The effectiveness of extra corporeal shock wave therapy for plantar heel pain: a systematic review and meta-analysis

Abstract

Background: There is considerable controversy regarding the effectiveness of extracorporeal shock wave therapy in the management of plantar heel pain. Our aim was to conduct a systematic review of randomised controlled trials to investigate the effectiveness of extracorporeal shock wave therapy and to produce a precise estimate of the likely benefits of this therapy.

Ortopedi ve travmatolojide şok dalga tedavisi

“…[124] Yakın zamanda yayımlanan bir diğer meta-analizde ise, ESWT'nin plantar fasciitis tedavisinde plaseboya göre üstün olarak bulunduğu, fakat bu verinin istatistiksel gücünün -anlamlı olmakla beraber-düşük olduğu bildirilmiştir. [125] Son 3-4 yılda yapılan randomize, plasebo kontrollü çalışmalarda elde edilen hem başarılı hem de yetersiz sonuçlar, plantar fasciitiste ESWT'nin etkinliği konusundaki tartışmayı devam ettirmektedir. Sonuç olarak; ESWT, kronik plantar fasciitis tedavisinde etkili olabilecek ve komplikasyon oranı düşük olan ve bu nedenle cerrahi tedavilere geçmeden önce uygulanması önerilebilecek bir tedavi şeklidir.…”

Evaluation of a Review Article

“…This will be accomplished by critically analyzing a meta-analysis of extra corporeal shock wave therapy (ESWT) for mechanically induced heel pain. 6 The following article in this series will specifically address the meta-analysis section of the ESWT paper.…”

“…6 The question appears to be a focused, answerable, foreground question. Using the PICO method the patient, intervention and outcome are clearly defined however, the comparator was not.…”

Extracorporeal shock-wave therapy effectively reduces calcaneal spur length and spur-related pain in overweight and obese patients

“…All these limitations and complication probabilities in treatment options yielded a research towards a less risky and effective alternative treatment. ESWT has become the recommended modality in recent years in patients with symptomatic calcaneal spur, especially resistant to conservative treatment [11]. American Food and Drug Association approved the application of ESWT in calcaneal spur after the successful results of Ogden et al [12] and Buch et al [13].…”