Plantar Fasciitis. Plantar fascial fibromatosis (fasciitis)
Conditions
Interventions
Intervention 1: Intervention group one: Corticosteroid, 40 mg Methylprednisolone, one time injection at the site of plantar fascia insertion. Intervention 2: Intervention group two: Ozone (O2-O3), 12
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: More than three months of heel pain (in medial aspect) which is worst with the first few steps after awakening. Pain and tenderness elicited by palpation of the medial calcaneal or the proximal plantar fascia. Visual analog scale (VAS) score greater than or equal to 4. Sonographic plantar fascia thickness greater than 4 mm with hypoechoic change at insertion point to the calcaneus.
Exclusion criteria
Exclusion criteria: History of ankle or calcaneal trauma. Positive Tinel’s sign on the tibial nerve (posterior to medial malleoli). History of systemic inflammatory or connective tissue disease such as rheumatoid arthritis. History of lumbar disc herniation with S1 radiculopathy. History of gout. Uncontrolled diabetes. History of heel surgery or injections in the last six months. Cystic or mass lesion at the site of the painful heel. History of paresthesia, numbness or peripheral neuropathy. Coagulation disorder. Pregnancy. Allergic reaction to Corticosteroid or Dextrose or Ozone. Infection at the injection site. Posterior heel pain. Initiation of PF treatment within 10 days before intervention such as anti-inflammatory drug therapy, physical therapy. History of vascular insufficiency causing heel pain.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: Before intervention, 1 and 8 weeks after intervention. Method of measurement: Visual Analogue Scale Questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Foot and Ankle Ability Measure (FAAM). Timepoint: Before intervention, 1 and 8 weeks after intervention. Method of measurement: Foot and Ankle Ability Measure (FAAM) Questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Arash Babaei
Iran University of Medical Sciences
Outcome results
None listed