J Korean Foot Ankle Soc.  2007 Jun;11(1):51-56.

Extracorporeal Shock Wave Therapy for the Treatment of Refractory Plantar Fasciitis

Affiliations
  • 1Department of Orthopaedic Surgery, Yonsei University, College of Medicine, Seoul, Korea. ljwos@yumc.yonsei.ac.kr

Abstract

PURPOSE: The objective of this study was to report the outcomes of patients treated with extracorporeal shock wave therapy (ESWT) for refractory plantar fasciitis of the foot.
MATERIALS AND METHODS
From November 2005 to October 2006, a total of sixty-two patients with refractory plantar fasciitis were treated with extracorporeal shock wave therapy. The main outcome measurements were visual analogue scale (VAS) and Roles and Maudsley score evaluated before treatment and at one and six months after treatment.
RESULTS
Roles and Maudsley score was excellent (0%), good (6.4%), fair (35.4%) and poor (58.2%) before treatment which improved to excellent (56.5%), good (38.7%), fair (4.8%) and poor (0%) at final follow-up. VAS scores also significantly improved after ESWT (p<0.05). There was no statistically significant correlation between clinical results and body mass index (BMI) (p=0.102).
CONCLUSION
Extracorporeal shock wave therapy appears to be an effective and safe treatment modality for refractory plantar fasciitis and may help the patient to avoid surgery for refractory heel pain.

Keyword

Foot; Plantar fasciitis; Extracorporeal shock wave therapy (ESWT)
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