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Botulinum toxin and plantar fasciitis

Discussion in 'Biomechanics, Sports and Foot orthoses' started by admin, Sep 7, 2005.

  1. admin

    admin Administrator Staff Member


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    Babcock MS, Foster L, Pasquina P, Jabbari B: Treatment of pain attributed to plantar fasciitis with botulinum toxin A: A short-term, randomized, placebo-controlled, double-blind study. Am J Phys Med Rebabil 2005;84:649-654.

     
  2. NewsBot

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    Hee is another new study on this

    Treatment of chronic plantar fasciitis with botulinum toxin a: preliminary clinical results.
    Clin J Pain. 2006 Feb;22(2):190-2
     
  3. I don't know much about botox a other than it effects ACH at the neuro-muscular synapse and hence inhibits muscle function. Given that the plantar fascia isn't a muscle, what effect is the botox having here, is it simply acting on the pain receptors? Or does this work suggest that pain may be coming from the plantar intrinsics originating in this area?
     
  4. John Spina

    John Spina Active Member

    Botox is also said to do well for hyperhidrosis at the plantar aspect.It is supposed to work for about 6 months for 1 injection.I have no experience with this.
     
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    botox

    Autologous Blood Injection and Botulinum Toxin for Resistant Plantar Fasciitis Accompanied by Spasticity.
    Am J Phys Med Rehabil. 2006 Aug;85(8):699-703
     
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    Botulinum Toxin

    Treatment of Chronic Plantar Fasciitis with Botulinum Toxin A - An Open Pilot Study on 25 Patients with a 14-Week-Follow-up
    [Article in German]
    Placzek R, Holscher A, Deuretzbacher G, Meiss L, Perka C.
    Z Orthop Ihre Grenzgeb. 2006 Jul-Aug;144(4):405-9.
     
  8. Does anyone have any further ideas on Botox and Plantar fasciitis. I had an email this morning wanting my advice on the injection. Ive not seen the patient so said I could not give advice, but was wondering what the lastest. If anything? Anyone had any patient try it out with +ve ot -ve results ?
     
  9. Mart

    Mart Well-Known Member

    This seems most plausible to me. If there is fasciosis (mucoid degeration) or partial rupture, overload (protective or inavoidable) of intimate FDB or AbHal would seem likely if not neccessary. Intersting though if botox reduced contibution from them what would pick up tensile load?

    cheers

    Martin

    The St. James Foot Clinic
    1749 Portage Ave.
    Winnipeg
    Manitoba
    R3J 0E6
    phone [204] 837 FOOT (3668)
    fax [204] 774 9918
    www.winnipegfootclinic.com
     
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    Ultrasonographic guided botulinum toxin type A treatment for plantar fasciitis; an outcome-based investigation for treating pain and gait changes.
    Huang YC, Wei SH, Wang HK, Lieu FK.
    J Rehabil Med. 2010 Feb;42(2):136-40.
     
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    Serial Ultrasonographic Findings of Plantar Fasciitis After Treatment With Botulinum Toxin A: A Case Study.
    Chou LW, Hong CZ, Wu ES, Hsueh WH, Kao MJ.
    Arch Phys Med Rehabil. 2011 Feb;92(2):316-319.
     
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    Serial ultrasonographic findings of plantar fasciitis after treatment with botulinum toxin a: a case study.
    Endo Y.
    Ultrasound Q. 2011 Sep;27(3):202.
    (no abstract publicly available)
     
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    Treatment of Refractory Pain with Botulinum Toxins-An Evidence-Based Review.
    Jabbari B, Machado D.
    Pain Med. 2011 Sep 29. doi: 10.1111/j.1526-4637.2011.01245.x. [Epub ahead of print]
     
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    Randomized controlled study of the efficacy of the injection of botulinum toxin type A versus corticosteroids in chronic plantar fasciitis: results at one and six months.
    Diaz-Llopis IV, Rodriguez-Ruiz CM, Mulet-Perry S, Mondejar-Gomez FJ, Climent-Barbera JM, Cholbi-Llobel F.
    Clin Rehabil. 2011 Dec 1.
     
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    Is botulinum toxin a effective for the treatment of plantar fasciitis?
    Peterlein CD, Funk JF, Hölscher A, Schuh A, Placzek R.
    Clin J Pain. 2012 Jul;28(6):527-33.
     
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    This clinical trial was just registered:

    Treatment of Plantar Fasciitis With Xeomin
     
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    A Comparison of Botulinum Toxin A and Intralesional Steroids for the Treatment of Plantar Fasciitis: A Randomized, Double-Blinded Study
    Jorge Elizondo-Rodriguez, et al
    Foot & Ankle International January 2013 vol. 34 no. 1 8-14
     
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    Press Release:
    Botox beats steroids for painful foot condition, plantar fasciitis
     
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    Botulinum toxin type A in chronic plantar fasciitis: clinical effects one year after injection.
    Díaz-Llopis IV, Gómez-Gallego D, Mondéjar-Gómez FJ, López-García A, Climent-Barberá JM, Rodríguez-Ruiz CM.
    Clin Rehabil. 2013 Feb 14.
     
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    This clinical trial was just registered:
    Botulinum Toxin A Versus Steroids for the Treatment of Chronic Plantar Fasciitis
     
  22. Pod on sea

    Pod on sea Active Member

    It seems there's a lot of research going on. I've just been asked by a patient about Botox for plantar heel pain. Is anyone in the UK using it? Has anyone seen any patients who have had it done?
    Thanks
     
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    Botulinum Toxin Treatment of Plantar Fasciitis (Plantar Fasciopathy)
    Bahman Jabbari
    Botulinum Toxin Treatment of Pain Disorders; 2015, pp 85-97
     
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    Comparison of extracorporeal shock wave therapy with botulinum toxin type A in the treatment of plantar fasciitis
    Bernardino Rocaa, Mar?a A. Mendozaa & Manuel Rocaa
    Disability and Rehabilitation; 01 Mar 2016
     
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    Treatment of Plantar Fasciitis With Botulinum Toxin
    A Randomized, Controlled Study

    Jamal Ahmad et al
    Foot & Ankle International September 14, 2016
     
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    Press Release:
    Revance Announces Initiation of Phase 2 Trial of RT002 Injectable to Treat Plantar Fasciitis
    November 03, 2016 08:00 AM Eastern Daylight Time
     
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    Botulinum Toxin Injections in Musculoskeletal Disorders
    Ivan R.B. Godoy et al
    Semin Musculoskelet Radiol 2016; 20(05): 441-452
     
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    This clinical trial was just registered:
    Therapeutic Effect of Botulinum Toxin A for the Treatment of Plantar Fasciitis.
     
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