Cortéz-Pérez 2024 | Plantar Fasciitis | Review
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Cortés-Pérez I, Moreno-Montilla L, Ibáñez-Vera AJ, Díaz-Fernández Á, Obrero-Gaitán E, Lomas-Vega R. Efficacy of extracorporeal shockwave therapy, compared to corticosteroid injections, on pain, plantar fascia thickness and foot function in patients with plantar fasciitis: A systematic review and meta-analysis. Clin Rehabil. 2024 May 13:2692155241253779. doi: 10.1177/02692155241253779. Epub ahead of print.
Systematic review and meta-analysis. 16 studies involving 1121 patients were included, comparing the efficacy of extracorporeal shock waves versus corticosteroids injections on pain intensity and sensitivity, thickness of plantar fascia and foot function in patients with plantar fasciitis. 8 studies used RSW, 4 used FSW and 4 did not report on the modality. Results: • At 3 months, ESWT were better than corticosteroids injections in reducing pain and thickness of the plantar fascia and increasing foot function. • At 6 months, extracorporeal shock waves are more effective in reducing pain and increasing foot function. • Subgroup analysis revealed that radial was the most efficacious modality of application at 3 and 6 months, and high-intensity extracorporeal shock waves were the most indicated to reduce pain at 3 and 6 months and to reduce plantar fascia thickness at 3 months. • At short (immediately after treatment) and long (1 year) term there was no significant difference between the groups. • Local pain and slight erythema were the most frequent adverse events.
Key message ESWT, especially RSW at high intensity are more effective than corticosteroid injections for improving mid-term pain, plantar fascia thickness and foot function.
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