Consensus for Dry Needling for Plantar Heel Pain (Plantar Fasciitis): A Modified Delphi Study

2011 ◽  
Vol 29 (3) ◽  
pp. 193-202 ◽  
Author(s):  
Matthew P Cotchett ◽  
Karl B Landorf ◽  
Shannon E Munteanu ◽  
Anita M Raspovic
Author(s):  
Saman Salehi ◽  
Azadeh Shadmehr ◽  
Gholamreza Olyaei ◽  
Siamak Bashardoust Tajali ◽  
Seyed Mohsen Mir

Introduction: Plantar Fasciitis (PF) is an overuse syndrome as it develops over time. It is most frequently seen in both the non-athletic and athletic populations. PF is a multifactorial and self-limiting disorder that several factors are involved in its onset. Many well-established treatments are available for plantar heel pain. The purpose of this review is to determine the effectiveness of dry needling for the management of PF. Materials and Methods: This article is a review study,  in which  we present  the  studies that compare dry needling with other treatments for the management of plantar  heel pain.  We included all of the studies on patients with plantar heel pain and plantar fasciitis that investigated the effects of dry needling. Finally, seven articles were included in this review. The  study  designs  were  randomized  controlled,  quasi-experimental,  and  case-control. The Physiotherapy Evidence-based Database (PED) scale was used to measure the methodological quality of the studies. Results: The PEDro scoring of the articles ranged between 2.10-7.10. The results of this review show that dry needling may be useful in improving the pain of individuals with plantar heel pain and plantar fasciitis. Conclusion: Further high-quality research studies are needed to determine the effectiveness of dry needling in the management of plantar heel pain. Because a variety of protocol treatments of dry needling were used in the studies, we cannot recommend dry needling schedule prescriptions for the management of individuals with plantar heel pain and plantar fasciitis.


Pain Medicine ◽  
2021 ◽  
Author(s):  
Luis Llurda-Almuzara ◽  
Noé Labata-Lezaun ◽  
Toni Meca-Rivera ◽  
Marcos J Navarro-Santana ◽  
Joshua A Cleland ◽  
...  

Abstract Objective Dry needling is commonly used for the management of plantar fasciitis. This meta-analysis evaluated the effects of dry needling over trigger points (TrPs) associated with plantar heel pain on pain intensity and related disability or function. Methods Electronic databases were searched for randomized controlled trials where at least one group received dry needling, not acupuncture, for TrPs associated with plantar heel pain and collected outcomes on pain intensity and related-disability. The risk of bias (RoB) was assessed using the Cochrane risk of bias tool, methodological quality was assessed with PEDro score, and the level of evidence is reported using the GRADE approach. Between-groups mean differences (MD) and standardized mean difference (SMD) were calculated. Results The search identified 297 publications with 6 trials eligible for inclusion. The meta-analysis found low quality evidence that TrP dry needling reduces pain intensity at short term (MD -1.70 points, 95%CI -2.80 to -0.60; SMD -1.28, 95%CI -2.11 to -0.44) and moderate quality evidence for improving pain intensity (MD -1.77 points, 95%CI -2.44 to -1.11; SMD -1.45, 95%CI -2.19 to -0.70) and related-disability (SMD -1.75, 95% CI -2.22 to -1.28) at long-term compared to a comparison group. The RoB of the trials was generally low, but the heterogeneity of the results downgraded the level of evidence. Discussion Moderate to low evidence suggests a positive effect of TrP dry needling for improving pain intensity and pain-related disability in patients with plantar heel pain of musculoskeletal origin at short- and long-term, respectively. Current results should be considered with caution due to the small number of trials.


2021 ◽  
Vol 28 (05) ◽  
pp. 718-724
Author(s):  
Ali Raza ◽  
Shahroz Saleem ◽  
Hafiz Salman Saeed ◽  
Ahmad Bilal ◽  
Zafar Ali Zafar ◽  
...  

Objective: To determine relationships of body mass index with plantar fasciitis and foot functions index and how many activities of daily living were limited with plantar heel pain due to overweight in population of Government Hospitals of Faisalabad City. Study Design: Cross-sectional study. Setting: Government Hospitals of Faisalabad City (Allied Hospital & District Headquarter Hospital). Period: March to May 2018. Material & Methods: 140 patients included both males and females. Convenient sampling technique was used in selection of study sample. Calculate BMI (kg/m2) and FFI questionnaire used in this study to find how many activities of daily living was limited with plantar heel pain due to overweight. Data was analyzed by using statistical package for social sciences (SPSS) version 20. Chi square test was applied. Results: There were 70 males and 70 females. Data was collected to overweight population (mean age, 42.15; mean BMI, 29.52 kg/m2; and mean height, 1.68m). Out of 140 overweight population was (66.4%) and obese population (33.6%). The windlass test showed (87.9%) positive and (12.1%) negative. Chi-square test revealed no significant relation between rise in BMI and plantar heel pain (p = 0.105). However it shows significant relation between rise in BMI and FFI (p = 0.000). Conclusion: There is no statistical significant relation between body mass index and plantar fasciitis. According to foot function index patients significantly limit activities of daily living with plantar heel pain due to overweight.


Author(s):  
Rebecca L Jessup ◽  
Matthew J Oates ◽  
Renea V Johnston ◽  
Rachelle Buchbinder

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1251-1258
Author(s):  
Devika B ◽  
Karthik Ganesh Mohanraj ◽  
Vishnu Priya V

Plantar fasciitis (PF) is a commonly reported cause of plantar heel pain. The purpose of this study is to create awareness of the risk factors and/or events that leads to the development of plantar fasciitis. The identification of musculoskeletal factors related to plantar heel pain could lead to the development of intervention strategies and improve clinical outcomes. The aim of the study is to know the prevalence and risk factors of plantar fasciitis among middle-aged male and female population – a survey based study. A self-administered questionnaire containing about 16 questions was prepared and circulated through online survey google forms link. About 129 middle aged people responded to the survey. The responses were collected, tabulated and statistically analysed using SPSS software. Out of which 47.33% were females and 52.67% where males. 45.80% of the total population have a stabbing pain in the heel early in the morning and also with the long-standing while 54.20% of the population do not have this condition. 41.22% of the population experience mild pain early in the morning, 42.75% experience moderate pain,13.74% experience severe pain and 2.29% experience very severe pain early in the morning. Plantar fasciitis is one of the causes of inferior heel pain in adults. The patient has a gradual occurrence of pain along the medial side of the heel. The pain is worse when arising in the morning, which becomes less severe after a few steps.


Author(s):  
Zaid Al-Boloushi ◽  
Eva María Gómez-Trullén ◽  
Pablo Bellosta-López ◽  
María Pilar López-Royo ◽  
Daniel Fernández ◽  
...  

2012 ◽  
Vol 5 (5) ◽  
pp. 321-323 ◽  
Author(s):  
Man-hong Steve Cheung ◽  
Tun-hing Lui

The differential diagnosis of heel pain is extensive. The plantar heel pain is usually due to mechanical etiology, including plantar fasciitis, calcaneal spur, stress fracture, and nerve entrapment. Tumor is a rare cause of plantar heel pain. We present a case of chronic plantar heel pain with a vascular leiomyoma at the heel pad. Levels of Evidence: Therapeutic, Level IV, Case study


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