Chronic Plantar Fasciitis
Conditions
Keywords
extracorporeal shock wave, chronic plantar fasciitis, elastic modulus
Brief summary
Inflammation of the plantar fascia is called plantar fasciitis and is common in active or overweight individuals. It can be treated conservatively or surgically. Extracorporeal shock wave therapy has shown significant efficacy in the treatment of plantar fasciitis. Repeated chronic inflammation of the plantar fascia may lead to fibrous edema, thickening and even calcification in the fascia, resulting in thickening of the plantar fascia in patients with chronic plantar fasciitis and affecting the mechanical properties of the plantar fascia (changes in elastic modulus) ). Previous studies rarely involved changes in the elasticity of the plantar fascia before and after extracorporeal shock wave treatment.
Interventions
DEVICEFocused shockwave
Procedure: Focused shockwave therapy received shock wave therapy once a week: first locate, touch on the heel of the patient Tenderness points, take tenderness points as treatment points;Then ask the patient to take the lower limbs straight sitting or prone position, Target intensity will be within a range of 0.15-0.25 mJ/mm2 at maximum Hz, Total of 3000 pulses; rest for 20 minutes after the treatment
OTHERHome therapy
Stretching and ice massage
Sponsors
Nanfang Hospital, Southern Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Test group (shock wave) chronic plantar fasciitis; Control group patients with chronic plantar fasciitis;
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
1. Pain at the proximal calcaneal stop of the plantar fascia 2. The pain is severe when waking up in the morning or standing and walking after sitting for a long time, and it is slightly relieved after activities, and it will be aggravated after long walking or standing for a long time 3. Pain time\> 3 months 4. Visual Scoring Scale (VAS)\>4 5. The pain is tingling, sore, or burning, etc 6. There is or no tender point at the bottom of the arch of the foot 7. The patient has not undergone corticosteroid injection therapy or shock wave therapy or surgery 8. X-ray confirmed no calcaneal spurs 9. The patient agrees to participate in this study
Exclusion criteria
1. Suffering from calcaneal stress fracture, atrophy of fat pad, compression of the little toe abductor nerve (Baxter's nerve), tarsal tunnel syndrome, sciatica, bone or soft tissue tumor, rheumatism or rheumatoid arthritis, rigidity Those with spondylitis and infection 2. those who disagree with and do not understand the treatment methods or methods of the experiment 3. those with mental disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Elastic modulus and morphology of plantar fascia lesion area | Up to six months | Sonoelastographic changes of plantar fascia after ESWT |
| Reduction in pain as assessed by a 0-10 visual analogue scale (VAS) | Up to six months | Patients can score a minimum of 0 and a maximum of 10. Getting a high score indicates a bad situation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| American Society of Foot and Ankle Surgery (AOFAS) Ankle and Hindfoot Function Score | Up to six months | The AOFAS assess pain, symptoms, activities of daily living, sports, and quality of life related to foot and ankle pain. This will be assessed on a scale of 0-100, where 100 indicates no problems and 0 indicates extreme problems. |
Countries
China
Contacts
Primary Contactyonggang Dou, Master
Backup Contactqiuyu Chen, Master
Outcome results
None listed