Fascial Manipulation Technique in the Conservative Management of Morton’s Syndrome: A Pilot Study
| Autor: | Carmelo Pirri, Carla Stecco, Carlo Biz, Stefano Giacomini, Pietro Ruggieri, Gianluca Aprile, Ilaria Fantoni |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Metatarsalgia
medicine.medical_specialty Conservative management Health Toxicology and Mutagenesis deep fascia Pilot Projects metatarsalgia Conservative Treatment Article Morton’s syndrome connective tissue Fascial Manipulation muscle stiffness manual therapy non-invasive therapy 03 medical and health sciences 0302 clinical medicine Medicine Humans Fascia Ultrasonography 030222 orthopedics S syndrome business.industry Foot Gold standard Public Health Environmental and Occupational Health 030229 sport sciences medicine.disease Surgery body regions medicine.anatomical_structure fascial manipulation Plantar nerve Etiology Deep fascia Manual therapy business human activities |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 18, Iss 7952, p 7952 (2021) Volume 18 Issue 15 |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Background and Objective: Morton’s syndrome (MS) is a common cause of neuropathic chronic forefoot pain, characterised by the development of a swelling of the common digital plantar nerve, whose aetiology is not fully known. There is currently no gold standard of treatment nonoperative management commonly involves manual therapies, orthoses therapy and infiltrative techniques, while surgery is indicated after failure of conservative measures. The present preliminary study prospectively evaluates patients affected by MS treated by Fascial Manipulation technique (FM), a noninvasive manual therapy, focused on the release of the deep fascia, reducing its stiffness. Materials and Methods: Patients with clinical and sonographic diagnosis of MS with at least a 4-month history of neuropathic symptoms underwent a cycle of three weekly FM sessions. Clinical follow-up, including VAS and AOFAS scores, was performed 21 days (T1) and 3 months (T2) after treatment. Results: Nine patients, among 28 recruited initially, completed the manual therapy sessions and relative follow-up points. This noninvasive pain treatment led to significant improvement of VAS (p = 0.0034) and AOFAS scores (p = 0.0240) at the first follow-up (T1). At 3-month follow-up (T2), both scores decreased slightly, remaining however superior to the pre-treatment values. Only VAS was still significant (p = 0.0184). Conclusions: Despite the small size of the case series, this pilot study is unique in supporting Fascial Manipulation in the nonoperative treatment of MS. Further studies are needed with a large cohort of gender balanced patients to confirm the encouraging results obtained. |
| Databáze: | OpenAIRE |
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