Christopher Bromley, Caitlyn McManus, Daniel McManus
{"title":"A Novel Approach to Plantar Fasciitis Treatment.","authors":"Christopher Bromley, Caitlyn McManus, Daniel McManus","doi":"10.7547/24-136","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Pulsed electromagnetic field (PEMF) therapy is a conservative, noninvasive, nonpharmacological option for treatment of plantar fasciitis that accelerates the body's anti-inflammatory and healing responses.</p><p><strong>Methods: </strong>In this case series, adult patients presenting with more than 2 weeks of heel pain due to plantar fasciitis were treated with the OrthoCor Active System (OrthoCor Medical Inc, Blaine MN) PEMF device for 12 weeks. Efficacy was measured at 0 (baseline), 4, 8, and 12 weeks of treatment. Ultrasound was used to measure plantar fascia maximal thickness and hypoechoic region width. Function was evaluated using Foot and Ankle Disability Index (FADI) and Patient Specific Functional Scale (PSFS) survey scores.</p><p><strong>Results: </strong>Repeated measures ANOVA showed a statistically significant improvement in all assessments with PEMF therapy. The mean plantar fascia thickness decreased by 34%, the mean hypoechoic region width decreased by 79%, the mean FADI score improved by 46%, and the mean PSFS score improved by 166%. Compared to historical control data from other studies, PEMF and stretching therapy reduced plantar fascia thickness by 34% compared to 16% for dexamethasone injection and 6% for placebo saline injection; FADI improved by 46% after 12 weeks of PEMF compared to 43% after 1 year of treatment with indomethacin, heat and shoe pads, plantar facia stretching, or calf stretching; and PSFS improved by 166% with PEMF compared to 96% after primal reflex release treatment.</p><p><strong>Conclusion: </strong>Pulsed Electromagnetic Field (PEMF) therapy was effective for stimulating healing and improving function for patients with plantar fasciitis, demonstrated by significant improvement in ultrasound measures and functional scores. This study suggests that PEMF therapy is an effective conservative, nonpharmacologic treatment option for plantar fasciitis.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-21"},"PeriodicalIF":0.5000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Podiatric Medical Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.7547/24-136","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Pulsed electromagnetic field (PEMF) therapy is a conservative, noninvasive, nonpharmacological option for treatment of plantar fasciitis that accelerates the body's anti-inflammatory and healing responses.
Methods: In this case series, adult patients presenting with more than 2 weeks of heel pain due to plantar fasciitis were treated with the OrthoCor Active System (OrthoCor Medical Inc, Blaine MN) PEMF device for 12 weeks. Efficacy was measured at 0 (baseline), 4, 8, and 12 weeks of treatment. Ultrasound was used to measure plantar fascia maximal thickness and hypoechoic region width. Function was evaluated using Foot and Ankle Disability Index (FADI) and Patient Specific Functional Scale (PSFS) survey scores.
Results: Repeated measures ANOVA showed a statistically significant improvement in all assessments with PEMF therapy. The mean plantar fascia thickness decreased by 34%, the mean hypoechoic region width decreased by 79%, the mean FADI score improved by 46%, and the mean PSFS score improved by 166%. Compared to historical control data from other studies, PEMF and stretching therapy reduced plantar fascia thickness by 34% compared to 16% for dexamethasone injection and 6% for placebo saline injection; FADI improved by 46% after 12 weeks of PEMF compared to 43% after 1 year of treatment with indomethacin, heat and shoe pads, plantar facia stretching, or calf stretching; and PSFS improved by 166% with PEMF compared to 96% after primal reflex release treatment.
Conclusion: Pulsed Electromagnetic Field (PEMF) therapy was effective for stimulating healing and improving function for patients with plantar fasciitis, demonstrated by significant improvement in ultrasound measures and functional scores. This study suggests that PEMF therapy is an effective conservative, nonpharmacologic treatment option for plantar fasciitis.
背景：脉冲电磁场（PEMF）治疗是一种保守、无创、非药物治疗足底筋膜炎的选择，可加速身体的抗炎和愈合反应。方法：在这个病例系列中，由于足底筋膜炎而出现超过2周的足跟疼痛的成年患者使用OrthoCor Active System (OrthoCor Medical Inc ., Blaine MN) PEMF装置治疗12周。在治疗0（基线）、4、8和12周时测量疗效。超声测量足底筋膜最大厚度和低回声区宽度。使用足踝残疾指数（FADI）和患者特定功能量表（PSFS）调查评分评估功能。结果：重复测量方差分析显示，经PEMF治疗后，所有评估均有统计学显著改善。足底筋膜平均厚度减少34%，平均低回声区宽度减少79%，平均FADI评分提高46%，平均PSFS评分提高166%。与其他研究的历史对照数据相比，PEMF和拉伸治疗使足底筋膜厚度减少了34%，而地塞米松注射组为16%，安慰剂生理盐水注射组为6%；PEMF治疗12周后，FADI改善了46%，而用消炎痛、热垫和鞋垫、足底拉伸或小腿拉伸治疗1年后，FADI改善了43%；与原始反射释放治疗的96%相比，PEMF治疗的PSFS改善了166%。结论：脉冲电磁场（PEMF）治疗足底筋膜炎具有促进愈合和改善功能的作用，超声测量和功能评分均有显著改善。本研究表明，PEMF治疗是一种有效的保守、非药物治疗足底筋膜炎的选择。
期刊介绍：
The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
