Comparison of extracorporeal shock wave therapy with custom foot orthotics in plantar fasciitis treatment: A prospective randomized one-year follow-up study

Sibel Çağlar Okur, Abdulkadir Aydın, Sibel Çağlar Okur, Abdulkadir Aydın

Abstract

Purpose: Plantar fasciitis (PF) is characterized by the degeneration of the plantar fascia, leading to heel pain. We aimed to investigate the effectiveness of extracorporeal shock wave therapy (ESWT) and custom foot orthotics (CFO).

Method: The study was planned as a prospective randomized controlled study. In total, 83 patients were evaluated. The patients were divided into two groups: patients treated with ESWT (group I, n=40) and patients treated with CFO (group II, n=43). Visual analogue scale (VAS) was used to evaluate pain in the morning, evening, at rest and while walking. Foot Function Index (FFI) was used to evaluate foot functions, and Foot Health Status Questionnaire (FHSQ) was used to evaluate foot health.

Results: Both group I and group II achieved significant improvements in our evaluation parameters (morning and evening pain) at 4, 12 and 24 weeks compared with their baseline values (P<0.001), and significant improvement observed in the group II continued at 48 weeks (P<0.05); however, there was no significant difference in some parameters in the group I after treatment compared with their baseline values (P>0.05).

Conclusion: Both treatment ESWT and CFO can use interchangebably. Neither method was superior in treating plantar fasciitis.

Conflict of interest statement

None of the authors received any type of financial support that could be considered potential conflict of interest regarding the manuscript or its submission.

Figures

Figure 1
Figure 1
Flowchart diagram for the participants who were randomized into two groups as receiving ESWT and CFO.
Figure 2
Figure 2
Illustration of the custom foot orthosis provided to the participant.

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