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Mahmoud I Ibrahim, Robert A Donatelli, Madeleine Hellman, Ahmed Z Hussein, John P Furia, Christoph Schmitz
Numerous randomized controlled trials (RCTs) demonstrated efficacy and safety of extracorporeal shock wave therapy (ESWT) for chronic plantar fasciopathy (cPF). However, only two such RCTs investigated a follow-up period of more than 1 year, both applying focused ESWT. Corresponding data for radial ESWT (rESWT) have not yet been reported. We therefore tested the hypothesis that rESWT is effective and safe for the management of cPF with long-term follow-up of 2 years. To this end n = 50 patients with cPF were randomly allocated to either two sessions of rESWT (one session per week; 2,000 shock waves with energy flux density of 0...
August 27, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Nikos Malliaropoulos, Georgina Crate, Maria Meke, Vasileios Korakakis, Tanja Nauck, Heinz Lohrer, Nat Padhiar
Background and Aims. The exploration of an individualised protocol of radial extracorporeal shock wave therapy (rESWT) for plantar fasciopathy, assessing success rates and the recurrence rate over a 1-year period after treatment, is not yet identified in literature. Methods and Results. Between 2006 and 2013, 68 patients (78 heels) were assessed for plantar fasciopathy. An individualised rESWT treatment protocol was applied and retrospectively analysed. Heels were analysed for mean number of shock wave impulses, mean pressure, and mean frequency applied...
2016: BioMed Research International
Zefeng Zheng, Huihui Le, Weishan Chen, Weiliang Shen, Hongwei Ouyang
Platelet-enriched plasma (PRP) contains high concentration of platelets and abundant growth factors, which is made by centrifuging of blood and separating of blood elements. PRP promotes tendon repair by releasing various cytokines to enhance cell proliferation, tenogenic differentiation, formation and secretion of matrix; meantime, it can reduce pain by inhibiting the expression of pain-associated molecules. A number of clinical studies demonstrated that PRP was effective in treatment of tendinopathy, including patellar tendinopathy, lateral epicondylitis and plantar fasciopathy...
March 2016: Zhejiang da Xue Xue Bao. Yi Xue Ban, Journal of Zhejiang University. Medical Sciences
Konstantinos Tsikopoulos, Haris S Vasiliadis, Dimitris Mavridis
OBJECTIVE: To compare the efficacy of different injection therapies for plantar fasciopathy (historically known as 'plantar fasciitis'). DESIGN: Systematic review and network meta-analysis. DATA SOURCES: Electronic databases (MEDLINE, CENTRAL, Web of Science and Scopus) were searched up to 11 July 2015 for completed studies. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: We considered randomised trials comparing various injection therapies in adults with plantar fasciopathy...
May 3, 2016: British Journal of Sports Medicine
Konstantinos Tsikopoulos, Alexios Tsikopoulos, Konstantinos Natsis
OBJECTIVES: To compare the efficacy of autologous whole blood with that of corticosteroid injections on epicondylopathy and plantar fasciopathy. DESIGN: Systematic review and meta-analysis. METHODS: The databases of PubMed, Web of Science, CENTRAL, and Scopus were searched up to 6th May 2015. Randomized trials comparing the effects of autologous whole blood and corticosteroid injections on epicondylopathy or plantar fasciopathy were included...
February 24, 2016: Physical Therapy in Sport
Ahmed Mohamed Ahmed Othman, Islam Hassan Ali Hegazy
BACKGROUND: Resistant plantar fasciopathy is a common orthopedic problem. AIM: Comparing two different methods of treatment. METHODS: Fifty patients with chronic resistant plantar fasciopathy were divided into two groups. The first included 23 patients treated by endoscopic release of plantar fascia (EPF) and the second included 27 patients treated by injection of platelet-rich plasma (PRP). RESULTS: In the EPF group, the average VAS improved from 8...
December 2015: Journal of Orthopaedics
C J Barton, D R Bonanno, J Carr, B S Neal, P Malliaras, A Franklyn-Miller, H B Menz
IMPORTANCE: Running-related injuries are highly prevalent. OBJECTIVE: Synthesise published evidence with international expert opinion on the use of running retraining when treating lower limb injuries. DESIGN: Mixed methods. METHODS: A systematic review of clinical and biomechanical findings related to running retraining interventions were synthesised and combined with semistructured interviews with 16 international experts covering clinical reasoning related to the implementation of running retraining...
May 2016: British Journal of Sports Medicine
N Rasenberg, L Fuit, E Poppe, A J A Kruijsen-Terpstra, K J Gorter, M S Rathleff, P L J van Veldhoven, P J Bindels, S M Bierma-Zeinstra, M van Middelkoop
BACKGROUND: Plantar fasciopathy is a common cause of foot pain, accounting for 11 to 15% of all foot symptoms requiring professional care in adults. Although many patients have complete resolution of symptoms within 12 months, many patients wish to reduce this period as much as possible. Orthotic devices are a frequently applied option of treatment in daily practice, despite a lack of evidence on the effectiveness. Therefore, the objective is to study the (cost)-effectiveness of custom made insoles by a podiatrist, compared to placebo insoles and usual care in patients with plantar fasciopathy in general practice and sports medicine clinics...
2016: BMC Musculoskeletal Disorders
K D B van Leeuwen, J Rogers, T Winzenberg, M van Middelkoop
QUESTION: What (risk) factors are associated with plantar fasciopathy (PF)? DESIGN: Systematic review with meta-analyses. PARTICIPANTS: Patients with PF. FACTORS: All factors described in prospective, case-control or cross-sectional observational studies. RESULTS: 51 included studies (1 prospective, 46 case-control and 4 cross-sectional studies) evaluated a total of 104 variables. Pooling was possible for 12 variables...
August 2016: British Journal of Sports Medicine
Adam S Tenforde, Amy Yin, Kenneth J Hunt
Foot and ankle injuries account for nearly one-third of running injuries. Achilles tendinopathy, plantar fasciopathy, and ankle sprains are 3 of the most common types of injuries sustained during training. Other common injuries include other tendinopathies of the foot and ankle, bone stress injuries, nerve conditions including neuromas, and joint disease including osteoarthritis. This review provides an evidence-based framework for the evaluation and optimal management of these conditions to ensure safe return to running participation and reduce risk for future injury...
February 2016: Physical Medicine and Rehabilitation Clinics of North America
Lane M Sanderson, Alan Bryant
[This corrects the article DOI: 10.1186/s13047-015-0114-5.].
2015: Journal of Foot and Ankle Research
R Saggini, A Di Stefano, A Saggini, R G Bellomo
The shock wave has been widely recognized in literature as a biological regulator; therefore we carried out a review on the activity performed by shock waves on the bone-myofascial tissue system. To date, the application of Shock Wave Therapy (SWT) in musculoskeletal disorders has been primarily used in the treatment of tendinopathies (proximal plantar fasciopathy, lateral elbow tendinopathy, calcific tendinopathy of the shoulder, and patellar tendinopathy, etc.) and bone defects (delayed- and non-union of bone fractures, avascular necrosis of femoral head, etc...
July 2015: Journal of Biological Regulators and Homeostatic Agents
Jan D Rompe, John Furia, Angelo Cacchio, Christoph Schmitz, Nicola Maffulli
BACKGROUND: Whether shock wave therapy or shock wave therapy combined with plantar fascia-specific stretching is more efficient in treating chronic plantar heel pain remains unclear. The aim of the study was to test the null hypothesis of no difference of these two forms of management for patients who had unilateral plantar fasciopathy for a minimum duration of twelve months and which had failed at least three other forms of treatment. METHODS: One hundred and fifty-two patients with chronic plantar fasciopathy were assigned to receive repetitive low-energy radial shock-wave therapy without local anesthesia, administered weekly for three weeks (Group 1, n = 73) or to receive the identical shock wave treatment and to perform an eight-week plantar fascia-specific stretching program (Group 2, n = 79)...
December 2015: International Journal of Surgery
Adam M Pourcho, Mederic M Hall
Plantar fasciopathy is a painful, degenerative condition of the plantar fascia that affects 2 million people annually and has an estimated 10% lifetime prevalence. When both nonoperative and operative management fails, patients have limited therapeutic options. We present a case of an active 47-year-old male runner who was successfully treated with songraphically guided percutaneous ultrasonic fasciotomy after undergoing a prolonged course of nonoperative management and an endoscopic plantar fascia release procedure...
November 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
M S Rathleff, K Thorborg
No abstract text is available yet for this article.
May 2015: British Journal of Sports Medicine
Paul R Langer
Some common overuse injuries, such as Achilles tendinopathy and plantar fasciitis (or fasciopathy), can be refractory to treatment. When standard treatment options fail, operative intervention often becomes the treatment of last resort. Recently, newer technologies have been developed and refined, and can provide potential benefits for these conditions using noninvasive and minimally invasive approaches. Two technologies, extracorporeal shock wave therapy and ultrasound-guided percutaneous tenotomy/fasciotomy are discussed...
April 2015: Clinics in Podiatric Medicine and Surgery
Isabel Andia, Nicola Maffulli
PURPOSE: To summarize clinical studies after platelet-rich plasma (PRP) therapy for tendinopathy, plantar fasciopathy, and muscle injuries; to review PRP formulations used across studies; and to identify knowledge deficits that require further investigation. METHODS: After a systematic review in PubMed, we identified clinical studies assessing PRP efficacy in tendon and muscle during the past decade. We standardized data extraction by grouping studies based on anatomic location; summarized patient populations, PRP formulations, and clinical outcomes; and identified knowledge deficits that require further investigation...
May 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
Miquel Dalmau-Pastor, Betlem Fargues-Polo, Daniel Casanova-Martínez, Jordi Vega, Pau Golanó
Gastrocnemius contracture has recently gained relevance owing to its suggested relationship with foot disorders such as metatarsalgia, plantar fasciopathy, hallux valgus, and others. Consequently this has induced a renewed interest in surgical lengthening techniques, including proximal gastrocnemius release, to resolve gastrocnemius contracture in patients with foot disorders. This article describes and discusses the general anatomy of the triceps surae and the surgical anatomy of the gastrocnemius.
December 2014: Foot and Ankle Clinics
F Franceschi, R Papalia, E Franceschetti, M Paciotti, N Maffulli, V Denaro
INTRODUCTION: There is an increasing interest in platelet-rich plasma (PRP) injection as a treatment for chronic plantar fasciopathy (PF). We wished to evaluate the evidence for the use of PRP in PF/fasciitis. SOURCES OF DATA: We performed a systematic review on the effects of PRP in PF. In June 2014, we searched Medline, Cochrane, CINAHL and Embase databases using various combinations of the commercial names of each PRP preparation and 'plantar' (with its associated terms)...
December 2014: British Medical Bulletin
G Maffulli, S Hemmings, N Maffulli
BACKGROUND: Soft tissue injuries and tendinopathies account for large numbers of chronic musculoskeletal disorders. Extracorporeal shockwave therapy (ESWT) is popular, and effective in the management of chronic tendon conditions in the elbow, shoulder, and pain at and around the heel. METHODS/DESIGN: Ethical approval was granted from the South East London Research Ethics Committee to implement a database for the Assessment of Effectiveness of Extracorporeal Shock Wave Therapy for Soft Tissue Injuries (ASSERT) to prospectively collect information on the effectiveness of ESWT across the UK...
September 2014: Translational Medicine @ UniSa
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