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Radial Extracorporeal Shockwave Therapy (rESWT) is not superior to “minimal-dose” rESWT for patients with chronic plantar fasciopathy; a double-blinded randomised controlled trial

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posted on 2022-12-16, 16:21 authored by Patrick WheelerPatrick Wheeler, Chloe Dudson, Rachel Calver

Background: 

Investigating outcomes following radial-extra-corporeal-shockwave-therapy (rESWT) in patients with chronic plantar fasciopathy. 

Methods: 

This double-blinded RCT in a single NHS Sports medicine clinic recruited 117 patients with chronic plantar fasciopathy randomised equally to either 3 sessions of rESWT or “minimal-dose” respectively. Mean age 51.7 ± 9.6 years, 66 % female, symptom duration: 32.6 ± 30.8 months. 

Results: 

“Average pain” improved by 50 % at 6-months, (> 1/3 at interim time-points). Statistically significant within-group improvements were identified in pain, local function, and “ability” PROMs in both groups. Fewer benefits in activity levels or mood. No between-group differences were seen at the interim or final time-points. 

Conclusion: 

3 sessions of “recommended-dose” rESWT is non-superior to “minimal-dose” rESWT in patients with chronic plantar fasciopathy. rESWT may be ineffective in the treatment of patients with chronic plantar fasciopathy, “minimal-dose” rESWT may be sufficient for a therapeutic effect, or a greater number of treatment sessions may be required for benefit. 

Level of evidence: 

Level I – Randomised controlled trial

History

School

  • Sport, Exercise and Health Sciences

Published in

Foot and Ankle Surgery

Volume

28

Issue

8

Pages

1356-1365

Publisher

Elsevier

Version

  • VoR (Version of Record)

Rights holder

© The Authors

Publisher statement

This is an Open Access Article. It is published by Elsevier under the Creative Commons Attribution 4.0 International Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/

Acceptance date

2022-06-28

Publication date

2022-07-01

Copyright date

2022

ISSN

1268-7731

eISSN

1460-9584

Language

  • en

Depositor

Prof Patrick Wheeler. Deposit date: 22 July 2022

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