Lou 2017 | Plantar fasciitis | Review
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Lou J, Wang S, Liu S, Xing G. Effectiveness of Extracorporeal Shock Wave Therapy Without Local Anesthesia in Patients With Recalcitrant Plantar Fasciitis: A Meta-Analysis of Randomized Controlled Trials. Am J Phys Med Rehabil. 2017 Aug;96(8):529-534.
Systematic review with Meta-analysis. 9 randomized controlled trials (involving 1,174 participants) comparing ESWT without local anesthesia versus placebo for treatment of plantar fasciitis in adults were included in the analysis. Results: at 12 weeks post-intervention, compared with placebo, ESWT significantly • improved the success rate of reducing overall heel pain, • reduced the VAS score by 60% at the first step in the morning and during daily activities, • improved the Roles and Maudsley score to excellent or good, and • reduced heel pain after application of a pressure meter.
Key message ESWT is particularly effective in reducing plantar heel pain in recalcitrant plantar fasciitis and should be considered when other traditional methods have failed.
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