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42935

Extracorporeal Shock Wave Therapy versus Low-Level Laser Therapy in the Management of Chronic Plantar Fasciitis

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Last updated: 22 Jan 2023

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Abstract

Objectives: to compare and evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) and low-level laser therapy (LLLT) using diagnostic ultrasound (US) in the management of chronic plantar fasciitis (PF). Patients and Methods: The study was done as a prospective, randomized, comparative clinical study. Patients with PF were randomly allocated into 2 groups: ESWT (n= 23), LLLT (n= 23), group 1 underwent 2 sessions of ESWT (2050 shocks, 2.5 bars) and group 2 underwent 6 sessions of LLLT (27 J/cm2; 830 nm). All patients were assessed using the visual analog scale (VAS), foot function index (FFI) and diagnostic US to measure plantar fascia thickness and to assess echogenicity before and 1 month after treatment. Results: There were significant improvement after one month of treatment in the mean VAS, FFI, thickness of the plantar fascia and echogenicity in both groups. LLLT proved significantly superior to ESWT in pain relief (p = 0.029), but no significant difference between both groups in FFI improvement (p= 0 .264). No statistically significant difference between both groups regarding improvement in US findings including plantar fascia thickness (p= 0.885) and echogenicity (p= 0.34). Conclusion: LLLT proved to be more effective than ESWT in pain relief in patients with PF after one month of treatment.

DOI

10.21608/scumj.2018.42935

Keywords

Extracorporeal shock wave, Low-level laser therapy, Plantar fasciitis, Ultrasound

Authors

First Name

Gehad

Last Name

ELsehrawy

MiddleName

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Affiliation

Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

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Orcid

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First Name

Samah

Last Name

Nasef

MiddleName

-

Affiliation

Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

samah.nasef@med.suez.edu.eg

City

-

Orcid

0000-0002-8875-2455

First Name

Mostafa

Last Name

Ibrahim

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

-

City

-

Orcid

-

First Name

Aziza

Last Name

Omar

MiddleName

-

Affiliation

Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

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Orcid

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Volume

21

Article Issue

2

Related Issue

6670

Issue Date

2018-10-01

Receive Date

2019-07-29

Publish Date

2018-10-01

Page Start

71

Page End

81

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 21_Issue 2_Pages 71-81.pdf

PDF . 326.2kB

Link

https://scumj.journals.ekb.eg/article_42935.html

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https://scumj.journals.ekb.eg/service?article_code=42935

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Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

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Article

Created At

22 Jan 2023