Plantar fasciopathy Musculoskeletal Diseases Fibroblastic disorders
Conditions
Interventions
Patients are randomly allocated to three sessions of radial shock wave treatment or to plantar fascia stretching:
Group I: plantar fascia-specific stretching (PFSS), 3 x per day, for eight weeks
Group
Sponsors
OrthoTrauma Evaluation Center (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. History of plantar fasciitis for more than 6 months 2. Numeric Rating Scale (NRS) score persistingly (at least 5 points for pain during the first few steps of walking in the morning) 3. Localised pain on palpation of the proximal plantar fascia 4. Be willing to abstain from any other treatments or medications during the treatment and follow-up period
Exclusion criteria
Exclusion criteria: 1. Less than 18 years of age 2. Receiving local injections less than 3 months prior to the randomisation visit 3. Receiving physical therapy less than 3 months prior to the randomisation visit 4. Receiving non-steroidal anti-imflammatory drugs (NSAIDs) for any chronic conditions whether or not related to plantar fasciitis prior to the randomisation visit 5. Receiving systemic therapeutic anticoagulants 6. Bilateral plantar fasciitis 7. History and/or physical findings of lower extremity dysfunction, local arthritis, generalised poly-arthritis, rheumatoid arthritis, ankylosing spondylitis, local arthrosis 8. Neurologic abnormality (changes of deep tendon reflexes, motor or sensory deficit) 9. Arthrosis of the foot or ankle, as confirmed by x-ray diagnosis (AP, lateral views) 10. Previous surgery of the foot 11. Participation in a Workman's Compensation Program or plans to apply for the Program 12. Thrombopathy, infection, tumour, diabetes mellitus, systemic lupus, severe cardiac disease or other severe systemic diseases 13. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall heel pain reduction measured by the percentage change of the VAS composite score 4 months after beginning of treatment compared with baseline, with last value carried forward (LVCF) replacement of missing values with the last recorded value. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. 6-point Likert scale (fully recovered or significantly improved as success criteria) at 0, 4 and 12 months from baseline 2. Plantar fascia thickness measured before and 4 months and 15 months from baseline 3. Roles and Maudsley Score measured before and 4 months and 15 months from baseline 4. Number of patients achieving 80 points at at month 4, and at month 15 from baseline in the patient's function assessed using the validated 100-point AOFAS (American Orthopaedic Foot and Ankle Society) Ankle-Hindfoot-Score | — |
Countries
Germany
Outcome results
None listed