Extracorporeal Shockwave Therapy Emerges As a Promising Treatment to Manage Plantar Fasciitis

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Extracorporeal Shockwave Therapy Emerges As a Promising Treatment to Manage Plantar Fasciitis

As per recent analysis published in the Journal of cellular physiology, the extracorporeal shockwave therapy emerges as a favorable treatment to manage plantar fasciitis. Plantar fasciitis is the inflammation of the plantar fascia, a band of tissues that connects heel bone to toes. It causes severe pain in the heel area of the foot.

Haibo Li and colleagues conducted the meta-analysis to evaluate the effect of eight approaches in eradicating foot pain due to plantar fasciitis. The eight therapies used in the study were corticosteroid injections (Css), ultrasound therapy (US), dry needling (DN), nonsteroidal anti‐inflammatory drugs (NSAIDs), platelet‐rich plasma (PRP), extracorporeal shockwave therapy (ESWT), autologous whole blood and botulinum toxin A (BTX‐A). The Embase, CNKI, and PubMed were used to extract interventions related to randomized controlled trials (RCTs) and prospective studies. Multi-aspect comparisons were determined by using 95% credible intervals (CrIs) and mean difference (MD) of visual analogue scale (VAS). Further, the surface under the cumulative ranking curve (SUCRA) and Node‐splitting plots were used to achieve ranking results and uniformity among direct & indirect evidence, respectively. Publication bias was examined by performing funnel plots and Egger's test.

A total of 41 trials containing 2,889 cases were included. In terms of VAS, only ESWT (MD = −3.3; CrI: −5.3, −1.1) exhibited better efficacy than placebo at first month. At 2-month VAS, no statistically notable difference was noticed among pair-wise comparisons. At 3-month VAS, ESWT again showed great efficacy (MD = −2.7; CrI: −4.2, −1.3) along with CSs (MD = −2.1; CrI: −4.1, −0.19). The ESWT also exhibited better MD ( −3.0) and CrI (−5.0) as compared to placebo ( CrI: −0.51). The PRP and BTX‐A exhibited sub-optimal outcomes. Further, on the report of SUCRA, out of all eight treatments, ESWT ranked first and can be considered as an appropriate approach to reduce foot pain.


J Cell Physiol



Original title of the article:

Comparison of efficacy of eight treatments for plantar fasciitis: A network meta-analysis


Haibo Li et al.

Therapeutic, Plantar Fasciitis, Foot Pain, Meta-analysis, Efficacy, VAS
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