Plantar Fasciitis, Operation or Conservative Treatment

Status Completed

Clinical Trial Summary

The purpose of this study is to compare in a randomized controlled trial the effect of endoscopic operation with the standard conservative treatmentprotocol with training supplemented with 1-3 injections of glucocorticoids in patients with chronic plantar fasciopathia.

Clinical Trial Description

Plantars fasciitis (PF) is a frequently diagnosed condition, defined as pain at the medial tubercle of the calcaneus, and 10% of the population will at some points in their life experience this condition. Accumulated loading of the plantar fascia seems to relate to development of PF, as it is commonly seen in runners and those who are overweight, and number of daily steps or simply time of standing has been shown to be a predisposing factor for PF development ( Orthosis and glucocorticoid injections are 2 widely used treatments and in most clinics the standard treatment, despite the fact that a recent Cochrane review found limited evidence for treatment of plantar heelpain.

Once the condition gets chronic the response to several kinds of treatment is less predictable. However it has been demonstrated that endoscopic surgery for plantar fasciitis using a deep-fascial approach was successful in individuals with an active sports anamnesis, and all patients returned with this treatment to full athletic activities within 8-15 weeks. This high succesrate is not seen in conservative treatment with decrease in activity, training and injections of glucocorticosteroid, eventhough they had shorter disease duration. Therefore the investigators think it would be interesting to offer this minimal invasive operation to patients much earlier in the disease, especially as there is no reported severe sideeffects .

However, surgery is very seldom compared with results of other treatment modalities, and no randomized studies exist on the effect of operation vs the normal conservative standard-treatment.

The purpose of this study is to compare in a randomized controlled trial the effect of endoscopic operation with the standard conservative treatmentprotocol with training supplemented with 1-3 injections of glucocorticoids in patients with chronic plantar fasciopathia. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT02448316
Study type	Interventional
Source	Bispebjerg Hospital
Contact
Status	Completed
Phase	Phase 4
Start date	April 1, 2015
Completion date	November 1, 2017

View Details

See also
Status	Clinical Trial	Phase
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Completed	`NCT02546089` - ABI v Dry Needling for Plantar Fasciitis	N/A
Completed	`NCT00765843` - A Trial of Custom Foot Orthoses for the Treatment of Plantar Heel Pain	N/A
Completed	`NCT00155324` - Change and Clinical Significance of Plantar Fascia Thickness After ESWT	N/A
Completed	`NCT04941469` - Effectiveness of Specifically Optimized Off-the-counter Foot Orthosis for the Subtle Cavus Foot	N/A
Completed	`NCT06055933` - Effect of Kinesio Taping and Extracorporeal Shock Wave Therapy on Plantar Fasciitis
Recruiting	`NCT02539082` - the Safety and Efficacy of Collagen Injection in Patients With Plantar Fasciitis	Phase 4
Enrolling by invitation	`NCT01786057` - Effect of Extracorporeal Shock Wave Therapy of Gastrosoleus Trigger Points in Patients With Plantar Fasciitis	Phase 2/Phase 3

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.