Myofascial Pain Syndrome, Plantar Fascitis
Conditions
Keywords
plantar fasciitis, ESWT, dry needling
Brief summary
Patients with plantar fasciitis between the ages of 25-65 years who presented to the Physical Medicine and Rehabilitation clinic with the complaint of heel pain and met the inclusion and exclusion criteria will be included in the study. Demographic data (age, gender, body mass index, symptom duration) will be recorded at the beginning of the study. Then, Foot Functional Index (FFI) and Visual Analog Scale (VAS) scales will be recorded. Participants will be randomly divided into two groups. Group 1 will receive dry needling and Group 2 will receive extracorporeal shock wave therapy (ESWT). Patients in the 1st group will undergo 3 sessions of dry needling with Seirin branded 0.6\*50 mm acupuncture needles at one week intervals for the trigger point detected by manual palpation in the medial gastrocnemius, lateral gastrocnemius, soleus, flexor digitorum brevis, quadratus plantae, abductor hallucis brevis muscles. Patients in the 2nd group, Patients in this group received three sessions of ESWT (MASTERPLUS MP 200 ENERGY 2 trademarked ESWT device) at an energy density of 2 bars and a frequency of 2,000 shocks/min at 12 Hz for three weeks, each session once a week. Each of the five most sensitive and painful points was given 400 pulses in the supine position
Interventions
DEVICEESWT
Patients in this group received three sessions of ESWT (MASTERPLUS MP 200 ENERGY 2 trademarked ESWT device) at an energy density of 2 bars and a frequency of 2,000 shocks/min at 12 Hz for three weeks, each session once a week. Each of the five most sensitive and painful points was given 400 pulses in the supine position
PROCEDUREDry needling
Dry needling with Seirin branded 0.6\*50 mm acupuncture needles will be performed for 3 sessions with one week intervals for the trigger point detected by manual palpation in the medial gastrocnemius, lateral gastrocnemius, soleus, flexor digitorum brevis, quadratus plantae, abductor hallucis brevis muscles of the patients in the group.
Sponsors
Istanbul Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants will be randomly divided into 2 groups and will be treated with ESWT or Dry needling.
Eligibility
Sex/Gender
ALL
Age
25 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged 25-65 years with heel pain for more than 6 weeks * tenderness on palpation in the medial calcaneal region * aggravation of symptoms while standing and in the first hours of the morning * who agreed not to receive anti-inflammatory treatment during the study period * fascia thickness \>4mm measured by ultrasound.
Exclusion criteria
* Patients diagnosed with rheumatologic diseases * Those diagnosed with Diabetes Mellitus (DM), those with chronic liver and kidney failure * Anti-inflammatory-analgesic treatment within the last 1 month * Diagnosed with inflammatory rheumatic disease * Those with a history of foot surgery * Those with mid or hindfoot deformity * Previous history of central or peripheral nerve damage, lower extremity neuropathy * Those diagnosed with Diabetes Mellitus * Those with cognitive impairment * Unassisted mobilization * Those with bleeding disorders * Pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain was evaluated with a Visual analog scale (VAS) score. | 5 months | VAS score ranges from 0 to 10. Comparison of the effects of ESWT and dry needling on pain in the management of plantar fasciitis |
| Function was evaluated with (Foot Functional Index) FFI score. | 5 months | Comparison of the effects of ESWT and dry needling on function in the management of plantar fasciitis |
Countries
Turkey (Türkiye)
Outcome results
None listed