Ultrasound-guided prolotherapy versus corticosteroid injections for the treatment of patients with plantar fasciitis: A randomized controlled trial.

IF 1.3 4区 医学 Q3 REHABILITATION
Alireza Teymouri, Fatemeh Alaei, Maryamsadat Fakheri, Aref Nasiri
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引用次数: 0

Abstract

Objectives: The study aimed to compare the effectiveness of ultrasound-guided corticosteroid injection (CSI) and ultrasound-guided dextrose prolotherapy (DP) in treating patients with plantar fasciitis (PF).

Patients and methods: This single-center, randomized controlled, double-blind trial was conducted with 38 patients (24 females, 14 males; mean age: 48.2±6.1 years; range, 30 to 57 years) with PF between March 10, 2021 and June 10, 2021. Patients with definitive PF fulfilled the eligibility requirements and were included in the study. Block randomization was used to assign each patient to CSI and DP treatment arms. Patients in the CSI and DP treatment arms received methylprednisolone and dextrose, respectively. Lidocaine injection was used for local anesthesia, and ultrasound was used to guide these minimally invasive procedures. Patients were followed up after one (short term) and three months (middle term). Primary outcomes were pain severity and foot function.

Results: In both groups, we detected a significant improvement in pain severity and foot function index in the middle term, which was slightly more profound in the DP group. In contrast to the CSI arm, DP did not appear to alleviate pain in the short term. We observed a waning treatment effectiveness in the CSI arm over time.

Conclusion: Both CSI and DP were effective in treating PF by reducing pain and improving foot function index in the middle term. While CSI ensures better short-term outcomes, its effectiveness tends to wane over time. On the contrary, DP does not provide significant short-term relief but is more effective in the middle term. Further trials are needed to support these findings.

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超声引导前驱治疗与皮质类固醇注射治疗足底筋膜炎患者:一项随机对照试验。
目的:比较超声引导下皮质类固醇注射(CSI)与超声引导下葡萄糖前驱治疗(DP)治疗足底筋膜炎(PF)的疗效。患者和方法:本研究采用单中心、随机对照、双盲试验,共纳入38例患者(女性24例,男性14例;平均年龄:48.2±6.1岁;在2021年3月10日至2021年6月10日期间,与PF的关系为30至57岁。明确的PF患者符合资格要求,并被纳入研究。采用块随机化方法将每个患者分配到CSI和DP治疗组。CSI组和DP组的患者分别接受甲基强的松龙和葡萄糖治疗。采用利多卡因局部麻醉,超声指导微创手术。随访1个月(短期)和3个月(中期)。主要结局是疼痛严重程度和足部功能。结果:两组患者中期疼痛严重程度和足部功能指数均有显著改善,DP组改善程度略深。与CSI组相比,DP组在短期内似乎没有减轻疼痛。随着时间的推移,我们观察到CSI组的治疗效果逐渐减弱。结论:CSI和DP治疗PF均能有效减轻疼痛,改善中期足部功能指数。虽然CSI确保了较好的短期效果,但其有效性往往会随着时间的推移而减弱。相反,DP不能提供显著的短期缓解,但在中期更有效。需要进一步的试验来支持这些发现。
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来源期刊
Turkish Journal of Physical Medicine and Rehabilitation
Turkish Journal of Physical Medicine and Rehabilitation Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
2.20
自引率
0.00%
发文量
0
期刊介绍: The Turkish Journal of Physical Medicine and Rehabilitation (Formerly published as Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi) is the official journal of the Turkish Society of Physical Medicine and Rehabilitation. The journal is an international open-access, double-blind peer-reviewed periodical journal bringing the latest developments in all aspects of physical medicine and rehabilitation, and related fields. The journal publishes original articles, review articles, editorials, case reports (limited), letters to the editors. The target readership includes academic members, specialists, residents working in the fields of Physical Medicine and Rehabilitation. The language of the journal is English and it is published quarterly (in March, June, September, and December).
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