Revista de Medicina Desportiva (English) July 2018 - Page 13

Rev . Medicina Desportiva informa , 2018 ; 9 ( 4 ): 11-14 .

Research

Extracorporeal shock wave : an Effective therapeutic approach for the treatment of Chronic Plantar Fasciitis

Dra . Maria João Berkeley Cotter 1 , Dra . Ana Catarina Matias 2
1
Residente ; 2 Specialist . Physical and Rehabilitation Medicine . Hospital of Braga . Portugal
ABSTRACT
Objective : To evaluate the effect of focal extracorporeal shock waves in chronic plantar fasciitis . Material and Methods : An analysis of data collected prospectively from outpatients treated at a Physical and Rehabilitation Medicine department was performed ( clinical and anthropometric data , pain with visual analogue scale , number and intensity of treatments performed ). Results : Final sample of 35 feet ( 29 patients ). The mean number of treatments was 3 ( 0.20 to 0.40 mj / mm 2 ). There was an improvement of pain in 91.7 % of the patients with a complete remission of pain in 74.3 % of the cases ( p < 0.001 ). Discussion and Conclusion : Extracorporeal shock wave therapy was effective in the treatment of chronic plantar fasciitis in this population .
KEYWORDS
Plantar fasciitis , extracorporeal shock waves , VAS scale
Introduction / objectives
Plantar fasciitis ( PF ) is the most common cause of heel pain and represents up to 15 % of all foot symptoms requiring medical care . 1-4 This pathology is reported as the most common cause of talalgia on athletes 5 , but also in sedentary individuals . 6 , 7 Its pathophysiology has not yet is completely clear , and it is not easy to conclude which patients will improve without additional care beyond the rest and those who will benefit from a guided treatment . 8 It is thought that complaints may result from increased tension of the plantar fascia during walking . 3 Treatment options to improve / end up the symptoms of PF include activity modification , stretches for the plantar fascia , cryotherapy , massage , physical agents , orthoses during the night , NAIDs , local injections with steroids , treatment with extracorporeal shock wave ( ECSW ) and , at the end of the line , the surgical treatment . 9
The ECSW have been widely used for the last few decades as an alternative treatment option for PF due to its non-invasive nature , rapid recovery time and convenience for patients ’ daily life activities . 1 , 10 , 11 The specific mechanisms of ECSW on the musculoskeletal pain are still not clear , however , several medical studies demonstrated that it can destroy the no-myelinated nerve fibers and stimulate the neovascularization and the collagen synthesis in the degenerative tissues . 1 , 12
The main objective of this study was to evaluate the results of treatment with extracorporeal shock waves in patients with chronic plantar fasciitis , evaluated and treated at a physical and rehabilitation clinic , during a 12-month period .
Figura 1 – http :// www . iotblumenau . com . br / wp-content / uploads / 2015 / 08 / fascite- -plantar-lesoes-do-pe . jpg
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Revista de Medicina Desportiva informa july 2018 · 11
Rev. Medicina Desportiva informa, 2018; 9(4):11-14. Extracorporeal shock wave: an Effective therapeutic approach for the treatment of Chronic Plantar Fasciitis Dra. Maria João Berkeley Cotter 1 , Dra. Ana Catarina Matias 2 1 Residente; 2 Specialist. Physical and Rehabilitation Medicine. Hospital of Braga. Portugal ABSTRACT Objective: To evaluate the effect of focal extracorporeal shock waves in chronic plantar fasciitis. Material and Methods: An analysis of data collected prospectively from outpatients treated at a Physical and Rehabilitation Medicine department was performed (clinical and anthropometric data, pain with visual analogue scale, number and intensity of treatments performed). Results: Final sample of 35 feet (29 patients). The mean number of treatments was 3 (0.20 to 0.40 mj/mm 2 ). There was an improvement of pain in 91.7% of the patients with a complete remission of pain in 74.3% of the cases (p <0.001). Discussion and Conclusion: Extracorporeal shock wave therapy was effective in the treatment of chronic plantar fasciitis in this population. KEYWORDS Plantar fasciitis, extracorporeal shock waves, VAS scale Introduction/objectives Plantar fasciitis (PF) is the most common cause of heel pain and represents up to 15% of all foot symptoms requiring medical care. 1-4 This pathology is reported as the most common cause of talalgia on athletes 5 , but also in sedentary indi- viduals. 6,7 Its pathophysiology has not yet is completely clear, and it is not easy to conclude which patients will improve without additional care beyond the rest and those who will benefi Ёɽեɕѵи)%Ё́ѡ՝ЁѡЁ́)ɕձЁɽɕ͕ѕͥѡ)хȁ͍ɥ݅́Qɕд)Ёѥ́Ѽɽٔ)ѡѽ́AՑѥش)䁵ѥɕэ́ȁѡ)хȁ͍ѡɅ䰁ͅ)̰ͥѡ͕́ɥѡ)а9%̰ѥ́ݥѠ)ѕɽ̰ɕѵЁݥѠɅȴ)ɕ݅ٔ͡ M\)Ёѡѡѡɝ)ɕѵи)Q M\ٔݥ)͕ȁѡЁ܁́́)ѕɹѥٔɕѵЁѥȁA)ՔѼ́مͥٔɔɅ)ɕٕѥٕ)ѥϊd䁱ѥ٥ѥ̸İāQ)͵́ M\ѡ)͍ձͭхɔѥ)ȰݕٕȰ͕ٕɅՐ)́ɅѕѡЁЁɽ)ѡ啱ѕٔ́)ѥձєѡم͍ձɥѥ)ѡѡͥ́ѡ)ɅѥٔѥՕ̸İ)Qѥٔѡ́Ց)݅́ѼمՅєѡɕձ́ɕд)ЁݥѠɅɕ͡)ٕ݅́ѥ́ݥѠɽ)хȁ͍ѥ̰مՅѕɕѕ)ͥɕхѥ)ɥȵѠɥ)ḾյեՔф)ȁՅٕ)Ʉ́ɕձх́)əѽ̸ɵՄ)ɧ)̈́ɅѥՅ)Ú́ͅɕ́ͥѕ)ѕ͝+Mѕ%+Mѕ  4+P(AI͵ɥ)ѽɕ́ɕ͍Ѽ)Aѽ̀+!=Ʌ+AɽѽѥᄁIٕ+%ѽ+=ѽѥ+Aɥѥ+ѥɥ+=ѽɥ+ѥ+ ɝ=Ʌ+ ɝ5ᥱ+=)!ɥ)MչMфɄ̀)̀)Ò)M٧ɟ̀Ё!Ʌ()IՄ) ѥ8 Ļ ȁM(ԴL5%фL)ɄăL輽ܹщյԹ)Ƚѕн̼Լཙ͍є(хȵͽ̵)1͵ͽ)I٥ф5ѥلɵձ ܀