Calcaneal Spur
Conditions
Brief summary
The Low energy shockwave has a significant effect on the permeability of tissue. Consequently, it might be used to deliver a substance such as Acetic acid. Accordingly, Shockwave might help to improve the outcomes with calcaneal spur patients. Therefore, the present study might help in the treatment of calcaneal spur patients and also might improve the quality of life in a fast and efficient way.
Interventions
This group composed of subjects. They will take 6 sessions with Time between sessions 5-7 days plus exercise and dietary advice
DEVICEShock wave Therapy
This group composed of subjects and represented the control group who will receive shock wave therapy
OTHERconventional physical therapy program
Exercise program: * Standing calf-stretching exercise * Towel stretch: stretching exercise * Ice bottle * Towel pickup exercise * Marble pickups exercise * Calf raises exercises -Static and dynamic balance exercise
Sponsors
Self
Beni-Suef University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
35 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Heel pain with a calcaneal spur. * Calcaneal spur in a lateral calcaneal x-ray. * Patient's age ranged from 30 to 65 years. * Patients with a calcaneal spur. * Patients with intact sensory perception. * At least 6 weeks from last corticosteroid injection; 4 weeks from the last local anaesthetic injection, iontophoresis, ultrasound, and electrotherapy
Exclusion criteria
* History of fracture or surgery of the heel or ankle. * Presence of inflammatory joint disease. * Marked osteoporotic patient. * Presence of ankylosing spondylitis or other inflammatory joint diseases. * Heart pacemaker use. * Patient on anticoagulant and coagulation disease. * Skin wound or ulcers.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| calcaneal spur length by X-ray (mm) | three months | X-ray on the affected foot to measure the length of the calcaneal spur |
| calcaneal spur width by X-ray (mm) | three months | X-ray on the affected foot to measure the width of the calcaneal spur |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| FPX 50 wagner Pressure pain threshold (PPT) | three months | this device used to measure the pressure pain threshold |
| Activity of daily living: by Foot and Ankle Ability Measure scale | three months | This scale formed from 29 item, the minimum score for each item is 0 and maximum score is 4 , the Higher scores represent higher levels of function for each subscale, with 100% representing no dysfunction |
| visual analogue scale. | three months | this scale for pain intensity level assessment and contain minimum score is 0 and maximum score is 100 mm, the higher score indicate more pain (sever dysfunction) |
Countries
Egypt
Outcome results
None listed