• 1

    Kibler WB, Goldberg C, Chandler TJ: Functional biomechanical deficits in running athletes with plantar fasciitis. .Am J Sports Med 19::66. ,1991. .

  • 2

    Baxter DE: The heel in sport. .Clin Sports Med 13::683. ,1994. .

  • 3

    Schepsis AA, Leach RE, Gorzyca J: Plantar fasciitis: etiology, treatment, surgical results, and review of the literature. .Clin Orthop Relat Res 266::185. ,1991. .

    • Search Google Scholar
    • Export Citation
  • 4

    Bennett PJ, Patterson C, Dunne MP: Health-related quality of life following podiatric surgery. .JAPMA 91::164. ,2001. .

  • 5

    Bennett PJ, Patterson C, Wearing S, et al: Development and validation of a questionnaire designed to measure foot-health status. .JAPMA 88::419. ,1998. .

    • Search Google Scholar
    • Export Citation
  • 6

    Campbell JW, Inman VT: Treatment of plantar fasciitis and calcaneal spurs with the UC-BL shoe insert. .Clin Orthop Relat Res 103::57. ,1974. .

    • Search Google Scholar
    • Export Citation
  • 7

    Furey JG: Plantar fasciitis: the painful heel syndrome. .J Bone Joint Surg Am 57::672. ,1975. .

  • 8

    Pfeffer GB: “Plantar Heel Pain,” in The Foot and Ankle in Sport, ed by DE Baxter, p 195, Mosby, St Louis. ,1995. .

  • 9

    Kwong PK, Kay D, Voner RT, et al: Plantar fasciitis: mechanics and pathomechanics of treatment. .Clin Sports Med 7::119. ,1988. .

  • 10

    Goulet MJ: Role of soft orthosis in treating plantar fasciitis: suggestion from the field. .Phys Ther 64::1544. ,1984. .

  • 11

    Gross MT, Byers JM, Krafft JL, et al: The impact of custom semirigid foot orthotics on pain and disability for individuals with plantar fasciitis. .J Orthop Sports Phys Ther 32::149. ,2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Lynch DM, Goforth WP, Martin JE, et al: Conservative treatment of plantar fasciitis: a prospective study. .JAPMA 88::375. ,1998. .

  • 13

    Probe RA, Baca M, Adams R, et al: Night splint treatment for plantar fasciitis: a prospective randomized study. .Clin Orthop Relat Res 368::190. ,1999. .

    • Search Google Scholar
    • Export Citation
  • 14

    Powell M, Post WR, Keener J, et al: Effective treatment of chronic plantar fasciitis with dorsiflexion night splints: a crossover prospective randomized outcome study. .Foot Ankle Int 19::10. ,1998. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    DiGiovanni BF, Nawoczenski DA, Lintal ME, et al: Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain: a prospective, randomized study. .J Bone Joint Surg Am 85::1270. ,2003. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Chandler TJ, Kibler WB: A biomechanical approach to the prevention, treatment and rehabilitation of plantar fasciitis. .Sports Med 15::344. ,1993. .

  • 17

    Barry LD, Barry AN, Chen Y: A retrospective study of standing gastrocnemius-soleus stretching versus night splinting in the treatment of plantar fasciitis. .J Foot Ankle Surg 41::221. ,2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18

    Landorf KB, Radford JA, Keenan AM, et al: Effectiveness of low-Dye taping for the short-term management of plantar fasciitis:. JAPMA 95::525. ,2005. .

    • Search Google Scholar
    • Export Citation
  • 19

    Boddeker R, Schafer H, Haake M: Extracorporeal shock-wave therapy (ESWT) in the treatment of plantar fasciitis: a biometrical review. .Clin Rheumatol 20::324. ,2001. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20

    Buchbinder R, Ptasznik R, Gordon J, et al: Ultrasound-guided extracorporeal shock wave therapy for plantar fasciitis: a randomized controlled trial. .JAMA 288::1364. ,2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21

    Basford JR, Malanga GA, Krause DA, et al: A randomized controlled evaluation of low-intensity laser therapy: plantar fasciitis. .Arch Phys Med Rehabil 79::249. ,1998. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22

    Cunnane G, Brophy DP, Gibney RG, et al: Diagnosis and treatment of heel pain in chronic inflammatory arthritis using ultrasound. .Semin Arthritis Rheum 25::383. ,1996. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23

    Kamel M, Kotob H: High frequency ultrasonographic findings in plantar fasciitis and assessment of local steroid injection. .J Rheumatol 27::2139. ,2000. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24

    Kane D, Greaney T, Bresnihan B, et al: Ultrasound guided injection of recalcitrant plantar fasciitis. .Ann Rheum Dis 57::383. ,1998. .

  • 25

    Gudeman SD, Eisele SA, Heidt RS Jr, et al: Treatment of plantar fasciitis by iontophoresis of 0.4% dexamethasone: a randomized, double-blind, placebo-controlled study. .Am J Sports Med 25::312. ,1997. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26

    Japour CJ, Vohra R, Vohra PK, et al: Management of heel pain syndrome with acetic acid iontophoresis. .JAPMA 89::251. ,1999. .

  • 27

    Kiter E, Celikbas E, Akkaya S, et al: Comparison of injection modalities in the treatment of plantar heel pain: a randomized controlled trial. .JAPMA 96::293. ,2006. .

    • Search Google Scholar
    • Export Citation
  • 28

    Fadale PD, Wiggins ME: Corticosteroid injections: their use and abuse. .J Am Acad Orthop Surg 2::133. ,1994. .

  • 29

    Blockey NJ: The painful heel: a controlled trial of the value of hydrocortisone. .Br Med J 4978::1277. ,1956. .

  • 30

    Roles NC, Maudsley RH: Radial tunnel syndrome: resistant tennis elbow as a nerve entrapment. .J Bone Joint Surg Br 54::499. ,1972. .

  • 31

    Tsai WC, Wang CL, Tang FT, et al: Treatment of proximal plantar fasciitis with ultrasound-guided steroid injection. .Arch Phys Med Rehabil 81::1416. ,2000. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32

    Hill JJ Jr, Cutting PJ: Heel pain and body weight. .Foot Ankle 9::254. ,1989. .

  • 33

    Perry J: Anatomy and biomechanics of the hindfoot. .Clin Orthop Relat Res 177::9. ,1983. .

  • 34

    Bordelon RL: Subcalcaneal pain: a method of evaluation and plan for treatment. .Clin Orthop Relat Res 177::49. ,1983. .

  • 35

    Gill LH: Plantar fasciitis: diagnosis and conservative management. .J Am Acad Orthop Surg 5::109. ,1997. .

  • 36

    Lutter LD: Surgical decisions in athletes’ subcalcaneal pain. .Am J Sports Med 14::481. ,1986. .

  • 37

    Wolgin M, Cook C, Graham C, et al: Conservative treatment of plantar heel pain: long-term follow-up. .Foot Ankle Int 15::97. ,1994. .

  • 38

    Acevedo JI, Beskin JL: Complications of plantar fascia rupture associated with corticosteroid injection. .Foot Ankle Int 19::91. ,1998. .

  • 39

    Sellman JR: Plantar fascia rupture associated with corticosteroid injection. .Foot Ankle Int 15::376. ,1994. .

  • 40

    Altay T, Gunal I, Ozturk H: Local injection treatment for lateral epicondylitis. .Clin Orthop Relat Res 398::127. ,2002. .

Treatment of Plantar Fasciitis Using Four Different Local Injection Modalities

A Randomized Prospective Clinical Trial

Aydiner Kalaci Department of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, Antakya, Hatay, Turkey.

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Hüsamettin Çakici Department of Orthopaedics and Traumatology, Bolu Izzet Baysal University Faculty of Medicine, Bolu, Turkey.

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Onur Hapa Department of Orthopaedics and Traumatology, Government Hospital, Bolu, Turkey.

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Ahmet Nedim Yanat Department of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, Antakya, Hatay, Turkey.

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Yunus Dogramaci Department of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, Antakya, Hatay, Turkey.

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Teoman Toni Sevinç Department of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, Antakya, Hatay, Turkey.

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Background: To determine the effectiveness of four different local injection modalities in the treatment of plantar fasciitis.

Methods: In a prospective randomized multicenter study of plantar fasciitis, 100 patients were divided into four equal groups and were treated using four different methods of local injection: group A was treated with 2 mL of autologous blood alone; group B, an anesthetic (2 mL of lidocaine) combined with peppering; group C, a corticosteroid (2 mL of triamcinolone) alone; and group D, a corticosteroid (2 mL of triamcinolone) combined with peppering. The outcome was defined by using a 10-cm visual analog scale and modified criteria of the Roles and Maudsley score 3 weeks and 6 months after the injection and compared with the pretreatment condition.

Results: The successful results in all of the groups after injections were higher than those in the pretreatment condition (P = .000). In groups C and D, in which local corticosteroid injections were used, excellent results were obtained, with superior effect in the group in which peppering was used (P < .05).

Conclusions: In the treatment of plantar fasciitis, combined corticosteroid injections and peppering is effective and produces better clinical results. (J Am Podiatr Med Assoc 99(2): 108–113, 2009)

Corresponding author: Aydiner Kalaci, MD, Department of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, Antakya, Hatay, 31100, Turkey. (E-mail: orthopedi@gmail.com)