Gollwitzer 2015 | Plantar Fasciitis | FSW
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Gollwitzer H, Saxena A, DiDomenico LA, Galli L, Bouché RT, Caminear DS, Fullem B, Vester JC, Horn C, Banke IJ, Burgkart R, Gerdesmeyer L. Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am. 2015 May 6;97(9):701-8.
Double-blind randomized placebo-controlled study. 250 patients with a history of plantar fasciitis resistant to nonsurgical treatment for at least 6 months were randomized to: • Focused ESWT (0.25 mJ/mm²) with 3 sessions of 2000 impulses in weekly intervals, or • Placebo intervention (also with 3 sessions of 2000 impulses in weekly intervals). Results: • VAS composite score for pain and Roles & Maudsley score for function were significantly more improved in the ESWT group at 12 weeks and the improvements were maintained at 1 year follow-up. • Secondary outcome measures related to overall success rate , patient satisfaction and investigator's effectiveness rating were also significantly better in the ESWT group.
Key message Focused ESWT was associated with significant improvements in heel pain and function after 12 weeks when compared to placebo treatment in patients with plantar fasciitis. Those who responded to treatment at 12 weeks in either group maintained effects at 12 months.
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