SportsMedUpdate
SportsMedUpdate
University of Cape Town, South Africa
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Liang H-W, Wang T-G, Chen W-S, Hou S-M. Clin Orthop Rel Res 2007;460:219–25.
Chronic plantar fasciitis is associated with a thicker plantar fascia thickness — treatment of this condition may be associated with a reduced thickness and reduced pain.
Does extracorporeal shock wave therapy decrease plantar fascia thickness, and is this associated with reduced pain?
Subjects: 53 patients with plantar fasciitis (78 symptomatic feet).
Experimental procedure: Subjects were assessed and then randomly assigned treatment with either lower-dose (LowD = 25, 0.12 mJ/mm2) or higher-dose (HighD = 28, 0.56 mJ/mm2) extracorporeal shock wave therapy (2000 shock waves, three consecutive sessions, applied at weekly intervals using no local anaesthetic). Pain, foot function, and the Short Form-36 Health Survey were assessed before and after 3 and 6 months. Ultrasonographic measurement of plantar fascia thickness was also measured before and after 3 and 6 months.
Measures of outcome: Pain
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