Foot orthoses found to reduce pain in individuals with unilateral plantar fasciopathy

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Foot orthoses found to reduce pain in individuals with unilateral plantar fasciopathy

New shoes with custom foot orthoses observed to suppress first-step foot pain along with plantar fascia thickness within 12 weeks. The recently published parallel, three-arm, randomised, blind, controlled study in BMC Musculoskeletal Disorders journals enlightens the advantage of custom foot orthoses usage. Prior, very few evidence were present regarding this concern. This study evaluates foot orthoses effect among 60 patients for first-step, pain after 24 hours and plantar fascia thickness over 12 weeks. 

The patients were categorized into three groups; orthoses group which received new shoes with custom foot orthoses; shoe group received new shoes with a sham insole and control group received sham insole in their regular used shoes. The visual analog scale (VAS) for first-step pain was reported as the primary outcome and an ultrasound for 24 h pain along with plantar fascia thickness was taken as secondary outcomes.  The assessment of outcomes was done at baseline, 4th and 12th week.
The orthoses group presented reduced first-step pain as compared to control group at 4th week  (p = 0.002) and as compared to both shoe (p = < 0.001) and sham group (p = 0.01) at 12th week. Further, as compared to the control group, orthoses (p = < 0.001)and shoe group (p = 0.006) both resulted in less 24-h pain at both 4th and 12th week. However, only the orthoses group exhibited decreased plantar fascia thickness.
All the results reflected that the custom foot orthoses is very useful in improving foot pain plantar fascia thickness as compared to the sham approach or new shoes alone. 

Source

BMC Musculoskelet Disord     

Link:

https://www.ncbi.nlm.nih.gov/pubmed/30021556

The original title of article:

Custom foot orthoses improve first-step pain in individuals with unilateral plantar fasciopathy: a pragmatic randomised controlled trial

Authors:

Chris Bishop et al.

SearchTags: 
Therapeutic, Foot Pain, Feet, Three-arm, Randomised, Blind, Controlled Study, Efficacy, Ultrasound, VAS
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