Hello Ian
I gather that Ralph Graham has had a look at this treatment modality. It
may be worthwhile asking for his opinion.
Bill Liggins
----- Original Message -----
From: "Ian Reilly" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 07, 2004 5:48 PM
Subject: Re: ESWT
> 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?
>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>><http://www.flamingtext.com/hmail.html>
>>>
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>>>
>>>
>>>
>>> _____
>>>
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