Department of Algology, Health Sciences University Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
Department of Physical Therapy and Rehabilitation, Health Sciences University Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
Agri. 2022 Apr;34(2):131-138. doi: 10.14744/agri.2021.82542.
The purpose of this study was to investigate the effectiveness of conventional radiofrequency (CRF) ablation treatment on chronic plantar heel pain due to heel spur.
A total of 20 patients with heel spur who did not respond to conservative treatments were recruited for the study. Under fluoroscopy guidance, CRF was performed to three points at the top, above, and below the heel spur in the longitudinal plane of the foot. Pain intensity, the pressure pain threshold (PPT), and functional status were assessed using a visual analog scale (VAS), pressure algometers, and the Foot Function Index (FFI). All measurements were taken before the procedure, as well as 1, 3, and 6 months following the procedure.
CRF was applied to 20 patients - 16 (80%) females and 4 (20%) males. Their mean age was 51.40+-8.10 years, the mean body mass index was 33.80+-5.47 kg/m2, the mean duration of symptoms was 18.30+-9.02 months, and pes planus was present in 5 patients (25%). A statistically significant decrease was observed in VAS score and PPT and FFI measurements at the 1st, 3rd, and 6th month following CRF compared to before CRF (p<0.001).
CRF is an effective, safe, minimally invasive method to reduce pain severity in patients with chronic heel pain due to heel spur in the short (0-3 months) and intermediate term (3-6 months).
本研究旨在探讨常规射频（CRF）消融治疗跟骨骨刺引起的慢性足底足跟痛的疗效。
共招募 20 名对保守治疗无反应的跟骨骨刺患者参与本研究。在透视引导下，在足底跟骨骨刺的纵向平面上的三个点（顶部、上方和下方）进行 CRF。使用视觉模拟评分（VAS）、压力测痛计和足部功能指数（FFI）评估疼痛强度、压痛阈值（PPT）和功能状态。所有测量均在手术前以及手术后 1、3 和 6 个月进行。
CRF 应用于 20 名患者 - 16 名（80%）女性和 4 名（20%）男性。他们的平均年龄为 51.40+-8.10 岁，平均体重指数为 33.80+-5.47kg/m2，症状持续时间平均为 18.30+-9.02 个月，5 名患者（25%）存在扁平足。与 CRF 前相比，在 CRF 后第 1、3 和 6 个月，VAS 评分、PPT 和 FFI 测量值均显著下降（p<0.001）。
CRF 是一种有效、安全、微创的方法，可在短期内（0-3 个月）和中期（3-6 个月）减轻跟骨骨刺引起的慢性足跟痛患者的疼痛严重程度。
