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

• DOI: 10.7547/14-114
• Publication Date: 2017-06-26T20:11:52Z
• Authors: Sehriban Hocaoglu; Umit Erkan Vurdem; Mehtap Aykac Cebicci; Serap Tomruk Sutb...; Zuhal Guldeste; Serap Gurek Yunsu...
• Keywords: Plantar fascia; Extracorporeal shockwave therapy; Prilocaine

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 unilateral were randomized receive either rESWT (three times once per week) (n = 36) or (a single 1-mL dose betamethasone sodium plus 0.5 mL prilocaine under ultrasound guidance by into fascia) 36). The primary outcome measures visual analog scale (VAS) Foot Function Index (FFI) scores. Secondary included heel tenderness index (HTI) score fascia thickness (PFT) as obtained examination. All assessments performed at baseline 1, 3, 6 months after treatment. Results: Significant improvements observed group VAS, HTI, FFI scores PFT end maintained during follow-up. Posttreatment also seen but not for VAS completion lost 1 months, respectively. No serious treatment-related complications occurred. Conclusions: Both are effective modalities chronic fasciitis. However, seems be superior due its longer duration action.