SUPPORTIVE EVIDENCE FOR LOWER LEG RUNNING INJURIES
Research shows that radial shockwave treatment is most effective when included as part of comprehensive plans of care that include stretching and exercise. 43 Read the full study: Radial shock wave treatment alone is less efficient than radial shock wave treatment combined with tissue-specific plantar fascia-stretching in patients with chronic plantar heel pain.
Learn More at pubmed.ncbi.nlm.nih.gov/25940060/
Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values provides best practices to include conservative treatment in the first 4-6 weeks of plantar fasciitis (outlined below). When pain persists beyond 6 weeks, the evidence supports ESWT as the next best course of treatment followed by custom orthotics. 44 This research included feedback from both the clinician and the patient.
Learn More at bjsm.bmj.com/content/55/19/1106
The review revealed the following best practices guidelines for ESWT:
• The core approach (taping, stretching, exercising, and educating) should be used for approximately 4-6 weeks before consideration of adjunctive interventions such as ESWT or orthoses. • ESWT had the best evidence of any adjunctive treatment, including dry needling, if the core approach was unsuccessful at 4-6 weeks. • ESWT had minimal documented adverse events and positive efficacy in the short term, medium term, and long term for the most patient-reported outcomes.
24
Made with FlippingBook - PDF hosting