| Comparison of the Effect of Three Types of Treatment on Plantar Fasciitis: Ultrasonographic Follow-up. |
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Lee, Hong Jae , Lim, Kil Byung , Kim, Dug Young , Lee, Kyung Tae |
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Department of Rehabilitation Medicine, Inje University College of Medicine, Ilsanpaik Hospital, Korea. kimdy@paik.ac.kr |
| 초음파를 이용한 족저 근막염 치료방법에 따른 효과 비교 |
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이홍재, 임길병, 김덕영, 이경태 |
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인제대학교 의과대학 일산백병원 재활의학교실 |
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| Abstract |
Objective
To compare effectiveness of corticosteroid injection, foot orthoses and oral anti-inflammatory medication for the management of the plantar fasciitis by sequential ultrasonographic follow-up.
Method
Thirty-three patients with plantar fasciitis were assigned to one of 3 treatment groups. Twelve patients received steroid injection and ten were applied with custom- made foot orthoses and eleven received 4-week course of a non-steroidal anti-inflammatory medication. All patients of each group were instructed to perform self stretching exercise of the Achilles tendon and plantar fascia for the follow- up period. Ultrasonographic evaluation and clinical assessments were performed during 12 weeks; before treatment, every week during the first 8 weeks, and then every 2 weeks during the last 4 weeks.
Results
On ultrasonographic examination, fascial thickness decreased significantly in all three groups (p＜0.05) but earlier and greater change was noticed in injection group (p＜0.05). Hypoechoic lesions were observed less commonly after treatment in injection and orthoses groups (p＜ 0.05). Pain was not significant different among three groups after two or three weeks of treatment.
Conclusion
Corticosteroid injection showed earlier and greater effect on pain and ultrasonographic feature than other treatments. Although pain aspects of three groups were similar after 12 weeks of follow-up, improved ultrasonographic features were well preserved in injection and orthoses groups. Ultrasonographic feature that was mostly related to the symptom relief was the decrease in fascial thickness other than resolution of hypoechoic lesion. (J Korean Acad Rehab Med 2010; 34: 220-226) |
| Key Words:
Plantar faciitis, Ultrasonography, Steroid injection, Foot orthoses |
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