Percutaneous electrolysis is a minimally invasive method that involves the application of a galvanic current through an acupuncture needle. The needle is placed directly into the soft tissue structures, essential with ultrasound guidance. This technique involves the combination of mechanical stimulation produced by the needle and electrical/biochemical stimulation provided by the electrical current. Endogenous pain modulation shows clinical relevance of this technique and plays an important role in the experience of pain. Plantar plate injury is a pathology that frequently occurs in the forefoot, especially in middle-aged women, causing metatarsalgia that is sometimes very intense. In most cases it is secondary to a mechanical imbalance of the forefoot, related to an insufficiency of the first radius. For this reason, the researchers hypothesize that the application of ultrasound-guided percutaneous electrolysis on the plantar plate, combined with the conservative treatment consisting of the development of a personalized plantar orthosis, can cause positive effects in the patient's clinic as well as improve their quality of life.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
30
Personalized plantar orthosis
Personalized plantar orthosis + percutaneous electrolysis
Blanca de la Cruz
Seville, Spain
RECRUITINGQuality of life
Foot Health Status Questionnaire
Time frame: 1 month
Subjetive level of pain
Intensity of subjective pain in the injured structure (0, no pain; 10, worse pain)
Time frame: 1 month
level of pain at palpation
Intensity of pain on palpation in the injured structure (0, no pain; 10, worse pain)
Time frame: 1 month
Distribution of plantar pressures
Podiatric platform (pressure percentage 0-100%)
Time frame: 1 month
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.