Tratamiento conservador de la fascitis plantar crónica con ondas de choque radiales versus infiltración corticoideo anestésica

Resumo

Hypothesis and Objectives The purpose of the present study was to evaluate and compare the therapeutic effects of the radial shock wave therapy (RSWT) and corticosteroid injection (CSI) in patients with chronic plantar fasciitis. Material and Method This was a prospective randomized triple blind clinical trial in patients with chronic plantar fasciitis (>6m) comparing two groups of patients with the same treatment schedule applied with one week intervals by the collaborator- investigator herself. In one of the groups we used corticosteroids injection and placebo RSWT and in the other placebo injection and real RSWT. The outcomes were measured using the Visual Analogue Scale (VAS) in three different moments (firs day step, after a rest, at the end of day), American Orthopaedics Foot an Ankle Society Score (AOFAS), Foot Funtion Index( FFI) and algometer, recorded before treatment, after three and six month of treatment and one year after it. The two groups of treatment were compared using generalized linear models for repeated measures of VAS, AOFAS and FFI. SPSS software version 23 (IBM, Armonk, NY) was used to analyze the data and p <0,05 were considered statistically significant. The cost of each treatment was estimated. Results We include in the study 48 patients. Two groups are comparable in baselines aspects. The pain intensity has significantly reduced and functionality were higher with time in both groups of treatment. Symptomatolgy improves in the totally of patients treated by RSWT who finished one year follow up and in the 94.74% (18 patients) treated by CSI. We haven&apos;t recurrence after treatment at 12 month of follow up. CSI treatment it&apos;s cheaper than RSWT. We only find 2 patients with hematoma and one patient with parestesias like side transitory effects in CSI group. Conclusions RSWT and CSI both proved to be great and safe treatments for chronic plantar fasciitis patients with our inclusion criteria. CSI is cheaper than RSWT but RSWT perhaps would be the first choice in patients with contraindications for corticoids.