Prospective Randomized Comparison of the Effectiveness of Radiation Therapy and Local Steroid Injection for the Treatment of Plantar Fasciitis
| Autor: | Emine Canyilmaz, Fatih Canyilmaz, Lasif Serdar, Fatma Colak, Adnan Yoney, Gonca Hanedan Uslu, Osman Aynaci, Ozlem Aynaci |
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| Rok vydání: | 2015 |
| Předmět: |
Cancer Research
medicine.medical_specialty Radiation Lidocaine medicine.drug_class Visual analogue scale business.industry medicine.medical_treatment Plantar fasciitis medicine.disease law.invention Surgery Radiation therapy Oncology Randomized controlled trial Methylprednisolone law Anesthesia medicine Corticosteroid Radiology Nuclear Medicine and imaging medicine.symptom Fasciitis business medicine.drug |
| Zdroj: | International Journal of Radiation Oncology*Biology*Physics. 92:659-666 |
| ISSN: | 0360-3016 |
| Popis: | Purpose The purpose of this study was to conduct a randomized trial of radiation therapy for plantar fasciitis and to compare radiation therapy with local steroid injections. Methods and Materials Between March 2013 and April 2014, 128 patients with plantar fasciitis were randomized to receive radiation therapy (total dose of 6.0 Gy applied in 6 fractions of 1.0 Gy three times a week) or local corticosteroid injections a 1 ml injection of 40 mg methylprednisolone and 0.5 ml 1% lidocaine under the guidance of palpation. The results were measured using a visual analog scale, a modified von Pannewitz scale, and a 5-level function score. The fundamental phase of the study was 3 months, with a follow-up period of up to 6 months. Results The median follow-up period for all patients was 12.5 months (range, 6.5-18.6 months). For the radiation therapy patients, the median follow-up period was 13 months (range, 6.5-18.5 months), whereas in the palpation-guided (PG) steroid injection arm, it was 12.1 months (range, 6.5-18.6 months). After 3 months, results in the radiation therapy arm were significantly superior to those in the PG steroid injection arm (visual analog scale, P P P P =.045). Conclusion This study confirms the superior analgesic effect of radiation therapy compared to mean PG steroid injection on plantar fasciitis for at least 6 months after treatment. |
| Databáze: | OpenAIRE |
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