Plantar fascitis. Comparative study between 3 therapeutic schemes.
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Published:
Nov 12, 2019
Keywords:
Plantar fasciitis, corticosteroids, exercises, saline solution.
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Abstract
Introduction: Plantar fasciitis, described for the first time by Plettner, is the most common cause of heel pain. In the etiology of this pathology under study, involved anatomical factors such as shortening of plantar flexion and related to weight gain. Although the current treatment does not exist in the current literature, the early start of conservative treatment has been recommended. The objective of the present study is to compare 3 treatment methods of plantar fasciitis. Material and Methods: Between March 2016 and March 2017, 90 patients with plantar fasciitis were treated. They were divided into 3 groups based on the treatment performed. Group A: plantar fascia elongation exercises, Group B: anesthetic cortical infiltration and elongation exercises of plantar fascia and Group C: infiltration with saline solution and elongation exercises of plantar fascia.Results: Comparative results are mentioned based on age, affected side, previous pathologies, foot shape, previous foot surgeries, post infiltration pain, analogous visual scale Group A: 0.73 Group B: 1.03 Group C: 2.7 and return time a previous activity Group A: 19.1 days Group B: 12.63 days Group C: 15.12 days.Conclusions: Our study shows that the three treatments for PF are effective, seeing a recovery in less time to patients treated with anesthetic cortical infiltration with a low number of complications but no long-term differences.
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How to Cite
Arzac Ulla, I. (2019). Plantar fascitis. Comparative study between 3 therapeutic schemes. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 84(4), 336-341. https://doi.org/10.15417/issn.1852-7434.2019.84.4.946
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Clinical Research
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References
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3. Niewald M, Holtmann H, Prokein B, Hautmann M, Rösler HP, Graeber S, et al. Randomized multicenter follow-up trial on the effect of radiotherapy on painful heel spur (plantar fasciitis) comparing two fractionation schedules with uniform total dose: first results after three months follow-up. Radiat Oncol 2015;10:174. https://doi.org/10.1186/s13014-015-0471-z
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8. Van Egmond J, Stefan J, Breugem S, Driessen M, Bruijn D. Platelet-rich plasma injection seems to be effective in treatment of plantar fasciitis: a case series. Acta Orthop Belg 2015;81(2):315-20. http://www.actaorthopaedica.be/assets/2311/22-van_Egmond_et_al.pdf
9. Sabir N, Demirlenk S, Yagci B, Karabulut N, Cubukcu S. Clinical utility of sonography in diagnosing plantar fasciitis. J Ultrasound Med 2005;24(8):1041-8. https://doi.org/10.7863/jum.2005.24.8.1041
10. Celik D, Kus G, Sirma S. Joint mobilization and stretching exercise vs. steroid injection in the treatment of plantar fasciitis: A randomized controlled study. Foot Ankle Int 2016;37(2):150-6. https://doi.org/10.1177/1071100715607619
11. Santa Coloma E, Khoury M. Evidencia en el manejo no quirúrgico de la fascitis plantar. Rev Asoc Argent Traumatol Deporte 2011;18(2):81-9. https://revista.aatd.org.ar/wp-content/uploads/2019/08/2011_Vol-18_n2_3Evidencia-en-el-Manejo.pdf
12. Mazzucchelli S, Saadi P, Amuchastegui I, Sanchez Pulgar J. Nuestra experiencia en el tratamiento de la fascitis plantar con técnica percutánea. Rev Soc Ortop Traumatol Córdoba 2009;9(1):12-8.
13. Cakir M, Samanci N, Balci N, Balci M. Musculoskeletal manifestations in patients with thyroid disease. Clin Endocrinol (Oxf) 2003;59(2):162-7. https://doi.org/10.1046/j.1365-2265.2003.01786.x
14. Crawford F, Thomson C. Interventions for treating plantar heel pain. Cochrane Database Syst Rev 2003;(3):CD000416. https://doi.org/10.1002/14651858.CD000416
15. Bordelon R. Heel pain. En: Mann RA (ed.) Surgery of the foot and ankle. St. Louis: CV Mosby; 1993:127-37.
16. Blockey N. The painful heel: a controlled trial of the value of hydrocortisone. BMJ 1956;1(4978):1277-8. https://doi.org/10.1136/bmj.1.4978.1277
17. Lapidus P, Guidotti F. Painful heel: report of 323 patients with 364 painful heels. Clin Orthop Relat Res 1965;39:178-86. PMID: 14289759
18. Sellman JR. Plantar fascia rupture associated with corticosteroid injection. Foot Ankle 1994;15:376-81. https://doi.org/10.1177/107110079401500706
19. Ball E, McKeeman H, Patterson C, Burns J, Yau W, Moore O, et al. Steroid injection for inferior heel pain: a randomised controlled trial. Ann Rheum Dis 2013;72(6):996-1002.
https://doi.org/10.1136/annrheumdis-2012-201508
20. McMillan A, Landorf K, Gilheany M, Bird A, Morrow A, Menz H. Ultrasound guided corticosteroid injection for plantar fasciitis: randomised controlled trial. BMJ 2012;344:e3260. https://doi.org/10.1136/bmj.e3260
2. Moustafa A, Hassanein E, Forti C. Objective assessment of corticosteroid effect in plantar fasciitis: additional utility of ultrasound. Muscles Ligaments Tendons J 2016;5(4):289-96. https://doi.org/10.11138/mltj/2015.5.4.289
3. Niewald M, Holtmann H, Prokein B, Hautmann M, Rösler HP, Graeber S, et al. Randomized multicenter follow-up trial on the effect of radiotherapy on painful heel spur (plantar fasciitis) comparing two fractionation schedules with uniform total dose: first results after three months follow-up. Radiat Oncol 2015;10:174. https://doi.org/10.1186/s13014-015-0471-z
4. Pepper T. Plantar heel pain. Foot Ankle Clin North Am 2009;14:229-45. https://doi.org/10.1016/j.fcl.2009.02.001
5. Ferrero G. Talalgia tuberositaria. Interpretación biomecánica. Propuesta terapéutica. Rev Asoc Argent Ortop Traumatol 2006;71(4): 330-40. https://www.aaot.org.ar/revista/2006/n4_vol71/art6.pdf
6. Yañez Arauz J, Del Vecchio J, Raimondi N, Codesido M. Riesgo de lesiones quirúrgicas en la fasciotomía plantar percutánea. Estudio anatómico en cadáveres frescos. Rev Asoc Argent Ortop Traumatol 2011;76(2):141-5. https://www.aaot.org.ar/revista/2011/n2/Rev_Asoc_Argent_Ortop_Traumatol_2011_76(2)_141_Yanez.pdf
7. Lewis R, Wright P, McCarthy L. Orthotics compared to conventional therapy and other non-surgical treatments for plantar fasciitis. J Okla State Med Assoc 2015;108(12):596-8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4742336/pdf/nihms753937.pdf
8. Van Egmond J, Stefan J, Breugem S, Driessen M, Bruijn D. Platelet-rich plasma injection seems to be effective in treatment of plantar fasciitis: a case series. Acta Orthop Belg 2015;81(2):315-20. http://www.actaorthopaedica.be/assets/2311/22-van_Egmond_et_al.pdf
9. Sabir N, Demirlenk S, Yagci B, Karabulut N, Cubukcu S. Clinical utility of sonography in diagnosing plantar fasciitis. J Ultrasound Med 2005;24(8):1041-8. https://doi.org/10.7863/jum.2005.24.8.1041
10. Celik D, Kus G, Sirma S. Joint mobilization and stretching exercise vs. steroid injection in the treatment of plantar fasciitis: A randomized controlled study. Foot Ankle Int 2016;37(2):150-6. https://doi.org/10.1177/1071100715607619
11. Santa Coloma E, Khoury M. Evidencia en el manejo no quirúrgico de la fascitis plantar. Rev Asoc Argent Traumatol Deporte 2011;18(2):81-9. https://revista.aatd.org.ar/wp-content/uploads/2019/08/2011_Vol-18_n2_3Evidencia-en-el-Manejo.pdf
12. Mazzucchelli S, Saadi P, Amuchastegui I, Sanchez Pulgar J. Nuestra experiencia en el tratamiento de la fascitis plantar con técnica percutánea. Rev Soc Ortop Traumatol Córdoba 2009;9(1):12-8.
13. Cakir M, Samanci N, Balci N, Balci M. Musculoskeletal manifestations in patients with thyroid disease. Clin Endocrinol (Oxf) 2003;59(2):162-7. https://doi.org/10.1046/j.1365-2265.2003.01786.x
14. Crawford F, Thomson C. Interventions for treating plantar heel pain. Cochrane Database Syst Rev 2003;(3):CD000416. https://doi.org/10.1002/14651858.CD000416
15. Bordelon R. Heel pain. En: Mann RA (ed.) Surgery of the foot and ankle. St. Louis: CV Mosby; 1993:127-37.
16. Blockey N. The painful heel: a controlled trial of the value of hydrocortisone. BMJ 1956;1(4978):1277-8. https://doi.org/10.1136/bmj.1.4978.1277
17. Lapidus P, Guidotti F. Painful heel: report of 323 patients with 364 painful heels. Clin Orthop Relat Res 1965;39:178-86. PMID: 14289759
18. Sellman JR. Plantar fascia rupture associated with corticosteroid injection. Foot Ankle 1994;15:376-81. https://doi.org/10.1177/107110079401500706
19. Ball E, McKeeman H, Patterson C, Burns J, Yau W, Moore O, et al. Steroid injection for inferior heel pain: a randomised controlled trial. Ann Rheum Dis 2013;72(6):996-1002.
https://doi.org/10.1136/annrheumdis-2012-201508
20. McMillan A, Landorf K, Gilheany M, Bird A, Morrow A, Menz H. Ultrasound guided corticosteroid injection for plantar fasciitis: randomised controlled trial. BMJ 2012;344:e3260. https://doi.org/10.1136/bmj.e3260