plantar fasciitis
Conditions
Interventions
Waitlist control group:Participants will receive no treatment for their heel pain for a period of 16 weeks after randomisation, and subsequently have the option of 4 weeks (12 sessions) of acupuncture
control group:Acupuncture at sham Ashi (0.5 cun away from Ashi, one 'cun' is equivalent to the greatest width of the individual patients' thumb, ~1.5 cm), sham BL57 (0.5 cun lateral to the true BL57 h
experimental group:Acupuncture at Ashi points as well as the Chengshan (BL57), Taixi (KI3) and Kunlun (BL60) acupoints.
Sponsors
Radiology department of Guang'anmen Hospital of Chinese Academy of traditional Chinese medicine
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: (1) Participants with clinical diagnosis of chronic plantar fasciitis. History of plantar medial heel pain for at least 6 months before enrolment. Failure to respond to conservative treatment for =1month, including any of the following modalities: stretching exercises, NSAIDs, shockwave therapy, dry needling and orthotics; (2) Reported an average worst pain intensity at first steps in the morning over the last 3 days of at least 50 mm on a 100 mm visual analogue scale (VAS) before enrolment; (3) Participants from 18 to 75 years of age; (4) No other acute or chronic painful conditions; (5) Right-handedness; (6) Participants who have voluntarily agreed to participate in the study and have signed written informed consent.
Exclusion criteria
Exclusion criteria: 1. History of calcaneal tubercle fracture, calcaneal stress fracture, calcaneal spur, calcaneal contusion or plantar fascia rupture; 2. Previous surgery to foot or ankle; 3. Lumbosacral radiculopathy or peripheral neuropathy around the ankle joint such as nerve entrapment tarsal tunnel syndrome or Achilles tendinopathy; 4. Joint, bone or skin infection in the affected foot; 5. Systemic disorders like rheumatoid arthritis, gout, Reiter syndrome, type 1 or 2 diabetes mellitus, osteoporosis, spondyloarthritis or osteomyelitis; 6. Clinically significant cardiovascular disorder, severe hepatic/renal insufficiency, coagulation disorder, or severe systemic malnutrition at baseline; 7. Cognitive impairment or mental and psychological diseases; 8. Local steroid injection or oral administration in the past 6 months, or analgesic drugs have been used in the past 2 months; 9. Patients who have received acupuncture treatment in the past 8 weeks; 10. Contraindications of MRI examination; 11. Routine MRI examination showed visible structural abnormalities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Foot and Ankle Ability Measure,FAAM;Participant global assessment of improvement;Pressure pain threshold;ankle range of motion;pain intensity at first steps in the morning;fMRI;worst pain intensity in day time ;average pain intensity in day time;average worst pain intensity ; | — |
Countries
China
Contacts
Public Contactsunli
Guang'anmen Hospital of Chinese Academy of traditional Chinese medicine
Outcome results
None listed