Efficacy of extracorporeal shockwave therapy, compared to corticosteroid injections, on pain, plantar fascia thickness and foot function in patients with plantar fasciitis: A systematic review and meta-analysis
Objective: To compare the efficacy of extracorporeal shock waves versus corticosteroid injections on pain, thickness of plantar fascia and foot function in patients with plantar fasciitis. Secondarily, to assess the efficacy of radial and focused extracorporeal shock waves and the most appropriate i...
| Authors: | , , , , , |
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| Format: | article |
| Status: | Published version |
| Publication Date: | 2024 |
| Country: | España |
| Institution: | Universidad de Jaén |
| Repository: | RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén |
| OAI Identifier: | oai:dnet:ruja________::69495f7b7409d332e5082a379f82f2b2 |
| Online Access: | https://doi.org/10.1177/02692155241253779 https://hdl.handle.net/10953/7694 |
| Access Level: | Open access |
| Keyword: | Plantar fasciitis extracorporeal shock waves corticosteroid injections pain plantar fascia thickness foot function 615.8 |
| Summary: | Objective: To compare the efficacy of extracorporeal shock waves versus corticosteroid injections on pain, thickness of plantar fascia and foot function in patients with plantar fasciitis. Secondarily, to assess the efficacy of radial and focused extracorporeal shock waves and the most appropriate intensity. Data sources: PubMed, Scopus, CINAHL and PEDro databases were searched up to April 2024 following PRISMA guidelines. Methods: Randomized controlled trials comparing the efficacy of extracorporeal shock waves versus corticosteroid injections on pain intensity and sensitivity, thickness of plantar fascia and foot function in patients with plantar fasciitis were included. Methodological quality and risk of bias were assessed using the PEDro scale and the Cochrane Risk of Bias tool. Pooled effect was calculated using the standardized mean difference and its 95% confidence interval. Results: Sixteen studies involving 1121 patients were included. At three months, extracorporeal shock waves were better than corticosteroid injections in reducing pain and thickness of the plantar fascia and increasing foot function. At six months, extracorporeal shock waves were more effective in reducing pain and improving foot function. Local pain and slight erythema were the most frequent adverse events. Conclusions: Extracorporeal shock waves are a safe therapy, presenting more efficacy than corticosteroid injections in improving pain, thickness of plantar fascia and foot function at mid-term. |
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