Treatment of Chronic Plantar Fasciitis with Extracorporeal Shock Wave

體外震波於慢性足底筋膜炎之療效評估

楊文東(Wen-Tung Yang) ； 周正亮(Cheng-Liang Chou) ； 潘柏榮(Po-Jung Pan) ； 邱宏仁(Hong-Jen Chiou) ； 鄭舜平(Shun-Ping Cheng) ； 劉作仁(Tcho-Jen Liu) ； 詹瑞棋(Rai-Chi Chan)

《中華民國復健醫學會雜誌》 30卷3期 (2002/09) Pp. 141-146

摘要

Extracorporeal shock wave therapy (ESWT) has shown success in the alleviation of painful heels and other orthopedic conditions such as tennis elbow, calcifying tendinopathy of the shoulder, and nonunion fractures of the long bones. The purpose of this study is to evaluate the effectiveness of ESWT on chronic plantar fasciitis, and to monitor the complication of ESWT.
Forty patients were enrolled in the study, however, 10 patients dropped out after first session due to intolerable pain during the course of treatment. Two patients were symptom-relief after the first session of treatment, and the other 2 patients were loss of follow-up. Therefore, 26 patients (11 men and 15 women) with an average age of 60.73 years (range, 42-76 years) had completed the total 2 sessions of treatment in this study. Each session of treatment was composed of 1500 impulses of shock wave at level 5(0.26 mJ/mm2) with frequency of 2 Hz to the affected heel.
Of 26 patients with 4 weeks follow-up, 85% of heels achieving subjective improvement, and 92% of heels achieving objective improvement of pressure tolerance after 2 sessions of treatment. There were no significant systemic or local complications such as hematoma or ecchymosis that required special attention, nor were there any device-related problem. There is no statistic significance noted on the results of thickness of plantar fascia measured by ultrasonography.
Treatment of painful heels with extra-corporeal shock wave produced a high rate of success in pain relief and pressure tolerance, and negligible complications except local pain.

關鍵字

足底筋膜炎 ； 體外震波治療 ； 超音波 ； 足跟痛

並列摘要

Extracorporeal shock wave therapy (ESWT) has shown success in the alleviation of painful heels and other orthopedic conditions such as tennis elbow, calcifying tendinopathy of the shoulder, and nonunion fractures of the long bones. The purpose of this study is to evaluate the effectiveness of ESWT on chronic plantar fasciitis, and to monitor the complication of ESWT.
Forty patients were enrolled in the study, however, 10 patients dropped out after first session due to intolerable pain during the course of treatment. Two patients were symptom-relief after the first session of treatment, and the other 2 patients were loss of follow-up. Therefore, 26 patients (11 men and 15 women) with an average age of 60.73 years (range, 42-76 years) had completed the total 2 sessions of treatment in this study. Each session of treatment was composed of 1500 impulses of shock wave at level 5(0.26 mJ/mm2) with frequency of 2 Hz to the affected heel.
Of 26 patients with 4 weeks follow-up, 85% of heels achieving subjective improvement, and 92% of heels achieving objective improvement of pressure tolerance after 2 sessions of treatment. There were no significant systemic or local complications such as hematoma or ecchymosis that required special attention, nor were there any device-related problem. There is no statistic significance noted on the results of thickness of plantar fascia measured by ultrasonography.
Treatment of painful heels with extra-corporeal shock wave produced a high rate of success in pain relief and pressure tolerance, and negligible complications except local pain.

並列關鍵字

Plantar fasciitis ； extracorporeal shock wave therapy ； ultrasound ； painful heel