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Treatment of Gastrocnemius Tightness and Subsequent Chronic Plantar Fasciitis With Botulinum Toxin A — PLATOX  

Plantar Fascitis Clinical Trial

Official title:
Botulinum Toxin Injection as Treatment for Proximal Medial Gastrocnemius Muscle Tightness With Subsequent Chronic Plantar Fasciitis - A Prospective Clinical Cohort Study

Clinical Trial Summary

This prospective clinical cohort study will follow 40 patients who recieve botulinum toxin A treatment for proximal medial gastrocnemius tightness with subsequent Chronic Plantar Fasciitis for two years. Three injections of botulinum toxin (75IU) will be administered with intervals of three months. Participants will be followed at baseline, 3 months, 6 months, 1 year and 2 years with Patient Related Outcome Measures (PROMS) and physical test (Ergotest and ankle dorsiflexion).

Clinical Trial Description

The connection between gastrocnemius tightness and plantar fasciitis has been demonstrated in several clinical studies. Patients with chronic pathology, and unsatisfactory results from physical therapy, may benefit from gastrocnemius lengthening. This is usually obtained with proximal medial gastrocnemius recession surgery (PMGR), but recent studies and recent experience from our hospital suggest that similar effect may be obtained with ultrasound guided- injections of Botulinum Toxin A injections in the proximal medial gastrocnemius muscle. This study will follow patients with gastrcnemius tightness (demonstrated by the Silferskiolds test) and subsequent chronic (MRI-verified) plantar fasciitits who has not recieved satisfactiory results from at least three months of guided physcial therapy. Participants will recieve three ultrasound guided injections of 75IU of Botulinum Toxin A with three month intervals. They will be followed with clinical controls for two years after the first injection. THe main outcome is the Manchester Oxford Foot Questionnaire (MOxFQ). ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05218785
Study type Observational
Source Oslo University Hospital
Contact Elisabet Ellingsen Husebye, MD PhD
Phone +47 91 50 27 70
Email uxngng@ous-hf.no
Status Recruiting
Phase
Start date January 13, 2022
Completion date January 2026
View Details
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