Sorry Dieter, I'm humbled! That was a much better answer from Joel.
Did you see much ESWT when you were in the States? I'm not aware of any UK
Pods using it yet, unless you know otherwise..
----- Original Message -----
From: "Dieter" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 06, 2004 2:51 PM
Subject: Re: ESWT
> Joel, thats the kind of information I was looking for - thanks.
>
> ____________________________________________________________________________
>
> Iain - shame on you!
>
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
>
>
>
>
> On Wed, 6 Oct 2004 16:55:13 +1000, Joel RADFORD <[log in to unmask]>
> wrote:
>
>>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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