Extracorporeal shockwave therapy (ESWT) in patients with chronic proximal plantar fasciitis

被引：47

作者：

Hammer, DS ^{[1
]}

Rupp, S ^{[1
]}

Kreutz, A ^{[1
]}

Pape, D ^{[1
]}

Kohn, D ^{[1
]}

Seil, R ^{[1
]}

机构：

[1] Orthopaed Univ Hosp, D-66421 Homburg, Germany

来源：

FOOT & ANKLE INTERNATIONAL | 2002年 / 23卷 / 04期

关键词：

plantar fasciitis; painful heel; extracorporeal shockwave therapy (ESWT);

D O I：

10.1177/107110070202300403

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The aim of this study was to compare the effect of extracorporeal shockwave therapy (ESWT) in patients with chronically painful proximal plantar fasciitis with a conventional conservative treatment consisting of nonsteroidal anti-inflammatory drugs, heel cup, orthoses and/or shoe modifications, local steroid injections and electrotherapy. Forty-seven patients (49 feet) with a previously unsuccessful conservative treatment of at least six months were randomized to two groups. Treatment of Group 1 (25 heels) started immediately with three sessions of ESWT (3000 shockwaves/session of 0.2 mJ/mm(2)) at weekly intervals. In the patients of Group 2 (24 heels) treatment was continued for 12 weeks. After this period they were treated using the protocol of Group 1. No significant difference of pain and walking time after further non-ESWT treatment (three months) was seen. Six months after ESWT pain decreased by 64% to 88% on the visual analog scale (VAS) and the comfortable walking time had increased significantly in both groups.

引用

页码：309 / 313

页数：5

共 24 条

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