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Related Experiment Videos

Interventions for treating plantar heel pain.

F Crawford1, C Thomson

  • 1The Dental Health Services Research Unit, The University of Dundee, Park place, Dundee, Scotland, UK, DD1 4HR.

The Cochrane Database of Systematic Reviews
|August 15, 2003
PubMed
Summary

Limited evidence supports most plantar heel pain treatments, with corticosteroid injections offering only short-term relief. More high-quality research is needed to guide effective clinical practice for heel pain management.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physical Therapy

Background:

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

Purpose of the Study:

  • To systematically review and evaluate the evidence for various treatments for plantar heel pain.

Main Methods:

  • Conducted a comprehensive literature search across multiple databases (Cochrane, MEDLINE, EMBASE) and handsearched journals.
  • Included randomized and quasi-randomized trials of interventions for adult plantar heel pain.
  • Assessed trial quality and extracted data, noting the lack of poolable data.

Main Results:

  • Nineteen trials (1626 participants) were included; overall trial quality was poor.

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  • Limited evidence suggests topical or injected corticosteroids may reduce pain temporarily.
  • Conflicting evidence exists for extracorporeal shock wave therapy; no evidence supports ultrasound, laser, or magnetic insoles.
  • Limited evidence suggests night splints may help chronic pain, and corticosteroid injections may be superior to orthotics.

    • Conclusions:

    • Current evidence for many common plantar heel pain treatments is limited and of poor quality.
    • Corticosteroid injections provide short-term pain relief, but other interventions show marginal gains over no treatment.
    • High-quality randomized trials are essential to establish effective clinical practices for plantar heel pain.