of effectiveness of the extracorporeal shock wave therapy
and steroid injection at plantar fasciitis
Mustafa Onur Serbest, Halil İbrahim Kaya, Mustafa Hilmi Demir, Sabriye Ercan, Cem Cetin
Medicine Faculty of Suleyman Demirel University, Department of Sport Medicine, Isparta, Turkey
Aim and scope.
Plantar fasciitis is one of the leading causes of heel pain and
approximately 10% of the population has plantar fasciitis. Plantar
fasciitis is a self limiting clinical situation and most of the
patients benefits from conservative treatment. The purpose of the study
was to compare effectiveness of the extracorporeal shock wave therapy
(ESWT) and local steroid injection at plantar fasciitis patients.
30 patients with heel pain were enrolled into study were divided into
two groups randomly. One of the group received steroid treatment, the
other group received ESWT treatment. The steroid group had (n=15) 3 mg
betametason acetate, 3.947 mg betametasondisodium phosphate and 20mg 2%
prilocain injection; where the maximum tenderness and pain point; the
ESWT group (n=15) had ESWT treatment (15 Hz frequency, 20 Barr Energy
and 2000 shocks/session once a week) for total 3 sessions. Results. For
ESWT group; VAS scores were decreased from 7.56 to 5.2 one week after
treatment; to 3.78 one month after the treatment and to 3.67 three
month after the treatment; respectively. Steroid groups VAS scores were
decreased from 6.55 to 3.11 one week after treatment; to 2.14 one month
after treatment and to 1.42 three month after treatment; respectively.
Both of the groups VAS scores were decreased statistically
Conclusion. As a result, both steroid
injection and ESWT application are effective and safe treatment methods
in heel pain caused by plantar fasciitis and are alternative methods
for surgical treatment. In our study, we found that local steroid
injection application provided significantly greater decrease in pain
according to ESWT treatment. Local steroid injection has shown more
successful than ESWT treatment.
plantar fasciitis, visual analog pain scale (VAS), extracorporeal shock wave therapy (ESWT), steroid injection