Treatment of Chronic Plantar Fasciitis with Noninvasive Interactive Neurostimulation: A Prospective Randomized Controlled Study

Razzano, Cristina; Carbone, Stefano; Mangone, Massimiliano; Iannotta, M. Raffaella; Battaglia, Alessandro; Santilli, Valter

doi:10.1053/j.jfas.2017.02.015

Cited by 10 publications

(5 citation statements)

References 22 publications

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“…[ 9 ] Notably, other therapies that apply different energy forms for treating plantar fasciitis are available and have demonstrated favorable results. [ 10 ] These include ultrasound therapy [ 11 , 12 ] and the recently developed ultrasound-guided pulsed radiofrequency (UG-PRF) treatment for the gastrocnemius, [ 13 ] low-level laser therapy (LLLT), [ 14 ] radiotherapy (i.e., radiation therapy), [ 15 ] noninvasive interactive neurostimulation (NIN) [ 16 ] and intracorporeal pneumatic shock therapy (IPST). [ 17 ] In contrast to surgical approaches or injection therapy, these interventions treat plantar fasciitis with different types of energy output that can propagate through a medium, such as sonic waves, mechanical oscillations, heat, or light.…”

Section: Introductionmentioning

confidence: 99%

Comparative effectiveness of extracorporeal shock wave, ultrasound, low-level laser therapy, noninvasive interactive neurostimulation, and pulsed radiofrequency treatment for treating plantar fasciitis

Zhang

et al. 2018

Medicine

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Section: Introductionmentioning

confidence: 99%

Comparative effectiveness of extracorporeal shock wave, ultrasound, low-level laser therapy, noninvasive interactive neurostimulation, and pulsed radiofrequency treatment for treating plantar fasciitis

Zhang

et al. 2018

Medicine

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“…NIN reportedly stimulates A, delta, and C nerve fibers, emitting larger currents through areas of lower impedance [ 57 , 58 ]. Specialized attachments can be interchanged to access different nerve regions, including a probe, an elastic band with sensors, and a cranium comb.…”

Section: Resultsmentioning

confidence: 99%

“…One meta-analysis of different treatment modalities for plantar fasciitis reported that NIN seemed to be the most effective in reducing pain [ 60 ]. However, this product is not easily accessible and quite expensive, the mechanism of action is poorly understood, and there are insufficient trials demonstrating long-term effectiveness [ 58 , 60 , 61 ].…”

Section: Resultsmentioning

confidence: 99%

Do Electrical Stimulation Devices Reduce Pain and Improve Function?—A Comparative Review

Allen,

Williamson,

Norwood

et al. 2023

Pain Ther

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Background Multiple forms of electrical stimulation (ES) potentially offer widely varying clinical benefits. Diminished function commonly associated with acute and chronic pain lessens productivity and increases medical costs. This review aims to compare the relative effects of various forms of ES on functional and pain outcomes. Methods A comprehensive literature search focused on studies of commonly marketed forms of ES used for treatment of pain and improvement of function. Peer-reviewed manuscripts were categorized as “Important” (systematic review or meta-analysis, randomized controlled trial, observational cohort study) and “Minor” (retrospective case series, case report, opinion review) for each identified form of ES. Results and Discussion Varying forms of ES have markedly different technical parameters, applications, and indications, based on clinically meaningful impact on pain perception, function improvement, and medication reduction. Despite being around for decades, there is limited quality evidence for most forms of ES, although there are several notable exceptions for treatment of specific indications. Neuromuscular electrical stimulation (NMES) has well-demonstrated beneficial effects for rehabilitation of selective spinal cord injured (SCI), post-stroke, and debilitated inpatients. Functional electrical stimulation (FES) has similarly shown effectiveness in rehabilitation of some stroke, SCI, and foot drop outpatients. H-Wave ® device stimulation (HWDS) has moderate supportive evidence for treatment of acute and refractory chronic pain, consistently demonstrating improvements in function and pain measures across diverse populations. Interestingly, transcutaneous electrical nerve stimulation (TENS), the most widely used form of ES, demonstrated insignificant or very low levels of pain and functional improvement. Conclusion Ten of 13 reviewed forms of ES have only limited quality evidence for clinically significant reduction of pain or improvement of function across different patient populations. NMES and FES have reasonably demonstrated effectiveness, albeit for specific clinical rehabilitation indications. HWDS was associated with the most clinically significant outcomes, in terms of functional improvement combined with reduction of pain and medication use. More rigorous long-term clinical trials are needed to further validate appropriate use and specific indications for most forms of ES. Level of Evidence II.

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“…These approaches reinforce the existing discrepancies in this treatment modality and were the subject of this study. Grecco et al 2013 andRazzano et al, 2017 recommend shockwave treatment for chronic PF after a refractory response to conservative care and just before surgery [50,51].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Short-Term Effect between Iontophoresis and Radial Extracorporeal Shockwave Therapy in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial

Pabón-Carrasco,

Coheña-Jiménez,

Pérez-Belloso

et al. 2024

Healthcare

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Conservative treatments for plantar fasciitis have different levels of effectiveness, so it is necessary to personalize the therapeutic modality that improves the patients’ symptoms. Methods: A double-blinded randomized clinical trial was designed to evaluate the short-term efficacy of a physical treatment in chronic plantar fasciitis, namely iontophoresis, compared with radial shockwave therapy. Heel pain, health status using the EuroQol-5D questionnaire, and fascia thickness measured with ultrasound were evaluated. In total, 127 patients were randomly selected for group A and treated with iontophoresis therapy (lidocaine 0.4% and dexamethasone 0.5%), or for group B, in which they were treated with radial shockwave therapy (EWST). Measurements were taken at baseline and at follow-up during the 5 weeks of the study. Results: Statistically significant differences were observed to the shockwave therapy group in respect to the final fascia thickness, and the VAS scale (p = 0.001). The differences between groups A and B showed that the shockwave group follow-up after 3 weeks experienced complete pain remission (1.0 ± 0.9; 95%CI 0.8–1.2) and after the 6-week follow-up, complete pain remission of plantar fasciitis was observed for both therapies. Patients had a better perception of the use of EWST at the end of the treatment, although in both groups it was satisfactory (p = 0.001). Conclusions: The results of this study showed a shorter-term effectiveness of shockwave treatment compared with the use of iontophoresis. However, both techniques were effective in satisfactorily reducing pain in this short period.

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Treatment of Chronic Plantar Fasciitis with Noninvasive Interactive Neurostimulation: A Prospective Randomized Controlled Study

Cited by 10 publications

References 22 publications

Comparative effectiveness of extracorporeal shock wave, ultrasound, low-level laser therapy, noninvasive interactive neurostimulation, and pulsed radiofrequency treatment for treating plantar fasciitis

Comparative effectiveness of extracorporeal shock wave, ultrasound, low-level laser therapy, noninvasive interactive neurostimulation, and pulsed radiofrequency treatment for treating plantar fasciitis

Do Electrical Stimulation Devices Reduce Pain and Improve Function?—A Comparative Review

Comparison of the Short-Term Effect between Iontophoresis and Radial Extracorporeal Shockwave Therapy in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial

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