Ultrasound-guided dry needling for myofascial trigger points in treatment of plantar fasciitis
10.13929/j.1003-3289.201903094
- Author:
Nanhai XIE
1
Author Information
1. Department of Pain, The Sixth People's Hospital of Nantong
- Publication Type:Journal Article
- Keywords:
Dry needling;
Fasciitis, plantar;
Myofascial trigger points;
Ultrasonography
- From:
Chinese Journal of Medical Imaging Technology
2019;35(8):1128-1132
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the clinical effect of ultrasound-guided dry needling of myofascial trigger points in treatment of plantar fasciitis. Methods: Totally 48 patients with plantar fasciitis were randomly divided into 2 groups. Patients in the simple treatment group (n=24) received sole non-weight-bearing plantar fascia stretching training, and the ones in the combined treatment group (n=24) received ultrasound-guided dry needling for myofascial trigger points combined with stretching training. The numeric pain-rating scale (NPRS) of the first move, American Orthopaedic Foot and Ankle Society Hindfoot Score (AOFAS), physical component summary (PCS) and mental component summary (MCS) of 36-item short-form health survey were evaluated before (T0) as well as 1 month (T1) and 3 months (T2) after treatment respectively. Results: The overall differences of NPRS, AOFAS, PCS and MCS were significant before and after treatment in both two groups (all P<0.01), and the all scores after treatment were improved compared with those before treatment. NPRS of T1 and T2 in the combined treatment group were lower than those in the simple treatment group (both P<0.01), and AOFAS and PCS of T1 and T2 in the combined treatment group were higher than those in the simple treatment group (all P<0.05). There was no difference in the MCS of T1 and T2 between 2 groups (both P>0.05). Conclusion: Ultrasound-guided dry needling for myofascial trigger points combined with stretching training and sole non-weight-bearing plantar fascia stretching training are both effective for treatment of plantar fasciitis, while the former is better for relieving pain and improving ankle function.
