Physiotherapy Program Versus Dexamethasone Injections for Plantar Fasciopathy

NewsBot · Nov 1, 2013

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Comparison of a Physiotherapy Program Versus Dexamethasone Injections for Plantar Fasciopathy in Prolonged Standing Workers: A Randomized Clinical Trial.
Ryan M, Hartwell J, Fraser S, Newsham-West R, Taunton J.
Clin J Sport Med. 2013 Oct 29.

OBJECTIVE::
To investigate the effectiveness of a physiotherapy-based exercise program versus dexamethasone injection for chronic plantar fasciopathy in workers standing for prolonged periods of time.
DESIGN::
A parallel group nonblinded randomized controlled trial with 12-week follow-up.
SETTING::
An outpatient sports medicine clinic in Vancouver, Canada.
PARTICIPANTS::
Fifty-six workers required to stand for greater than 5 h/d with chronic plantar fasciopathy took part. Diagnosis from a physiotherapist must include signs of structural changes to the plantar fascia seen on ultrasound.
INTERVENTIONS::
The PHYSIO group included 7 physiotherapy-lead exercises performed daily over a 12-week period. The INJECTION group received 1 palpation-guided dexamethasone injection followed by a daily routine of calf stretching.
MAIN OUTCOME MEASURES::
The Foot and Ankle Disability Index (FADI) scores 12-weeks postintervention and ultrasound-based measures of ligament appearance.
RESULTS::
At follow-up, both groups reported significant improvements in FADI and visual analog scales for pain at work and with activities of daily living at 6 and 12 weeks compared with baseline scores (P < 0.001). There were no significant between-group differences. There were no significant changes to plantar fascia thickness reported at the 6- and 12-week follow-up point. Both the number of cases with focal anechoic areas and the size of these anechoic areas improved significantly in the PHYSIO (P = 0.003) and INJECTION (P < 0.001) groups at 12-week follow-up.
CONCLUSIONS::
Workers standing for prolonged periods experienced the same short-term therapeutic effectiveness with a physiotherapy-lead exercise program compared with an injection of corticosteroid with stretching.
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Admin2 · Nov 1, 2013

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NewsBot · Jun 11, 2016

Treatment of plantar fasciitis with dexamethasone with lidocaine hydrochloride
Sumit Kalra.
Int J Med Sci Public Health. 2016; 5(11):

Background: Plantar heel pain is a commonly occurring foot complaint. Various electrotherapy modalities are frequently utilized as a treatment.
Objective: To determine the effects of a combination of dexamethasone with lidocaine hydrochloride for the treatment of patients with plantar fasciitis (PF).
Materials and Methods: A total of 40 patients suffering from PF were divided into two groups; Group A received iontophoresis with distilled water along with 4 mg/mL dexamethasone and 2 cm3 of lidocaine hydrochloride (4% lidocaine hydrochloride), and Group B received iontophoresis with distilled water. Both groups received stretching of plantar fascia and calf muscles, followed by ultrasound for 5 min. Treatment for each patient was for a period of 2 weeks with 3 sessions per week.
Result: Group A showed significant decrease in symptoms of PF posttreatment.
Conclusion: Iontophoresis with lidocaine hydrochloride showed better results in decreasing symptoms of PF as compared to iontophoresis with distilled water only.
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