Iborra-Marcos Álvaro, Ramos-Álvarez Juan José, Rodriguez-Fabián Guillermo, Del Castillo-González Federico, López-Román Antonio, Polo-Portes Carlos, Villanueva-Martínez Manuel
1 Institute Avanfi, Madrid, Spain.
2 Sport Medicine School, Complutense University Madrid, Spain.
Foot Ankle Int. 2018 Jun;39(6):704-711. doi: 10.1177/1071100718754421. Epub 2018 Feb 13.
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.
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.
Both the ultrasound-guided EPI and CI techniques were associated with significant clinical and echographic improvements at 12 months post-treatment ( P < .001).
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.
Level III, retrospective comparative study.
皮质类固醇浸润（CI）常用于治疗足底筋膜炎。然而，近年来，组织内经皮电解（EPI）治疗肌腱病的应用越来越受到关注。我们研究的目的是比较上述技术在治疗足底筋膜炎方面的有效性。
对使用这些技术治疗足底筋膜炎1年后取得的结果进行检查。共有64例患者，其中32例接受超声引导下的EPI治疗，32例接受超声引导下的CI治疗。在治疗前以及治疗后3个月、6个月和12个月进行临床检查并进行超声检查。使用视觉模拟量表（VAS）记录疼痛情况，并使用足踝功能障碍指数（FADI）评估功能。通过超声测量足底筋膜的厚度。
治疗后12个月，超声引导下的EPI和CI技术均带来了显著的临床和超声图像改善（P <.001）。
两种技术在治疗足底筋膜炎方面均有效，在12个月时VAS疼痛评分和FADI结果均良好。然而，CI所需的就诊次数较少，并且似乎能提供稍好的VAS和FADI结果。
III级，回顾性比较研究。
