The Effectiveness of Ultrasound Treatment in the Management of Plantar Fasciitis

Last updated: November 21, 2019
Sponsor: The Sage Colleges
Overall Status: Active - Recruiting

Phase

N/A

Condition

Soft Tissue Infections

Treatment

N/A

Clinical Study ID

NCT04175288
802-2019-2020
  • Ages > 18
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The purpose of this study is to examine the effectiveness of ultrasound treatment in addition to a program consisting of manual therapy and exercise (stretching and strengthening exercises) to improve pain and function in individuals with plantar fasciitis. Our primary hypothesis is individuals with plantar fasciitis will show a greater improvement in pain and function with ultrasound, manual therapy and an exercise program compared to manual therapy and exercise program alone.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • 18 years and above

  • onset of plantar heel pain (localized to the medial calcaneal tubercle and have hadpain with first steps in the morning)

  • both acute and chronic stages of plantar fasciitis

Exclusion

Exclusion Criteria:

  • participants currently receiving treatment for plantar fasciitis within the last 6months including iontophoresis with dexamethasone or acetic acid, corticosteroidinjections, extracorporeal shock wave laser therapy, microwave diathermy,radiotherapy, stereotactic radiofrequency, trigger-point needling with infiltration,and ultrasound

  • participants that have numbness or tingling with or without provocation in the lowerextremity, undiagnosed pain, strength impairment of the ankle of less than a 3+/5measured with specific manual muscle tests for the gastrocnemius

  • participants who are pregnant

  • participants who have Type I or II Diabetes Mellitus, systemic inflammatory arthritis,cancer, pacemakers, active tuberculosis, thrombophlebitis, psoriasis, decreasedcirculation, bleeding disorders or on blood thinning medications, cemented ankle jointreplacements, ankle plastic components, acute lower extremity fracture, jointinstability and/or hypermobility and osteoporosis.

Study Design

Total Participants: 30
Study Start date:
November 18, 2019
Estimated Completion Date:
December 31, 2021

Study Description

Plantar fasciitis (PF) is a common cause of foot pain, affecting an estimated 2 million people per year.1 Although there are large numbers of people seeking medical attention for this condition, there remains some confusion among health care providers as to the most efficacious treatment and some authors conclude that no data solidly supports effectiveness of treatment.2

Several randomized control studies have been published with respect to treatment of PF with ultrasound. The current literature on the effectiveness of US in individuals with PF is largely inconsistent in the parameters. One study by Crawford and Snaith,3 found the true ultrasound was no more effective than sham ultrasound and the authors concluded that future studies need to clarify ultrasound parameters. In contrast, a recent study that utilized different parameters,4 concluded that the US group showed significant changes in pain and function. Strengthening and stretching exercises are well documented through the literature to improve function and decrease pain in patients with PF.5-8 It has been reported within the literature that patients with PF have subtalar, tarsometatarsal, and first metatarsalphangeal (MTP) joint hypo mobility into dorsiflexion, which reduces dorsiflexion range of motion (ROM) and places the windlass mechanism at a mechanical disadvantage which has been theorized to place increased stress on the plantar fascia.9-12 A variety of studies have explored the effects of manual therapy in conjunction with exercises to address the limitations in ankle dorsiflexion ROM.9-12

Connect with a study center

  • Neeti Pathare

    Troy, New York 12309
    United States

    Active - Recruiting

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