Dear all,
In a very nice recent review of the literature pertaining to plantar
fasciitis, Buchbinder (2004) said the following regarding extracorporeal
shock-wave therapy:
"...the available data do not provide substantive support for its use. Of
six randomized, double-blind, placebo-controlled trials assessing the
efficacy of extracorporeal shock-wave therapy, three studies (involving 166,
272 and 88 participants) showed no benefit, and two studies (involving 150
participants and 302 participants) reported small benefits that were of
questionable clinical importance. A sixth trial, involving 45 runners,
showed that extracorporeal shock-wave therapy, as compared with placebo,
resulted in a significant reduction in the score for pain on first walking
in the morning (a mean reduction of 2.6 on a 10cm visual-analogue scale) at
six months."
There was also a letter of correspondence from Rompe (an author of a number
ESWT trials) with a reply from Buchbinder several issues later for those
interested.
I'm inclined to agree and say that there is no real evidence to support its
use.
Cheers,
Joel.
Buchbinder, R. (2004). "Plantar fasciitis." The New England Journal of
Medicine 350(21): 2159-2166.
Rompe, J. D. (2004). "Plantar fasciitis - letter." New England Journal of
Medicine 351(8): 834.
-----Original Message-----
From: A group for the academic discussion of current issues in podiatry
[mailto:[log in to unmask]] On Behalf Of Eckles, Robert
Sent: Friday, October 01, 2004 8:53 AM
To: [log in to unmask]
Subject: Re: ESWT[Scanned]
Good day. There really is no consensus. The literature is full of
contradictory conclusions. I feel that the bottom line is that there will
always be a small percentage of patients with intractable heel pain- with
all other conservative measures having been utilized. In this situation, and
in particular if it were my foot, I'd certainly give it a go in lieu of
fascia band sectioning, and this, with many caveats, is how I advise my
patients. Time, and economics, will sort this out.
R Eckles DPM
Dean, Graduate Medical Education
NYCPM
-----Original Message-----
From: A group for the academic discussion of current issues in podiatry on
behalf of dieter fellner
Sent: Thu 9/30/2004 5:15 PM
To: [log in to unmask]
Cc:
Subject: ESWT[Scanned]
What is the consensus about extra corporal shock wave therapy to treat heel
pain? Is anyone aware of sound clinical research in this field?
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