Is ESWT Better in Plantar Fasciitis Treatment?
Plantar Fascitis
About this trial
This is an interventional treatment trial for Plantar Fascitis focused on measuring ESWT, Kinesiotaping, corticosteroid injection
Eligibility Criteria
Inclusion Criteria: previously diagnosed with PF, did not benefit from conservative treatment for at least six months, did not use anticoagulants, did not have bleeding disorders, did not have a psychiatric disease Exclusion Criteria: previous ESWT or CI treatment obesity, seronegative spondyloarthropathy, tarsal tunnel syndrome, peripheral neuropathy, foot-ankle deformity (pes cavus, pes planus, etc.), history of mass around foot and ankle, previous foot or ankle surgery degenerative arthritis around this region
Sites / Locations
- Harran University Medicine Faculty
- Sanliurfa Regional Training and Research Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Active Comparator
extracorporeal Shock wave therapy (ESWT)
Kinesiotaping
Corticosteroid injection
ESWT was performed by the same physician. The applicator was placed at the point of maximum sensitivity. Two thousand pulses with a frequency of 6 Hz and a pressure of 3 bar were applied to patients with an Auto Wave 695 (Mettler electronics, USA) brand device. Patients underwent two sessions of ESWT per week for two weeks, adding up to a total of 4 sessions. Local or regional anesthesia was not administered to any patient during ESWT.
Kinesio tape (KinesioTex, KinesioTaping, US) was applied to the relevant extremity of the patient by the physical therapy and rehabilitation physician once a week, three times in total. During KT, the patient was positioned with the knee and ankle joints in the neutral position. The first strip was adhered along the plantar fascia from the calcaneus to the toes using maximum stretch. The other four strips of tape were attached medially and laterally to support the medial longitudinal arch with a 45° inclination. While maximum stretching was applied to the middle 1/3 of all bands, no stretching was applied to the ends.
In the CI group, 40mg/1ml methylprednisolone was applied from the inferior-medial side of the heel to the most sensitive area of the calcaneus medial tubercle of the plantar fascia. The same physician performed a total of two sessions once a week.