Treatment of plantar fasciitis (heel spur) with focused shockwave therapy and superinductial magnetotherapy

Objective. To evaluate the clinical efficacy of focused shockwave therapy and superinductive magnetotherapy combination in the treatment of plantar fasciitis (heel spur). Materials and methods. 70 patients with plantar fasciitis (heel spur) were under observation. Depending on the clinical picture, the patients were divided into three groups: the main group (n=20) - patients who underwent superinductive magnetic therapy and shockwave therapy; comparison group (n=40) - patients who underwent shockwave therapy; control group (n=10) - patients who underwent local hormone injection with anesthetic. Results. It was found that the complex treatment of plantar fasciitis (heel spurs) with focused shockwave therapy and superinductive magnetic therapy allows to obtain satisfactory results in 90% of patients at the end of the 2nd week after the treatment and 100% results by the end of the 4th week after the treatment. This is significantly higher than with shockwave therapy (SWT) alone (p<0.05). Pain relief in plantar fasciitis (heel spur) is directly related to the presence of edema in the heel area. Patients with edema should be treated with superinductive magnetic therapy before SWT. Conclusion. The treatment results with shockwave therapy only and combination SWT with superinductive magnetotherapy(SIS therapy) will optimize the treatment strategy for various patients with plantar fasciitis (heel spur).

1. Blokhin V.N., Vinogradova T.P. Heel bone spurs. Ortopediya i travmatologiya. 1997;(1):96-99 (in Russ.)

2. Nazarenko G.I., Geroeva I.B. The effectiveness of shock-wave therapy for the treatment of plantar fasciitis.Russian journal of physiotherapy, balneology and rehabilitation. 2014;(1):52-53 (in Russ.)

3. Sereda A.P., Moysov A.A., Smetanin S.M. Plantar fasciitis: diagnosis and treatment. Siberian medical journal (Irkutsk). 2016;143(4):5-9 (in Russ.)

4. Batt M.E., Tanji J.L., Skattum N. Plantar fasciitis: a prospective randomized clinical trial of the tension night splint. Clin J Sport Med. 1996;6(3):158-162

5. Bergmann J.N. History and mechanical control of heel spur pain. Clin Podiatr Med Surg. 1990;7(2):243-259

6. Buchbinder R. Clinical practice. Plantar fasciitis. N Engl J Med. 2004;350(21):2159-2166. DOI: 10.1056/NEJMcp032745

7. Cornwall M.W., McPoil T.G. Plantar fasciitis: etiology and treatment. J Orthop Sports Phys Ther. 1999;29(12):756-760. DOI: 10.2519/jospt.1999.29.12.756

8. Crawford F. Plantar heel pain. Clin Evid. 2001;June:823-831

9. Sadat-Ali M. Plantar fasciitis/calcaneal spur among security forces personnel. Mil Med. 1998;163(1):56-57

10. Theodore G.H., Buch M., Amendola A., Bachmann C., Fleming L.L., Zingas C. Extracorporeal shock wave therapy for the treatment of plantar fasciitis. Foot Ankle Int. 2004;25(5):290-297. DOI: 10.1177/107110070402500503

11. Thomas J.L., Christensen J.C., Kravitz S.R., Mendi-cino R.W., Schuberth J.M., Vanore J.V., Weil L.S. Sr., Zlotoff H.J. et al. The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg. 2010;49(3 Suppl):S1-S19. DOI: 10.1053/j.jfas.2010.01.001

12. Thomson C.E., Crawford F., Murray G.D. The effectiveness of extra corporeal shock wave therapy for plantar heel pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2005;(6):19. DOI: 10.1186/1471-2474-6-19

13. Wang C.J. An overview of shock wave therapy in musculoskeletal disorders. Chang Gung Med J. 2003;26(4):220-232

14. Weil L.S. Jr., Roukis T.S., Weil L.S., Borrelli A.H. Extracorporeal shock wave therapy for the treatment of chronic plantar fasciitis: indications, protocol, intermediate results, and a comparison of results to fasciotomy. J Foot Ankle Surg. 2002;41(3):166-172. DOI: 10.1016/s1067-2516(02)80066-7

15.