not at subse- PAIN A RI quent follow-up assessments.…”

Section: Discussionmentioning

confidence: 99%

Short-term efficacy of joint and soft tissue injections for musculoskeletal pain: An interventional cohort study

Sucuoğlu

Özbayrak

Uludağ

et al. 2016

Agri

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SummaryObjectives: Musculoskeletal injections (MIs) are frequently used in conservative treatment-resistant cases. Joint or soft tissue (ST) corticosteroid (CS) or local anesthetic (LA) injections can be used to relieve musculoskeletal pain. Assessed in the present study was the short-term efficacy of MIs for pain relief, as was the relative efficacy of injections in various joint and ST sites. Methods: An interventional prospective cohort design was employed in the present study. Joint or ST injections for musculoskeletal pathologies were performed in patients over 18 years of age who were resistant to conservative treatment methods. Pain during rest and activity were evaluated using visual analog scale (VAS) by different clinicians prior to treatment and 3 weeks after. At the end of the study, efficacy at 7 injection sites (myofascial trigger points, shoulder, knee, lateral epicondyle, plantar fascia, lumbar, and coccyx regions) was analyzed. Results: Injections were administered to 225 of the 250 patients included. A total of 128 patients, of whom 94 were female, completed the study. Resting VAS values before and after treatment were 4.35±1.49 and 1.63±1.74, respectively. Activity VAS values before and after treatment were 8.41±1.33 and 4.04±2.37, respectively. Changes in resting and activity VAS values were significant (p<0.005). Significant reductions in pain were observed at all injection sites following treatment. Conclusion: Significant improvement in pain scores was observed 3 weeks after injections among all injection sites. LA or CS injections can be used safely and efficiently for pain relief over short time periods.Keywords: Injection; joint; soft tissue; pain; rehabilitation. ÖzetAmaç: Muskuloskeletal enjeksiyonlar konservatif tedaviye dirençli olgularda sıklıkla kullanılmaktadır. Eklem veya yumuşak doku (YD), kortikosteroid (KS) veya lokal anestezik (LA) enjeksiyonları kas-iskelet ağrısını gidermek için kullanılabilir. Bu çalış-mada, Mİ'ların farklı eklem ve YD bölgelerinde ağrı tedavisi üzerine kısa dönem etkinliği değerlendirildi. Gereç ve Yöntem: Bu çalışma, girişimsel prospektif kohort olarak tasarlandı. Konservatif tedavi yöntemlerine dirençli 18 yaş üzeri hastalara, kas iskelet patolojilerine göre eklem ve YD enjeksiyonları yapılmıştır. Hastaların, istirahat ve aktivite sırasındaki ağrıları başka bir doktor tarafından visual analog skalası (VAS) ile tedavi öncesi, tedavi sonrası 3. haftada değerlendirildi. Çalış-manın sonunda, yedi enjeksiyon bölgesine göre (miyofasyal tetik noktalar, omuz, diz, lateral epikondil, plantar fasya, lomber ve kuyruk sokumu) analiz yapıldı. Bulgular: Enjeksiyon çalışmaya dahil edilen 250 hastanın 225'ine uygulandı. 94'ü kadın, toplam 128 hasta çalışmayı tamamladı. Tedavi öncesi ve sonrası istirahat VAS değerleri sırasıyla 4.35±1,49 ve 1,74±1,63 idi. Tedavi öncesi ve sonrası aktivite VAS değerleri sırasıyla 8.41±1.33 ve 4.04±2,37 idi. İstirahat ve aktivite VAS değerlerinde değişiklikler anlamlıydı (p<0.05). Ayrıca ağrıdaki düzelme tedavi sonrası tüm enjeksiyon böl...

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Steroid injection for inferior heel pain: a randomised controlled trial

Abstract: In this study, steroid injection showed a clear benefit over placebo at 6 weeks and this difference was maintained at 12 weeks. Trial Registration No ISRCTN79628180 (www.controlled-trials.com).

Cited by 83 publications

References 36 publications

Comparative Study of 30 Cases of Local Injection of Autologous Blood and Corticosteroids in Treatment of Plantar Fascitis

Comparative Study of 30 Cases of Local Injection of Autologous Blood and Corticosteroids in Treatment of Plantar Fascitis

Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials

Short-term efficacy of joint and soft tissue injections for musculoskeletal pain: An interventional cohort study

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