Medical Review T. 14, z. 4 (2016)

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Extracorporeal shock wave therapy in the treatment of plantar fasciitis
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Wyszyńska, Justyna; Podgórska-Bednarz, Justyna; Świtała, Anna; Skrzypiec, Julian
Plantar fasciitis is reported as the most common cause of chronic plantar heel pain. An extra-corporeal shock waves have been used in the treatment of plantar fasciitis with promising results. The purpose of this paper was to present results from randomized controlled trials to estimate of the effectiveness of ESWT in the treatment of plantar fasciitis. Method: MEDLINE, EBCO, PubMed, ScienceDirect and SpringerLink databases were searched, using the keywords: ESWT, plantar fasciitis, shock wave, randomized clinical trials. Results: Ten randomized clinical trials was critically appraised. Eight studies report significant decreases in pain symptoms and better function scores associated with an extra-corporeal shock wave therapy. However two studies show no meaningful improvement of clinical outcome in patients treated with extracorporeal shock wave therapy for chronic plantar fasciitis compared with placebo. Summary: In most cases shockwaves therapy was a safe and effective method for treatment of chronic plantar fasciitis and helped the patient to avoid surgery for recalcitrant heel pain but warrants further larger studies.