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POSTER 5
Pain Level in Adults with Plantar Fasciitis Following Shockwave Therapy Versus Corticosteroid Injection: A Critically Appraised Topic
Abstract
Clinical Scenario: Plantar fasciitis is a musculoskeletal injury that commonly causes heel and foot pain in adults. Corticosteroid injection is the most commonly used type of therapy in clinics for pain relief, but there are known side effects associated with corticosteroid injection, such as pain at the injection site and skin discoloration. Clinicians suggest the use of shockwave therapy (SWT) in treating plantar fasciitis due to its safety and clinical benefits. However, there is still a lack of understanding whether SWT is more effective in reducing pain in patients with plantar fasciitis compared to corticosteroid injection. Clinical Question: Does SWT reduce pain more than corticosteroid injection in patients with plantar fasciitis? Summary of Key Findings: Various electronic databases were searched for relevant literature. Three RCT studies measured pain, as assessed by the visual analogue scale (VAS), of patients with plantar fasciitis following therapeutic interventions such as corticosteroid injection and SWT. Findings from two studies showed that SWT and corticosteroid injection both reduced pain and improved function after multiple treatment sessions, but no group difference was found. One study followed up with patients who received either a corticosteroid injection or SWT after 12 months, and there was no change in VAS scores from the baseline. Clinical Bottom Line: SWT and corticosteroid injection showed a similar level of temporary improvement in pain in patients with plantar fasciitis, but no long-term benefit. Strength of Recommendation: Level B. There is inconsistency in the results of the studies reviewed in this paper.
Authors
Adam Beck
Alexia Bogle
Dayna Carson
Joosung Kim
Faculty Advisor