Abstract
BackgroundPlantar fasciitis due to calcaneal spur is a common cause of heel pain and functional disability, and its management presents a huge challenge for clinicians which results sometimes in unpleasant clinical outcomes. The efficacy of extracorporeal shock wave therapy (ESWT) as an alternative therapeutic option to surgical management after failure of conservative treatment has been addressed. Our aim was to evaluate the efficacy of ESWT in the treatment of plantar fasciitis in calcaneal spur patients using ultrasonography.ResultsThe mean plantar fascia (PF) thickness was statistically significantly higher in the calcaneal spur patient group (5.66 ± 1.14 mm) than in the healthy control group (2.40 ± 0.35 mm), (P = 0.001). Significant PF thickness reduction, visual analog scale (VAS), and Roles and Maudsley score (RMS) improvement were observed (P < 0.001) after 4 sessions of ESWT.ConclusionPF thickness increases significantly in calcaneal spur patients and responds to treatment. ESWT decreases the thickness of the PF and improves pain and function significantly.
Highlights
Plantar fasciitis due to calcaneal spur is a common cause of heel pain and functional disability, and its management presents a huge challenge for clinicians which results sometimes in unpleasant clinical outcomes
There was no significant difference in age, sex, and body mass index (BMI) between the two groups (Table 1)
Our aim was to evaluate the efficacy of extracorporeal shock wave therapy (ESWT) for plantar fasciitis in calcaneal spur patients by musculoskeletal ultrasonography
Summary
Plantar fasciitis due to calcaneal spur is a common cause of heel pain and functional disability, and its management presents a huge challenge for clinicians which results sometimes in unpleasant clinical outcomes. Our aim was to evaluate the efficacy of ESWT in the treatment of plantar fasciitis in calcaneal spur patients using ultrasonography. Calcaneal spur is a chronic condition and is common in adult persons. It can be a cause of plantar fascia (PF) inflammation, leading to restriction of functional activities [1]. Plantar fasciitis is a frequent source of heel pain. It can affect 10% of the population. Risk factors include increased body weight, female gender, differences in limb length, altered biomechanics of the foot such as pronated foot, and prolonged standing [3]
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