Efficacies of extracorporeal shockwave therapy and low-level laser therapy in patients with plantar fasciitis |
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| Affiliation: | 1. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Sakarya University, Sakarya, Turkey;2. Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Sakarya University, Sakarya, Turkey;3. Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Mehmet Akif Ersoy State Hospital, Canakkale, Turkey;4. Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey;1. Department for Foot and Ankle Surgery Rummelsberg and Nuremberg, Schwarzenbruck, Germany;2. Stockholms Fotkirurgklinik, Sophiahemmet University, Stockholm, Sweden;3. Service de Chirurgie Orthopedique et Traumatologique, Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Pierre-Benite Cedex, France;4. Laboratoire de Biomécanique et Mécanique des Chocs, Université Lyon 1, Bron cedex, France;5. Orthopedic Department at University Hospital Uppsala, Uppsala, Sweden and Department of Foot and Ankle Surgery, Capio Movement, Halmstad, Sweden;6. Charlottenlund, Denmark;7. Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Salerno, Italy;8. Queen Mary University of London, Centre for Sports and Exercise Medicine, London, UK;9. Keele University, School of Medicine, Institute of Science and Technology in Medicine, Guy Hilton Research Centre, Thornburrow Drive, Hartshill, Stoke-on-Trent, UK; England Dentistry, London, UK;10. School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, Scotland, UK;11. Department of Orthopaedic Surgery, Hospital Sant Rafael, Barcelona, Spain;12. Centre of Orthopaedics, North Estonia Medical Centre, Tallinn, Estonia;13. Department of Orthopaedics, East-Tallinn Central Hospital, Tallinn, Estonia;1. Department of Pediatric Orthopaedics, Schulthess Klinik, Zürich, Switzerland;2. Department of Teaching, Research and Development, Schulthess Klinik, Zürich, Switzerland;1. Fellow, Northern California Reconstructive Foot and Ankle Fellowship, Shasta Orthopedics & Sports Medicine, Redding, CA, USA;2. Attending Physician, Town Center Orthopedics, 44095 Pipeline Plaza, Suite 370 Ashburn VA USA;3. Assistant Fellowship Director, Northern California Reconstructive Foot and Ankle Fellowship, Shasta Orthopedics & Sports Medicine, Redding, CA, USA;4. Fellowship Director, Northern California Reconstructive Foot and Ankle Fellowship, Shasta Orthopedics & Sports Medicine, Redding, CA, USA;1. Department of Orthopedics, The 925th Hospital, 67# Huanghe RD, Guiyang 550009, Guizhou, China;2. Department of Anaesthesia, The 925th Hospital, 67# Huanghe RD, China;3. Department of Orthopedics, Xinqiao Hospital, 400037 Chongqing, China;1. Department of Surgery, Central Finland Hospital Nova, Jyväskylä, Finland;2. Department of Orthopaedics and Traumatology, Unit of Musculoskeletal Surgery, Tampere University Hospital and University of Tampere, Finland;3. Tampere University Heart Hospital, Tampere University Hospital, Tampere, Finland |
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| Abstract: | ![]()
BackgroundVarious conservative treatment methods can be administered in the early stages of plantar fasciitis (PF). The aim of the treatment is to enable the patient to return to the physical activity as soon as possible.AimIn this study it was aimed to compare efficacies of Extracorporeal Shockwave Therapy (ESWT) and Low-Level Laser Therapy (LLLT) on patients with PF.DesignA local prospective cross-sectional studySettingDepartment of Physical Medicine and Rehabilitation Outpatient Clinic of Sakarya University, Faculty of MedicinePopulationPatients aged 18–70 years, having ongoing heel pain for at least 3 months, and not using oral and/or parenteral corticosteroids in the last 6 months.MethodsA total of 40 patients with PF included in the current study. Visual Analog Scale (VAS), Roles and Maudsley Score (RMS), American Orthopedic Foot and Ankle Association Score (AOFAS) and Foot Function Index (FFI) questionnaire were performed for all patients. ESWT and LLLT groups comprised of 22 (55%) and 18 (45%) patients, respectively.ResultsWe found significant improvements in scores based on the VAS, RMS, AOFAS, FFI in patients with PF and it was sustained for 3 months (p = 0.001, for all scores). While decrease in scores based on the VAS and FFI in LLLT group was statistically more significant compared to ESWT group (p = 0.014, p = 0.013), there was statistically less significant decrease in scores on the AOFAS in LLLT group than that of ESWT group (p = 0.032).ConclusionsThe results of this study indicated significant improvements in terms of pain, functional status and daily life activities following the administration of either of the treatments. Furthermore, LLLT was found to be significantly more effective for alleviating pain than ESWT in the treatment of PF. |
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| Keywords: | Extracorporeal shockwave therapy Low-level laser therapy Plantar fasciitis |
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