Low-Dye taping and iontophoresis for plantar fasciitis

NewsBot · Feb 21, 2006

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Treatment of plantar fasciitis by low-Dye taping and iontophoresis - short-term results of a double blinded, randomised, placebo controlled clinical trial of dexamethasone and acetic acid.
Br J Sports Med. 2006 Feb 17;

OBJECTIVES: To determine if in the short term acetic acid and dexamethasone iontophoresis combined with low-Dye taping, are effective in treating the symptoms of plantar fasciitis.

METHODS: A double blinded randomised placebo controlled trial of 31 patients with medial calcaneal origin plantar fasciitis recruited from three Sports Medicine clinics. All subjects received six treatments of iontophoresis to the site of maximum tenderness on the plantar aspect of the foot over a period of two weeks, continuous low-Dye taping during this time and instructions on stretching exercises for the gastrocnemius/soleus. They received dexamethasone 0.4%, Placebo (0.9% NaCl) or acetic acid 5%. Stiffness and pain outcomes were recorded at the initial session, the end of 6 treatments and the follow-up at 4 weeks.

RESULTS: Data for forty two feet from thirty one subjects were used in the study. At the conclusion of the treatment phase all groups showed statistically significant improvements in morning pain, average pain and morning stiffness. However for morning pain, the acetic acid/taping group demonstrated a statistically greater improvement than the dexamethasone/taping intervention. At the follow up the treatment effect of acetic acid/taping and dexamethasone/taping remained statistically significant for symptoms of pain. In contrast only acetic acid maintained treatment effect for stiffness symptoms compared with placebo (p=0.031) and dexamethasone.

CONCLUSIONS: This study found that 6 treatments of acetic acid iontophoresis combined with taping gives the greatest relief of the stiffness symptoms and equivalent relief from pain symptoms as treatment with dexamethasone/taping. For the best clinical results at 4 weeks this study demonstrated that taping combined with acetic acid is the preferred treatment option when compared to taping combined with dexamethasone or saline iontophoresis.
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NewsBot · Jul 26, 2006

Reuters press release on this study:
Plantar Fasciitis Responds Well to Acetic Acid Iontophoresis

NEW YORK (Reuters Health) Jul 14 - Iontophoresis with acetic acid is more effective than iontophoresis with dexamethasone in relieving pain and stiffness due to plantar fasciitis, investigators report. However, the effects of treatment are only short-term.

There have been reports that iontophoresis with dexamethasone or acetic acid benefits patients with plantar fasciitis, Drs. H. R. Osborne and G. T. Allison explain in their study, published in the June issue of British Journal of Sports Medicine. However, there have been no comparisons of the two agents, and no reports on the efficacy of LowDye taping, for the treatment of plantar fasciitis.

They therefore conducted a double-blinded, randomized trial among 31 patients with medial calcaneal origin plantar fasciitis that was symptomatic for at least 1 month.

The treatments consisted of iontophoresis with 0.4% dexamethasone (n = 11), 5% acetic acid (n = 10), or saline placebo (n = 10). Six treatments of iontophoresis with each agent were performed over a 2-week period. LowDye taping was replaced at each visit and then discontinued at the end of the 2 weeks.

Patients reported measures of pain and stiffness at baseline, 2 weeks and 4 weeks, using a 10-cm visual analog scale.

At the end of 2 weeks, all groups reported significant improvement in morning pain and average pain in the past week, but acetic acid was the most effective. However, by the 4-week follow-up visit, effects on pain were not maintained in any group. A similar pattern was observed with residual pain and worst pain in the past 2 days.

However, the treatment gains in pain from acetic acid or placebo were lost by the end of 4 weeks.

In terms of morning stiffness, all three treatments reduced morning stiffness, but the difference was statistically significant only in the acetic acid and placebo groups. The reduction in stiffness was maintained only among patients treated with acetic acid.

Five patients developed skin irritation due to the LowDye taping, so the physicians, based at the University of Western Australian in Perth, recommend taping not be used for more than 2 weeks
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martinharvey · Jul 26, 2006

relevant to this thread

I posted this in another thread on the site but this information may be relevant here. Look at the date of the following publication as well! Its certainly not a new idea, but may have been re-invented.

Gentlepods,

There are many suggested uses for Iontophoresis in Josephs Khan's excellent book 'Principles and practice of electrotherapy (1994) ISBN 0-443-08919-1.
'Tap water Iontophoresis' is just one of them. I purchased an 'Iontophor' from the States about 5 years ago and I must admit to some interesting results, especially with 1% hydrocortisone for PF. Also CuSo4 for onychomycosis --- shame about the blue, still they look pretty.

Regards,

Martin
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Adrew Jones · Oct 19, 2006

Ionophoresis Machines

NewsBot said:

Treatment of plantar fasciitis by low-Dye taping and iontophoresis - short-term results of a double blinded, randomised, placebo controlled clinical trial of dexamethasone and acetic acid.
Br J Sports Med. 2006 Feb 17;
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Does anyone have one of these Iontophoresis machines and were are you able to get them??

martinharvey · Oct 19, 2006

Iontophores

Hi,

the following link on my site shows my life - tech iontophore. http://myweb.tiscali.co.uk/fitfeet/index_files/Page602.htm You can buy some in this country, but much cheaper, and better choice to order one via the net from the states. Life tech inc. are good. Its a handy tool, but for plantar facitiis i now tend to use prolotherapy. Gets much faster results.

Best Regards, Martin

Adrew Jones · Oct 20, 2006

Thanks
I will investigate Further

NewsBot · Dec 3, 2010

Heel pain and phonophoresis.
Deshpande MM, Patil CB.
J Indian Med Assoc. 2010 Jun;108(6):365.

A review of 25 cases of heel pain treated conservatively with phonophoresis, using the anti-inflammatory gel containing a combination of flufenamic acid, salicylic acid and mucopolysaccharide polysulphate is being reported here. The purpose of the study was to assess the effectiveness of a noninvasive procedure called phonophoresis in treating hell pain. It involved usage of ultrasound waves to deliver anti-inflammatory drugs to the painful site. The heel pain subsided in all the cases and did not recur for a period of one year till last reviewed indicating the definite role of phonophoresis in heel pain.
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NewsBot · Jul 9, 2013

Treatment of Plantar Fasciitis by Taping vs. Iontophoresis: A Randomized Clinical Trial Goyal,M., Kumar, Ashok, Mahajan, N. and Moitra, M.
Journal of Exercise Science and Physiotherapy, Vol. 9, No. 1: 34-39, 2013

The purpose of the study was to observe the effect of combination of a Taping and Iontophoresis or Taping alone in the treatment of Plantar Fasciitis pain. A total of 30 patients (male =16; female=14) were selected as subjects and they were further divided into two groups. Each group comprising of 15 subjects (male=8; female=7). The results of the present study show an improvement in the mean values of Visual Analog Scale, and Foot Functional Index scores after treatment in both groups. But it was found that an improvement was statistical significant more in Taping and Iontophoresis group than Taping group alone. It was concluded that if the patients of plantar fasciitis were treated with combination therapy (Taping & Iontophoresis) then there was noticed significant recovery from pain and disability in them.
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NewsBot · Oct 15, 2013

From the blog, Runners Connect:
Iontophoresis Treatment for Running Injuries

NewsBot · Oct 3, 2015

Effectiveness of Myofascial Release Versus Iontophoresis in the Treatment of Subjects with Plantar Fasciitis
Sarin Avnee, Raj Anish
Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
Year : 2015, Volume : 9, Issue : 4

Objective
The purpose of the study was to compare the effectiveness of Myofascial release (MFR) and Iontophoresis in the treatment of subjects with plantar Fasciitis.

Methodology
The duration of the study was one and half year. 30 subjects were selected for the study and were divided into two groups Group A received Myofascial release technique with calf and plantar fascia stretching. Group B received Iontophoresis with calf and plantar fascia stretching. The treatment was given 10 sessions for 2 weeks and the readings were taken on VAS for pain and FFI.

Results
The result of this study shows that there is significant difference in VAS and FFI within the two groups. Inter-group analysis showed non significant difference between the two groups treatment on VAS and FFI.

Conclusion
The finding of the study support that the MFR and Iontophoresis are effective in reducing pain and functional disability in subjects with plantar Fasciitis.
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NewsBot · Jan 3, 2017

Comparison between Effectiveness of Iontophoresis and Conventional Therapy in the Management of Plantar Fasciitis
Srivastava Namrata, Joshi Sneha
Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
Year : 2017, Volume : 11, Issue : 1

Objective
To compare the effectiveness of Intophororesis and conventional therapy in patients with plantar fasciitis.
Study Design
Experimental study design.
Subjects
40 patients between the age group 30 yrs to 55 yrs having plantar fasciitis were selected as per the inclusion and exclusion criterion.
Procedure
Using random sampling method the 40 subjects were divided into 2 equal groups with 20 patients each. Both the groups were given conventional physical therapy as a baseline treatment. Along with conventional therapy the experimental group received Iontophororesis at 4mA for 10 minutes, applied over plantar fascia.followed by exercises and ultrasound, whereas the control group received conventional physical therapy i.e ultrasound and exercises only.. The study was performed for 2 weeks. Evaluation was done before starting the treatment and then after 2weeks. Outcomes scores were evaluated using FFI Scale and VAS scale.
Result
Subjects receiving Intophororesis with conventional therapy showed significant reductions in pain and other symptoms with an improvement in quality of life.(t of FFI =3.369, t of VAS = 4.765).as compared to control group which received conventional therapy only.
Conclusion
The results supported the efficacy of Intophororesis with conventional therapy for rehabilitating the patients with plantar fasciitis. These changes are clinically significant.
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NewsBot · Sep 26, 2019

Effectiveness of Sodium Salicylate Iontophoresis on Heel Pain
Dr.Aparna Waidande et al
Journal of Sports and Physical Education

Heel pain is one of the common musculoskeletal conditions. There are many physical therapeutic
modalities including iontophoresis available for patients with heel pain. Acetate iontophoresis is commonly
used for relieving heel pain. Salicylate iontophoresis is known for its analgesic and anti-inflammatory effect.
However there is a paucity of data on effectiveness of sodium salicylate iontophoresis on heel pain. The purpose
of this study was to evaluate the effectiveness of salicylate iontophoresis on heel pain and to compare it with
acetate iontophoresis. Sixty patients with heel pain aged 25-40 years were included in the study and were
randomly divided into 2 groups containing 30 patients each. Patients in group A (control group) were treated
with acetic acid iontophoresis and in group B (experimental group) were treated with sodium salicylate
iontophoresis. All patients received 6 sessions of iontophoresis over the period of 2 weeks. Pain on VAS and
TUG test was assessed pre intervention, at the end of 2 weeks and 4 weeks. On statistical analysis, group B
patients had statistically significant improvement in pain on VAS (p<0.001) as compared to group A. There was
no statistically significant difference in TUGT (p<0.001) between the two groups. This study concludes that
sodium salicylate iontophoresis was more effective in reducing heel pain.
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NewsBot · Jun 30, 2021

Phonophoresis Plus Topical Nitroglycerin or Hydrocortisone for the Management of Plantar Fasciitis, Which Topical Agent is Superior?
Razieh Maghroori, Shiva Fakhari, Parisa Taheri
Source

Background: Plantar fasciitis (PF) is the most common reason for inferior heel pain. Various approaches have been raised for the treatment of PF; however, none had substantial outcomes. The current study aims to assess and compare phonophoresis outcomes plus topical nitroglycerin versus phonophoresis plus topical hydrocortisone for PF management. Materials and Methods: The current study has been conducted on 65 patients with PF diagnosis, among whom underwent ten every-other-day sessions of treatment with phonophoresis plus 20 mg nitroglycerin (n=33) or 20mg hydrocortisone (n=32), respectively. The Modified Roles and Maudsley (RM) score and the visual analog scale (VAS) were compared between the two groups at baseline, three weeks, and two months after the interventions. Besides, the plantar fascia thickness was measured at baseline and two months after the intervention. Results: The baseline RM (P-value=0.067) and pain severity (P-value=0.057) was similar between the two groups, but other assessments revealed the superiority of phonophoresis plus topical nitroglycerin over topical hydrocortisone (P-value<0.05). The reduction in plantar fascia thickness was more in phonophoresis plus nitroglycerin-treated patients as compared to the latter group (P-value<0.001), but the requirement of additional doses of analgesia was remarkably more in hydrocortisone-treated patients (P-value<0.001). Conclusion: Based on the current study, phonophoresis plus topical nitroglycerin was superior to phonophoresis plus topical hydrocortisone in pain relief, improved quality of life, and decreased fascia thickness. However, further investigations are required to achieve the ultimate outcomes for a more extended period.
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NewsBot · Feb 20, 2024

To Determine Effectiveness of Iontophoresis V/S Kinesiological Taping In Pain and Disability In Case Of Planter Fascitis
Ritu Richhariya
Source

Plantar fasciitis is the most common cause of planar heel pain. Its characteristics features are pain and tenderness, predominately on the medical aspect of calcaneus near the sole of the heel. Considering a complete differential diagnosis of plantar heel pains important, a comprehensive history and physical examination guide accurate diagnosis. Many nonsurgical treatment modalities have been used in managing the disorder, including rest, massage, nonsteroidal anti-inflammatory drugs, night splints, heel cups/pads, customs and off-the-shield orthoses, injection, casts and physical therapy measures such as shock wave therapy. Most reported treatment outcomes rely on anecdotal experiences or combinations of multiple modalities. Nevertheless, nonsurgical management of plantar fasciitis is successful in approximation 90% of patients. Surgical treatment is considered in only a small subset of patients with persistent, severe symptoms refractory to nonsurgical intervention for atleast 6 to 12 months. To study the effect of Iontophoresis and kinesio-taping on improvement of pain, ADL and disability in patient with plantar fasciitis. To compare for the improvement in dorsiflexion range of motion in patient with plantar fasciitis. On the basis of present study, it can be concluded that conservative treatment approach like physiotherapy in the treatment of plantar fasciitis, is beneficial. Although all the conventional treatment have found to be effective in alleviation of symptoms and associative disability in plantar fasciitis. However the subjects treated with Iontophoresis showed an additional benefit in terms of reduction of pain on VAS and functional ability in terms of FFI when compared with taping. Hence it can be concluded that Iontophoresis is an effective therapeutic option in the treatment of plantar fasciitis.
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NewsBot · Apr 15, 2024

Effectiveness of Iontophoresis V/S Kinesiological Taping In Pain and Disability In Case Of Planter Fascitis
Dr. Ritu Richhariya MPT (Orthopaedic), Associate Professor, Mansarovar Global University Bhopal (M.P), India
International Journal Of Multidisciplinary Research In Science, Engineering and Technology (IJMRSET)

Plantar fasciitis is the most common cause of planar heel pain. Its characteristics features are pain and tenderness, predominately on the medical aspect of calcaneus near the sole of the heel. Considering a complete differential diagnosis of plantar heel pains important, a comprehensive history and physical examination guide accurate diagnosis. Many nonsurgical treatment modalities have been used in managing the disorder, including rest, massage, nonsteroidal anti-inflammatory drugs, night splints, heel cups/pads, customs and off-the-shield orthoses, injection, casts and physical therapy measures such as shock wave therapy. Most reported treatment outcomes rely on anecdotal experiences or combinations of multiple modalities. Nevertheless, nonsurgical management of plantar fasciitis is successful in approximation 90% of patients. Surgical treatment is considered in only a small subset of patients with persistent, severe symptoms refractory to nonsurgical intervention for atleast 6 to 12 months. To study the effect of Iontophoresis and kinesio-taping on improvement of pain, ADL and disability in patient with plantar fasciitis. To compare for the improvement in dorsiflexion range of motion in patient with plantar fasciitis. On the basis of present study, it can be concluded that conservative treatment approach like physiotherapy in the treatment of plantar fasciitis, is beneficial. Although all the conventional treatment have found to be effective in alleviation of symptoms and associative disability in plantar fasciitis. However the subjects treated with Iontophoresis showed an additional benefit in terms of reduction of pain on VAS and functional ability in terms of FFI when compared with taping. Hence it can be concluded that Iontophoresis is an effective therapeutic option in the treatment of plantar fasciitis.
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