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WITHDRAWN. Interventions for treating plantar heel pain
Fay Crawford1, Colin E Thomson
1Division of Community Health Sciences, The University of Edinburgh, 20 West Richmond Street, Edinburgh, UK, EH8 9DX.
The Cochrane Database of Systematic Reviews
|January 22, 2010
Summary
Limited evidence supports many common plantar heel pain treatments. Corticosteroid injections offer temporary pain relief, but overall effectiveness of interventions like orthotics and stretching remains poorly understood, necessitating further research.
Area of Science:
- Podiatry
- Musculoskeletal Medicine
- Evidence-Based Practice
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 identify and evaluate evidence for the effectiveness of treatments for plantar heel pain.
Main Methods:
- Systematic review of randomized and quasi-randomized controlled trials.
- Searched multiple databases (Cochrane, MEDLINE, EMBASE) and handsearched journals.
- Assessed trial quality and extracted data on pain outcomes.
Main Results:
- Nineteen trials (1626 participants) were included; quality was generally poor.
- Limited evidence supports topical or injected corticosteroids for pain relief.
- Conflicting evidence exists for shock wave therapy; no evidence supports ultrasound, laser, or magnetic insoles.
Conclusions:
- Limited evidence supports corticosteroid therapy; other treatments lack established effectiveness in RCTs.
- Current treatments offer marginal gains over no treatment or stretching.
- High-quality randomized trials are needed to guide clinical practice for plantar heel pain.
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