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Comparison of dextrose prolotherapy and radial extracorporeal shock wave therapy in the chronic plantar fasciitis treatment

Comparison of dextrose prolotherapy and radial extracorporeal shock wave therapy in the chronic plantar fasciitis treatment Comparison of dextrose prolotherapy and radial extracorporeal shock wave therapy in the chronic plantar fasciitis treatment
Comparison of dextrose prolotherapy and radial extracorporeal shock wave therapy in the chronic plantar fasciitis treatment Comparison of dextrose prolotherapy and radial extracorporeal shock wave therapy in the chronic plantar fasciitis treatment

In this study, the treatment effectiveness of radial extracorporeal shock wave therapy (ESWT) and ultrasound (US)-guided dextrose prolotherapy has been compared in patients with chronic plantar fasciitis (PF).

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Key take away

Prolotherapy has gained popularity in the area of musculoskeletal medicine but there are limited studies about its efficacy. Both dextrose prolotherapy injection and radial extracorporeal shock wave therapy had alike effectiveness in terms of pain and function improvement at 3 months, this study revealed.

Background

In this study, the treatment effectiveness of radial extracorporeal shock wave therapy (ESWT) and ultrasound (US)-guided dextrose prolotherapy has been compared in patients with chronic plantar fasciitis (PF).

Method

Fifty-nine patients with chronic PF were assigned into 2 groups receiving 3 sessions of radial ESWT (n = 29) versus 2 sessions of ultrasound-guided intrafascial 2 cc dextrose 20% injection (n = 30) at random. Pain intensity by routine life and exercise activities by Foot and Ankle Ability Measure (FAAM), visual analogue scale (VAS), and the PF thickness via US imaging were assessed prior to and then at 6 and 12 weeks after the use of these therapies.

Result

Both groups had substantial improvements in pain and function at 6 weeks and 12 weeks after the treatments. At these periods, a significant reduction was noted for PF thickness. Other than the FAAM-sport subscale which favoured the use of ESWT, no significant results for other outcomes measures were found. There were no severe adverse effects.

Conclusion

In PF patients, dextrose prolotherapy had comparable efficacy to radial ESWT in providing pain relief, routine-life functional limitation, and PF thickness.

Source:

Foot and Ankle Surgery

Article:

Dextrose prolotherapy versus radial extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: A randomized, controlled clinical trial

Authors:

Mahsa Asheghan et al.

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