Comparison of the Effectiveness of USG and Palpation Guidance Steroid Injection in Patients With Plantar Fasciitis
Status:
Completed
Trial end date:
2021-08-01
Target enrollment:
Participant gender:
Summary
Plantar fasciitis, often described as overloading of the plantar fascia, is the most common
cause of heel pain in adults. It is characterized by a sharp pain along the medial aspect of
the heel, which is worse with the first step taken in the morning or at the beginning of an
activity and decreases as the person warms up. The etiology of plantar fasciitis is
multifactorial and not well understood. Poor biomechanics and changes in the structure of the
foot can lead to repeated micro-trauma at the beginning of the plantar fascia, causing
inflammation and degeneration. Plantar fasciitis is more common in sedentary individuals and
athletes and those participating in running sports. Other risk factors associated with
plantar fasciitis include reduced ankle dorsiflexion, increased body mass index (BMI), and
work-related weight loss activities.
Current treatments for plantar fasciitis, such as plantar fascia stretching exercises,
strapping, extracorporeal shock wave therapy, nonsteroidal anti-inflammatory drugs (NSAIDs),
arch braces, and heel pads are mainly aimed at reducing inflammation. Corticosteroid
injections are usually reserved for refractory plantar fasciitis after conservative
noninvasive attempts have failed. It has been shown to effectively reduce heel pain in
patients with plantar fasciitis. The strong anti-inflammatory effect of corticosteroids can
speed up the process of pain relief.
In our study, we aimed to compare the effectiveness of USG and palpation guidance blind
steroid injection in patients diagnosed with plantar fasciitis.
Phase:
N/A
Details
Lead Sponsor:
Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey