plantar fascial fibromatosis. Plantar fascial fibromatosis
Conditions
Interventions
Intervention 1: Intervention group: will receive ultrasound guided localized injection of 150 unit botulinum toxin type A in the foot intrinsic muscles. Intervention 2: Control group:will receive ultr
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: history of plantar fasciitis,patients suffering from heel pain with a VAS more than 4 months for at leate two month whose history physical exam and sonography confirmed plantar fasciitis
Exclusion criteria
Exclusion criteria: History of direct trauma other causes of heel pain( fracture,tumor,infection,nerve entrapement) systemic inflammatory or soft tissue disease disk herniation with S1 radiculopathy poor controlled diabetes history of gout association with other causes of foot pain(severe osteoarthritis,morton neuroma,matatarsalgia) surgery or injection in fascia since 6 month ago coagulopathy pregnancy hypersensitivity to corticosteriod or botulinum toxin or lidocain antibody against botulinum toxin any treatment for the condition since 4 weeks ago anti inflammatory drugs,physiotherapy,splint, iontophoresis, phonophoresis and shock wave in the last 3 month
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity at the standing position. Timepoint: All the outcomes were evaluated at the baseline visit,1 month and 3 months after the intervention. Method of measurement: Visual analog scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Early morning pain,pain on joint movement,daily activities,climbing stairs and exercise tolerance. Timepoint: All the outcomes were evaluated at the baseline visit,1 month and 3 months after the intervention. Method of measurement: Visual analog scale.we also assess the ability to perform daily activities,climbing stairs and exercise tolerance with FAAM questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSasan Sadeghi Nik
Iran University of Medical Sciences
Outcome results
None listed