Inflammation of the plantar fascia is called plantar fasciitis and is common in active or overweight individuals. It can be treated conservatively or surgically. Extracorporeal shock wave therapy has shown significant efficacy in the treatment of plantar fasciitis. Repeated chronic inflammation of the plantar fascia may lead to fibrous edema, thickening and even calcification in the fascia, resulting in thickening of the plantar fascia in patients with chronic plantar fasciitis and affecting the mechanical properties of the plantar fascia (changes in elastic modulus) ). Previous studies rarely involved changes in the elasticity of the plantar fascia before and after extracorporeal shock wave treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Procedure: Focused shockwave therapy received shock wave therapy once a week: first locate, touch on the heel of the patient Tenderness points, take tenderness points as treatment points;Then ask the patient to take the lower limbs straight sitting or prone position, Target intensity will be within a range of 0.15-0.25 mJ/mm2 at maximum Hz, Total of 3000 pulses; rest for 20 minutes after the treatment
Stretching and ice massage
Nanfang Hospital ,Southern Medical University
Guangzhou, Guangdong, China
RECRUITINGElastic modulus and morphology of plantar fascia lesion area
Sonoelastographic changes of plantar fascia after ESWT
Time frame: Up to six months
Reduction in pain as assessed by a 0-10 visual analogue scale (VAS)
Patients can score a minimum of 0 and a maximum of 10. Getting a high score indicates a bad situation.
Time frame: Up to six months
American Society of Foot and Ankle Surgery (AOFAS) Ankle and Hindfoot Function Score
The AOFAS assess pain, symptoms, activities of daily living, sports, and quality of life related to foot and ankle pain. This will be assessed on a scale of 0-100, where 100 indicates no problems and 0 indicates extreme problems.
Time frame: Up to six months
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