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Intratissue Percutaneous Electrolysis vs Corticosteroid Infiltration for the Treatment of Plantar Fasciosis

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Iborra Marcos, Álvaro and Ramos Álvarez, Juan José and Rodríguez Fabián, Guillermo and López Román, Antonio and Polo Portés, Carlos Eduardo and Villanueva, Manuel (2018) Intratissue Percutaneous Electrolysis vs Corticosteroid Infiltration for the Treatment of Plantar Fasciosis. Foot and Ankle International . ISSN 1071-1007 (In Press)

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Official URL: http://journals.sagepub.com/doi/full/10.1177/1071100718754421



Abstract

BACKGROUND:
Corticosteroid infiltration (CI) is commonly used for treatment of plantar fasciosis. In recent years, however, interest has grown in the use of intratissue percutaneous electrolysis (EPI) for the treatment of tendinopathies. The aim of our study was to compare the effectiveness of the above techniques in the treatment of plantar fasciosis.
METHODS:
The results achieved over a period of 1 year following the use of these techniques to treat plantar fasciosis were examined. There were 64 patients; 32 of whom were treated with ultrasound-guided EPI and 32 with ultrasound-guided CI. A clinical examination was performed and ultrasound taken before treatment and at 3, 6, and 12 months. Clinical assessments were made using a visual analog scale (VAS) to record pain and the Foot and Ankle Disability Index (FADI) to evaluate function. Ultrasound was used to determine the thickness of the plantar fascia.
RESULTS:
Both the ultrasound-guided EPI and CI techniques were associated with significant clinical and echographic improvements at 12 months post-treatment ( P < .001).
CONCLUSION:
Both techniques were effective in the treatment of PF, providing excellent VAS pain and FADI results at 12 months. However, CI required fewer patient visits and appeared to provide somewhat better VAS and FADI results.


Item Type:Article
Uncontrolled Keywords:Corticosteroid infiltration; intratissue percutaneous electrolysis; plantar fasciosis
Subjects:Medical sciences > Medicine > Diagnostic imaging and Nuclear medicine
Medical sciences > Medicine > Sports medicine
Medical sciences > Medicine > Physical medicine and medical rehabilitation
Medical sciences > Medicine > Musculoskeletal System
ID Code:47624
Deposited On:24 May 2018 07:52
Last Modified:13 Dec 2018 13:06

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