Value of ultrasound-guided steroids injection for the treatment of plantar fasciitis
10.3877/cma.j.issn.1672-6448.2015.01.010
- VernacularTitle:超声引导下介入治疗跖筋膜炎的临床价值
- Author:
Fanding, HE
;
Man, LU
;
Xueqing, CHENG
;
Xuanyan, GUO
;
Shiyin, CHEN
- Publication Type:Journal Article
- Keywords:
Ultrasonography,interventional;
Metatarsalgia;
Muscle,skeletal;
Fasciitis
- From:
Chinese Journal of Medical Ultrasound (Electronic Edition)
2015;(1):40-43
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo detect the value of ultrasound-guided steroids injection for the treatment of plantar fasciitis.MethodsThirty-eight physical therapy ineffective plantar fasciitis patients were enrolled in this study, and randomly divided into ultrasound-guided and palpation-guided groups. Pain intensity was measured using a visual analog scale (VAS) and plantar fasciitis were evaluated by high frequency ultrasound including assessment of the thickness before injection and at 4 weeks, 12 weeks post injection.ResultsThirty-eight patients who received either ultrasound guided or palpation-guided injection had significantly lower visual analog scale scores and lower plantar fascia thickness (bothP<0.01) at 4 weeks, 12 weeks post injection. The differences in plantar fascia thickness, VAS score between the two groups before, and at the 4 weeks follow-up were not statistically significant [2.52±0.77vs 2.68±0.82,P>0.05; (4.56±0.25) mmvs (4.72±0.38) mm, P>0.05]. However, the ultrasound guided group had lower mean visual analog scale score (1.47±0.77vs 2.37±0.68,P<0.01) and lower mean plantar fascia thickness [(4.02±0.24) mmvs (4.53±0.35) mm,P<0.01] than the palpation-guided group at 12 weeks post injection. The calcification of the plantar fascia at 12 weeks post injection in ultrasound guided group was completely disappeared or significantly decreased.ConclusionUltrasound-guided injection for treating plantar fasciitis is more accurate and effective than palpation-guided injection, and is of great clinical value for both patients and doctors.
