Department of Orthopaedics and Traumatology, Acıbadem Fulya Hospital, Istanbul, Turkey.
Department of Orthopaedics and Traumatology, Istanbul Kartal Dr. Lutfi Kirdar Education and Research Hospital, Istanbul, Turkey.
Foot Ankle Int. 2021 Jan;42(1):69-75. doi: 10.1177/1071100720949469. Epub 2020 Sep 3.
Chronic heel pain with plantar fasciitis is relatively common and can affect adults of all ages regardless of an active or sedentary lifestyle. The purpose of the present study was to evaluate the effectiveness of corticosteroid injection (CSI), extracorporeal shock wave therapy (ESWT), and radiofrequency thermal lesioning (RTL) treatments in chronic plantar heel pain that has been unresponsive to other conservative treatments.
We retrospectively analyzed the results of 217 patients treated with CSI ( = 73), ESWT ( = 75), and RTL ( = 69). The treatment efficacy and pain intensity, as measured using the visual analog scale, were recorded and compared at the 6-month follow-up.
Pain intensity decreased significantly in all patients. However, it decreased significantly more in the CSI and RTL groups than in the ESWT group ( < .001). Age, sex, body mass index, calcaneal spur presence, and symptom duration were similar among 3 groups ( > .05). No complications were noted after the CSI, ESWT, or RTL sessions.
CSI, ESWT, and RTL successfully treated chronic plantar heel pain that did not respond to other conservative treatments; however, CSI and RTL yielded better therapeutic outcomes.
Level III, retrospective comparative study.
足底筋膜炎引起的慢性足跟疼痛较为常见，无论生活方式是活跃还是久坐，各年龄段的成年人都可能受到影响。本研究的目的是评估在对其他保守治疗无反应的慢性足底足跟疼痛患者中，皮质类固醇注射（CSI）、体外冲击波疗法（ESWT）和射频热疗（RTL）治疗的有效性。
我们回顾性分析了 217 名接受 CSI（n = 73）、ESWT（n = 75）和 RTL（n = 69）治疗的患者的结果。在 6 个月的随访中记录并比较了治疗效果和疼痛强度（使用视觉模拟评分法测量）。
所有患者的疼痛强度均显著降低。然而，CSI 和 RTL 组的疼痛强度降低明显大于 ESWT 组（<0.001）。3 组之间的年龄、性别、体重指数、跟骨骨刺存在情况和症状持续时间相似（>0.05）。CSI、ESWT 或 RTL 治疗后均未出现并发症。
CSI、ESWT 和 RTL 成功治疗了对其他保守治疗无反应的慢性足底足跟疼痛，但 CSI 和 RTL 产生了更好的治疗效果。
III 级，回顾性比较研究。
