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The Efficacy of Oral Nonsteroidal Anti-Inflammatory Medication (NSAID) in the Treatment of Plantar Fasciitis: A Randomized, Prospective, Placebo-Controlled Study.
Foot Ankle Int. 2007 Jan;28(1):20-3Donley BG, Moore T, Sferra J, Gozdanovic J, Smith R

 

Didn't we have a discussion a while back on NSAID's and plantar fasciitis? As it was not really and "itis" and more a "fasciosis" then NSAID's should not work, at least not because of their antiinflammatory effect.

 

This dosen't make sense to me:

when

and in light of the sample size

which means there must have been 14-15 subjects in each group.

 

Dear All

The sample size is very small and unlikely to have power.

I like the last line, it says the drug MAY help.

Remember in many people these NSAIDS have an analgesic effect and most likely you are getting this.

Remember the drug companies say the NSAIDS fight inflammation and thus the pain goes. QED

If they said it was an analgesic effect, they would have to find the central site in the brain where this occurs. any peripheral sites, analyze the method of action, is it a drug of addiction etc. etc.

This is estimated at about 200 million US to satisfy the Food and Drug mob.

So it is easy to say the inflammation is the cause and we fight this.

Remember if the patient gets relief of their symptoms within three tabs, the serum levels are not high enough to cause an antiinflamm effect so the only thing left is analgesia.

This study needs at leat 200 people in it to prove it one way or another.

musmed
www.musmed.com.au

 

NSAIDs in Plantar Fasciitis

Hi Everyone,

I am doing a review on best evidence based practice for the use of NSAIDs and ice etc for intervention and treatment of chronic plantar fasciitis. I currently have had little luck finding sufficient evidence as to why everyone uses it in there treatment program.

If anyone knows any articles with such reference, study or clinical trial that would be of great help. There is lots of information on other physical modalities besides anti-inflammatories :(

Thanks
Bec

 

Re: NSAIDs in Plantar Fasciitis

You can also try looking at the new clinical guidelines by Thomas G McPoil et al. The also review the subject.

Heel Pain - Plantar Fasciitis, McPoil, T et al, JOSPT, 2008:38 (4)

 

Re: NSAIDs in Plantar Fasciitis

In my opinion the use of NSAIDs should be keep to a minimum because the drugs are undermining the body's ability to heal itself, ie stating the obvious inflammation is how the body repairs damage regardless of cause.
What is very important is to find out what has caused the inflammatory response and eliminate that, then the pain usually goes and it is frequently the pain which prompts action to be taken in the first place.
Often the request is for a quick fix rather than addressing what is the fundamental problem.
There are numerous causes of what is labeled 'plantar fasciitis'. What all of them have in common is a biomechanical element (which leads to an overload of soft tissue structures).
Good luck with your review of best evidence based practice.
I would interested to know what your conclusions are.
Personally I believe it is important to treat the person not the condition.