Sakarya University Research and Training Hospital, Adapazari, Sakarya, Turkey.
University of Health Sciences, Konya City Hospital Orthopedics and Traumatology, Turkey.
Medicine (Baltimore). 2022 Mar 25;101(12):e29142. doi: 10.1097/MD.0000000000029142.
Plantar fasciitis is the most common cause of heel pain. Pain can be persistent in some patients and interrupt daily activities and sportive activities. There are a lot of treatment options available for plantar fasciitis. We hypothesized that patients with chronic persistent plantar fasciitis can be successfully treated with radiofrequency nerve ablation (RFNA).Two hundred sixty-one patients with plantar fasciitis (378 feet) treated with RFNA from February 2017 to January 2019 were retrospectively assessed. All the patients had plantar heel pain for at least 6months. Based on their body mass index (BMI), the enrolled patients were divided into obese (BMI ≥ 30kg/m2) and non-obese (BMI < 30kg/m2) groups. The patients were asked to complete a questionnaire just before and after the procedure and during the final follow-up. The BNS Radiofrequency Lesion Generator was used during a single session. The patients' information, including their visual analogue scale (VAS) score and American Orthopaedic Foot and Ankle Society (AOFAS) score, was assessed. During their final follow-up, the patients were asked to rate the success of their treatment by choosing one of the following options: completely successful, very successful, moderately successful, marginally successful, or not successful.The VAS and AOFAS scores of all the patients were evaluated pre-procedure, in the first month after procedure, and during the final follow-up (8-24 months). There was a statistically significant difference between the pre-procedure and postprocedure VAS scores (P < .001), there was no statistically significant difference between the VAS scores in the first month postprocedure and during the final follow-up.There was a statistically significant difference between the pre-procedure and postprocedure AOFAS scores (P < .001), there was no statistically significant difference between the AOFAS scores in the first month postprocedure and during the final follow-up.RFNA can be used as an alternative method to surgical procedures for treating plantar fasciitis because it is safe and effective. The advantages of RFNA are that patients can quickly return to their work and resume weight-bearing activities.
足底筋膜炎是足跟痛最常见的原因。在一些患者中，疼痛可能持续存在，并会中断日常活动和运动。有许多治疗足底筋膜炎的方法。我们假设慢性持续性足底筋膜炎患者可以通过射频神经消融（RFNA）成功治疗。
我们回顾性评估了 2017 年 2 月至 2019 年 1 月期间接受 RFNA 治疗的 261 例（378 只脚）足底筋膜炎患者。所有患者均有至少 6 个月的足底足跟疼痛。根据他们的体重指数（BMI），将纳入的患者分为肥胖（BMI≥30kg/m2）和非肥胖（BMI<30kg/m2）组。患者在术前、术后和最终随访时都需要完成一份问卷。在单次治疗中使用 BNS Radiofrequency Lesion Generator。评估患者的信息，包括视觉模拟量表（VAS）评分和美国矫形足踝协会（AOFAS）评分。在最终随访时，患者通过选择以下选项之一来评估他们治疗的成功程度：完全成功、非常成功、中度成功、略有成功或不成功。
所有患者的 VAS 和 AOFAS 评分在术前、术后 1 个月和最终随访（8-24 个月）时进行评估。术前和术后 VAS 评分之间存在统计学差异（P<0.001），术后 1 个月和最终随访 VAS 评分之间无统计学差异。术前和术后 AOFAS 评分之间存在统计学差异（P<0.001），术后 1 个月和最终随访 AOFAS 评分之间无统计学差异。
RFNA 可作为治疗足底筋膜炎的手术替代方法，因为它安全有效。RFNA 的优点是患者可以迅速恢复工作并恢复负重活动。
