Plantar Fasciitis
Conditions
Keywords
Pulsed mode radiofrequency, Plantar Fasciitis, Ultrasound-guided
Brief summary
Although there are many conservative method for plantar fasciitis, patients might spend 2 years to achieve resolution. Recent study have shown that pulsed radiofrequency (PRF) lesioning of peripheral nerve can alleviate kinds of pain condition. However there are no studies of PRF lesioning of the tibial nerve in patients with plantar fascilitis by using ultrasound-guided (UG) techniques.
Detailed description
Patients with unilateral plantar Fasciitis will be enrolled and randomized into intervention and control group. One dose of sono-guided PRF is applied in the intervention group and xylocaine in control group. Outcome measurements included visual analog scale (VAS)、foot health status questionnaire and the thickness of plantar fascile measured by musculoskeletal ultrasonography at different follow-up frame (4th week, 2nd month, 3rd month after treatment).
Interventions
Pulsed radiofrequency (PRF) treatment, a relative novel pain intervention at recent decade, was found to be able to alleviate pain by delivering an electrical field and heat bursts at a temperature less than 42°C to neural tissue in the absence of neural injury.
DRUGXylocaine
Sponsors
Yung-Tsan Wu
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Heel pain more than 3 months * Age more than 20 year-old * The increased thickness of plantar fascile (\>4mm) measured by sonography * Must be conscious * Not receive steroid or other injection in plantar fascile in past 6 months
Exclusion criteria
* Cancer of any site * Coagulopathy * Pregnancy * Inflammation status
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline of pain on 4th, 8th and 12th weeks after treatment. | Baseline , 4th, 8th and 12th weeks after treatment. | Using the Visual analog scale (VAS) and subscore of foot health status questionnaire to measure the pain scale before treatment and multiple time frame after treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline of functional improvement on 4th, 8th and 12th after treatment. | Baseline , 4th, 8th and 12th weeks after treatment. | Using the functional subscore of foot health status questionnaire to measure the functional socre before treatment and multiple time frame after treatment. |
| Change from baseline of thickness of plantar fascile on 4th, 8th and 12th weeks after treatment. | Baseline , 4th, 8th and 12th weeks after treatment. | Using the musculoskeletal ultrasonography to measure the thickness before treatment and multiple time frame after treatment. |
Countries
Taiwan
Outcome results
None listed