Staying active, cutting pain-aggravating activities and using heel cup sufficient to reduce pain of Plantar fasciopathy
Researchers have found in a randomised trial that In patients with plantar fasciopathy, simple advice to stay active, minimise pain-aggravating activities, and use a heel cup is sufficient to reduce pain. Further adding heel raises alone or adding heel raises plus a corticosteroid injection did not further reduce pain by a clinically important extent.
The study published in BMJ Journals, British Journal of Sports Medicine has compared the effectiveness of patient advice plus heel cup alone (PA) versus PA and lower limb exercise (PAX) versus PAX plus corticosteroid injection (PAXI) to improve self-reported pain in patients with plantar fasciopathy.
In this study, researchers recruited 180 adults with a history of plantar fasciopathy, as confirmed by ultrasonography. All the patients were randomly allocated to groups:
PA group had 62 participants.
PAX group: PA plus self-dosed lower limb heavy–slow resistance training consisting of heel raises had 59 participants.
PAXI group: PAX plus an ultrasound-guided injection of 1 mL triamcinolone 20 mg/mL had 59 participants.
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