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Article

Comparative Effectiveness of Radial Extracorporeal Shockwave Therapy and Ultrasound-Guided Local Corticosteroid Injection Treatment for Plantar Fasciitis

by
Sehriban Hocaoglu
1,*,
Umit Erkan Vurdem
2,
Mehtap Aykac Cebicci
2,
Serap Tomruk Sutbeyaz
2,
Zuhal Guldeste
1 and
Serap Gurek Yunsuroglu
2
1
Physical Medicine and Rehabilitation, Kayseri Education and Research Hospital, Sanayi mah. Ataturk caddesi, Kayseri, 38560, Turkey
2
Department of Radiology, Kayseri Education and Research Hospital, Kayseri, Turkey
*
Author to whom correspondence should be addressed.
J. Am. Podiatr. Med. Assoc. 2017, 107(3), 192-199; https://doi.org/10.7547/14-114
Published: 1 May 2017

Abstract

Background: We compared the long-term clinical and ultrasonographic effects of radial extracorporeal shockwave therapy (rESWT) versus ultrasound-guided corticosteroid injection treatment in patients with plantar fasciitis unresponsive to conservative therapy. Methods: Seventy-two patients with unilateral plantar fasciitis were randomized to receive either rESWT (three times once per week) (n = 36) or corticosteroid treatment (a single 1-mL dose of betamethasone sodium plus 0.5 mL of prilocaine under ultrasound guidance by injection into the plantar fascia) (n = 36). The primary outcome measures were visual analog scale (VAS) and Foot Function Index (FFI) scores. Secondary outcome measures included the heel tenderness index (HTI) score and plantar fascia thickness (PFT) as obtained by ultrasound examination. All of the assessments were performed at baseline and 1, 3, and 6 months after treatment. Results: Significant improvements were observed in the rESWT group in VAS, HTI, and FFI scores and PFT at the end of treatment and were maintained during follow-up. Posttreatment improvements in VAS, HTI, and FFI scores and PFT were also seen in the corticosteroid group but were not maintained for VAS and FFI scores after the completion of therapy and were lost at 1 and 6 months, respectively. No serious treatment-related complications occurred. Conclusions: Both rESWT and corticosteroid injection therapy are effective modalities for treatment of chronic plantar fasciitis. However, rESWT seems to be superior to corticosteroid injection therapy due to its longer duration of action. (J Am Podiatr Med Assoc 107(3): 192-199, 2017)

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MDPI and ACS Style

Hocaoglu, S.; Vurdem, U.E.; Cebicci, M.A.; Sutbeyaz, S.T.; Guldeste, Z.; Yunsuroglu, S.G. Comparative Effectiveness of Radial Extracorporeal Shockwave Therapy and Ultrasound-Guided Local Corticosteroid Injection Treatment for Plantar Fasciitis. J. Am. Podiatr. Med. Assoc. 2017, 107, 192-199. https://doi.org/10.7547/14-114

AMA Style

Hocaoglu S, Vurdem UE, Cebicci MA, Sutbeyaz ST, Guldeste Z, Yunsuroglu SG. Comparative Effectiveness of Radial Extracorporeal Shockwave Therapy and Ultrasound-Guided Local Corticosteroid Injection Treatment for Plantar Fasciitis. Journal of the American Podiatric Medical Association. 2017; 107(3):192-199. https://doi.org/10.7547/14-114

Chicago/Turabian Style

Hocaoglu, Sehriban, Umit Erkan Vurdem, Mehtap Aykac Cebicci, Serap Tomruk Sutbeyaz, Zuhal Guldeste, and Serap Gurek Yunsuroglu. 2017. "Comparative Effectiveness of Radial Extracorporeal Shockwave Therapy and Ultrasound-Guided Local Corticosteroid Injection Treatment for Plantar Fasciitis" Journal of the American Podiatric Medical Association 107, no. 3: 192-199. https://doi.org/10.7547/14-114

APA Style

Hocaoglu, S., Vurdem, U. E., Cebicci, M. A., Sutbeyaz, S. T., Guldeste, Z., & Yunsuroglu, S. G. (2017). Comparative Effectiveness of Radial Extracorporeal Shockwave Therapy and Ultrasound-Guided Local Corticosteroid Injection Treatment for Plantar Fasciitis. Journal of the American Podiatric Medical Association, 107(3), 192-199. https://doi.org/10.7547/14-114

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