Plantar Fascitis Clinical Trial
Official title:
Comparison of Ultrasound-guided Posterior Tibial Nerve Pulsed Radiofrequency and Fluoroscopy-guided Intralesional Radiofrequency Thermocoagulation in the Treatment of Painful Calcaneal Spur and Plantar Fasciitis
This study aims to compare the efficacy of ultrasound (US)-guided posterior tibial nerve pulsed radiofrequency (PTN PRF) and fluoroscopy (FL)-guided intralesional radiofrequency thermocoagulation (RFT) for the treatment of painful calcaneal spur and plantar fasciitis refractory to conservative treatments. For this evaluation, a numerical rating (NRS) and the American Orthopedic Foot and Ankle Society (AOFAS) ankle hindfoot scores will be used before and after both interventions.
Painful calcaneal spurs (PCS) and plantar fasciitis (PF) are common foot conditions affecting approximately 10-15% of the population. These conditions can cause severe heel pain and disability, affecting the patients' quality of life and productivity. Treatment of these conditions is complex and sometimes resistant to conventional therapies, such as rest, ice, stretching, orthotics, and anti-inflammatory drugs. Some studies have shown that conservative treatments can improve PCS and PF symptoms within 12 months. However, if conservative treatments fail, interventional procedures such as corticosteroid injections, radiofrequency ablation, or surgery may be used on the PCS and surrounding nerves. PRF and RFT are two modalities of thermal ablation that can be used to treat chronic pain conditions. PRF delivers short bursts of high-voltage electrical current to the target nerve, creating a non-thermal effect that modulates the transmission of pain signals. RFT delivers a continuous current that heats the target tissue, causing coagulation, and can promote thinning of hard tissues, such as calcaneal spurs and plantar fascia. The PTN is a branch of the sciatic nerve that provides sensory and motor innervation to the heel and sole of the foot, where calcaneal spurs and PF occur. The advantage of the PTN over its smaller branches is that it can be visualized and targeted using US. FL can visualize PCS. US-guided PTN PRF and FL-guided intralesional RFT for pain management in PCS and PF have been used in a limited number of studies; however, no studies have compared their efficacy and adverse event rates. The primary aim of this study was to compare the efficacy of these two treatment modalities. The secondary aim was to determine the incidence of adverse events associated with US-guided PTN PRF and FL-guided intralesional TRF treatment. A total of at least 46 patients, 23 patients in each group, will be enrolled for comparison. NRS, and AOFAS scores before, 1 month, and 3 months after treatment will be compared both within and between groups. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT05071365 -
Early Access to Virtual Resources for the Self-management of Plantar Fasciitis
|
N/A | |
Not yet recruiting |
NCT05479526 -
Effect of The Superficial Back Line on the Development of Plantar Fasciitis
|
||
Not yet recruiting |
NCT05479500 -
Investigation of the Efficacy of Myofascial Chain Release Techniques on Plantar Fasciitis
|
N/A | |
Recruiting |
NCT04423900 -
Smart Phone-Based Application for Evaluation and Rehabilitation of HindFoot Pain
|
N/A | |
Completed |
NCT04204824 -
Ultrasound Treatment in the Management of Plantar Fasciitis
|
N/A | |
Completed |
NCT04162262 -
Effects of Exercise Versus Exercise and Instrument-Assisted Soft Tissue Mobilization for Plantar Fasciopathy Treatment
|
N/A | |
Completed |
NCT03246087 -
Acupuncture for Plantar Fasciosis in the Primary Care Setting
|
N/A | |
Completed |
NCT05647291 -
Is ESWT Better in Plantar Fasciitis Treatment?
|
N/A | |
Withdrawn |
NCT03873207 -
Offloading Device for Post Surgical Foot Procedures
|
N/A | |
Completed |
NCT05347264 -
Comparative Effects of Gun Massager and Transverse Friction Massage in Patients With Plantar Fasciitis
|
N/A | |
Recruiting |
NCT04175288 -
The Effectiveness of Ultrasound Treatment in the Management of Plantar Fasciitis
|
N/A | |
Completed |
NCT03731897 -
Evaluation of the Efficacy of Prolotherapy Treatment in Patients With Plantar Fasciitis: a Randomized Double-blind Study
|
N/A | |
Recruiting |
NCT05462002 -
Intrinsic Foot Muscle Morphology and Function in Runners With and Without Plantar Fasciitis
|
||
Active, not recruiting |
NCT06466616 -
Shock Waves Combined With Leg Stretches in Patients With Plantar Fasciitis
|
N/A | |
Completed |
NCT05207592 -
Urdu Version of Foot and Ankle Disability Index: A Reliability and Validity Study
|
||
Not yet recruiting |
NCT06394336 -
Early Intervention With Therapeutic Exercise in Plantar Fasciopathy
|
N/A | |
Completed |
NCT05867888 -
Shock Wave Therapy Versus Low Level Laser Therapy in Patients With Plantar Fasciitis
|
N/A | |
Completed |
NCT06023836 -
Myofascial Pain Syndrome and Plantar Fasciitis Treatment
|
N/A | |
Completed |
NCT05856019 -
Effects of J Stroke Myofascial Release in Patients With Planter Fasciitis
|
N/A | |
Completed |
NCT04967703 -
Physiotherapy Protocols in Treating Plantar Fasciitis
|
N/A |