Radial Extracorporeal Shock Wave Treatment for Chronic Plantar Fasciopathy

Launched by PROF. DR MAHMOUD IBRAHIM IBRAHIM · Feb 7, 2016

Keywords

ClinConnect Summary

Plantar fasciitis, the most common cause of heel pain, accounts for approximately 11-15% of foot symptoms presenting to physicians. In the United States, more than two million individuals are treated for PF on an annual basis. The term Plantar Fasciitis implies an inflammatory condition by the suffix 'itis'. However, various lines of evidence indicate that this disorder is better classified as 'fasciosis' or 'fasciopathy'. Details about etiology, pathogenesis, risk factors, diagnosis and general treatment strategies for plantar fasciitis have been provided in a series of comprehensive revie...

Gender

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Eligibility criteria

• Inclusion Criteria:
• • Adults over the age of 18 years
• • Diagnosis of painful heel syndrome by clinical examination, with the following positive clinical signs: (i) pain in the morning or after sitting a long time; (ii) local pain where the fascia attaches to the heel; and (iii) increasing pain with extended walking or standing for more than 15 minutes
• • History of six months of unsuccessful conservative treatment
• • Therapy free period of at least four weeks before referral
• • Signed informed consent
• Exclusion Criteria:
• • Bilateral plantar fasciitis
• • Dysfunction of foot or ankle (for example, instability)
• • Arthrosis or arthritis of the foot
• • Infections or tumors of the lower extremity
• • Neurological abnormalities, nerve entrapment (for example, tarsal tunnel syndrome)
• • Vascular abnormality (for example, severe varicosities, chronic ischemia)
• • Operative treatments of the heel spur
• • Hemorrhagic disorders and anticoagulant therapy
• • Pregnancy
• • Diabetes