Extracorporeal shock wave in the treatment of chronic plantar fasciitis
- VernacularTitle:体外冲击波治疗慢性足底筋膜炎
- Author:
Ping ZHENG
;
Ruyun YAN
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2007;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:It can be confirmed by the clinical trial that chronic plantar fasciitis can be treated by extracorporeal shock wave.There are some different explains for the mechanism of action.OBJECTIVE:To introduce the mechanism of action and clinical application of extracorporeal shock wave in the treatment of chronic plantar fasciitis.RETRIEVAL STRATEGY:A computer-based search was conducted in PUBMED,HighWire and Springer databases for articles published before August 2007 with the key words of "chronic plantar fasciitis,extracorporeal shock wave application" in English by the first and second authors.Inclusive criteria:articles were selected firstly based on the mechanism of action and clinical application of extracorporeal shock wave for chronic plantar fasciitis.Exclusive criteria:articles out-of-date and repeated were removed.LITERATURE EVALUATION:Sixty-five relevant articles were collected,and twenty-five met the inclusive criteria.Of them,4 articles were review,and others were about the mechanism of action and clinical application of extracorporeal shock wave for chronic plantar fasciitis.DATA SYNTHESIS:①Someone believed that high energy shock wave selectively damaged unmyelinated sensory nerve fibers.Low energy shock wave could inhibit the conduction of sensory nerve ending by releasing calcitonin-gene-related peptide and producing neurogenic inflammation.It also could play a long-term analgesic effect by making the changes in regional flow of the brain,regulating pain memory and reducing local stimulatory response.②There are many reports on short-term and long-term outcomes,different energy levels,local anesthetic drug,the depth of plantar fasciitis and therapeutic place.CONCLUSION:It is effective to treat chronic plantar fasciitis by extracorporeal shock wave.Different approaches can bring us different therapeutic outcomes.
