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Interventions for treating plantar heel pain.

F Crawford¹, D Atkins, J Edwards

¹Department of Health Sciences & Clinical Evaluation, The University of York, Alciun College, Heslington, York, UK, YO1 5DD. fc5@york.ac.uk

The Cochrane Database of Systematic Reviews

|July 25, 2000

Summary

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Limited evidence supports corticosteroid injections for plantar heel pain. More research is needed to establish the effectiveness of common treatments for heel pain.

Area of Science:

Podiatry
Orthopedics
Pain Management

Background:

Plantar heel pain affects 10% of the population.
Common treatments include injections, insoles, and surgery, but their effectiveness is unclear.

Purpose of the Study:

To evaluate the evidence for treatment effectiveness in plantar heel pain.

Main Methods:

Systematic review of randomized and quasi-randomized trials.
Searched MEDLINE, EMBASE, Cochrane Library, and podiatry journals.
Included 11 trials with 465 participants; study quality was generally poor.

Main Results:

Limited evidence supports topical corticosteroids via iontophoresis and extracorporeal shock wave therapy for short-term pain relief.

Related Experiment Videos

No evidence supports injected corticosteroids, therapeutic ultrasound, or laser therapy.

Limited evidence suggests dorsiflexion night splints may help chronic pain.

Conclusions:

Evidence for corticosteroid therapy is limited; effectiveness of other common plantar heel pain treatments is not well-established.
High-quality randomized controlled trials are needed to guide clinical practice.