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Titre : | Ultrasound-Guided Pulsed Radiofrequency Stimulation of Posterior Tibial Nerve: A Potential Novel Intervention for Recalcitrant Plantar Fasciitis (2017) |
Auteurs : | Yung-Tsan Wu ; Chih-Ya Chang ; Yu-Ching Chou |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/5, 2017) |
Article en page(s) : | pp. 964-970 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation |
Mots-clés: | Fasciitis ; plantar ; Fasciite plantaire ; Pulsed radiofrequency treatment ; Traitement par radiofréquence pulsée ; Tibial nerve ; Nerf tibial |
Résumé : |
Objective To evaluate the therapeutic benefit of ultrasound-guided pulsed radiofrequency (PRF) stimulation at the posterior tibial nerve (PTN) in patients with recalcitrant plantar fasciitis (PF). Design A prospective, randomized, double-blinded, placebo-controlled trial (12-wk follow-up). Setting Outpatient local medical center settings. Participants Patients (N=36) with recalcitrant PF underwent randomization, and all were included in the final data analysis. Interventions Patients in the PRF group were treated with 1 dose of ultrasound-guided PRF stimulation at the PTN, and those in the control group received 1 dose of 2% lidocaine, 0.5mL, injected at the PTN under ultrasound guidance. Main Outcome Measures The visual analog scale (first-step and overall pain), American Orthopedic Foot-Ankle Society (AOFAS) ankle-hindfoot scale, and ultrasonographic thickness of the plantar fascia were evaluated at 1, 4, 8, and 12 weeks after treatment. Results Thirty-six patients (20 feet per group) completed the study. The PRF group had a significantly larger improvement in first-step pain, overall pain, and AOFAS score (all P<.001 as well plantar fascia thickness compared with those of the control group at all observed time points.> Conclusions This study shows that ultrasound-guided PRF stimulation at the PTN is effective for treating recalcitrant PF. This simple, reproducible method could be a novel strategy for managing recalcitrant PF. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317300813 |