Saline water and lidocaine injection treatment of intractable plantar keratoma

NewsBot · Aug 31, 2021

Members do not see these Ads. Sign Up.
Effectiveness of saline water and lidocaine injection treatment of intractable plantar keratoma: a randomised feasibility study
Marie-Philippe Mercier, Virginie Blanchette, Vincent Cantin & Magali Brousseau-Foley
Journal of Foot and Ankle Research volume 14, Article number: 30 (2021)

Background
An intractable plantar keratoma (IPK) is a conical thickening of the epidermis’ stratum corneum and a common cause of foot pain which can have a significant, detrimental impact on the mobility, quality of life and independence of individuals. Conservative treatments are currently offered to patients with IPK, but they are unsatisfactory since they do not offer a sufficient or permanent reduction of symptoms. The purpose of this study was the evaluation of the feasibility, safety and effectiveness of innovative treatments for intractable plantar keratoma (IPK).

Methods
A randomized single blind trial with 40 patients divided with block randomization in four parallel groups was conducted to compare treatment combinations: conservative sharp debridement only or sharp debridement with needle insertion, physiological water injection or lidocaine injection. All patients obtained the same treatment four times at a four-week interval. At each visit, visual analog scale (VAS), Foot Function Index (FFI) and IPK size were evaluated. VAS and FFI were also completed at a six and twelve-month follow-up.

Results
Our findings in regards to feasibility demonstrated recruitment challenges because of the anticipated pain that would be provoked by needle insertion may not be worth the potential pain relief compared to debridement alone from the patient’s perspective. This was also the principal cause of drop out. Our preliminary results show no main effect of group for any of the clinical outcomes: pain felt on VAS, FFI score, IPK’s size (p > 0.05). However, the analysis revealed a statistically significant effect of time on VAS (p < 0.001), FFI score (p < 0.001) and IPK’s size (width and depth (p < 0.001); length (p = 0.001)), but no group x time interaction was found (p > 0.05).

Conclusions
This study demonstrates that IPK treatment consisting of sharp debridement with needle insertion, physiological saline water injection or lidocaine injection is feasible and safe. There was a non-statistically significant trend toward diminishing pain intensity compared to scalpel debridement alone. The pain provoked by needle insertion and injection treatments must be addressed with a scientifically proven protocol to make it more comfortable for patients before these treatments could be considered in further studies.
Click to expand...

NewsBot · Aug 31, 2021

Related Threads:
Treatment of Hard Corns Using Microwave Energy

Surgery for Intractable Plantar Keratosis

The evaluation of three treatments for plantar callus

Bleomycin for the treatment of plantar hard corns

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Clean Or Boiled Tap Water Is As Good As Saline At Cleaning Acute Wounds

Saline dressings better then povidine iodine

Saline is better than alcohol at getting rid of phenol

Vasaline in Wound Care

Cold water immersion therapy

Warm salt water foot-bath for painful diabetic peripheral neuropathy

Rural Waterside Nova Scotia opportunity

Share This Page