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document
Extracorporeal shock wave therapy ( ESWT ) in patients with chronic proximal plantar fasciitis : a 2-year follow-up . The aim of this study was to compare the effect of extracorporeal shock wave therapy ( ESWT ) in patients with chronically painful proximal plantar fasciitis with a further conventional conservative treatment . Forty-seven patients ( 49 feet ) with a previously unsuccessful nonsurgical treatment of at least 6 months were randomized to two groups . Heel cups had to be worn throughout the study . Group 1 ( 25 heels ) was treated immediately with three sessions of ESWT ( 3000 shock waves/session of 0.2 mJ/mm2 ) at weekly intervals . The patients of group 2 ( 24 heels ) continued nonsurgical treatment ( iontophoresis with diclofenac and an oral nonsteroidal anti-inflammatory drug ) for 12 weeks . After this period they were treated using the protocol of group 1 . No significant difference of pain and walking time after further nonsurgical treatment ( 3 months ) was seen in group 2 . At 12 weeks after ESWT , the pain estimation on the visual analogue scale ( VAS ) for activities of daily living diminished significantly by 62.9 % in group 1 and by 63.0 % in group 2 . The comfortable walking time had increased significantly in both groups . Two years after ESWT , pain during activities of daily living decreased by 94 % in group 1 and by 90 % in group 2 on the VAS and the comfortable walking time had increased significantly in both groups .
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Intervention_Physical
Extracorporeal shock wave therapy ( ESWT )
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Intervention_Physical
extracorporeal shock wave therapy
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Intervention_Physical
Heel cups
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Intervention_Physical
ESWT ( 3000 shock waves/session of 0.2 mJ/mm2 )
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Intervention_Control
nonsurgical treatment
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Intervention_Pharmacological
(
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Intervention_Control
iontophoresis with diclofenac
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Intervention_Pharmacological
and an
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Intervention_Control
oral nonsteroidal anti-inflammatory drug
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Intervention_Pharmacological
)
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Outcome_Pain
pain and walking time
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Outcome_Pain
pain estimation on the visual analogue scale ( VAS ) for activities of daily living
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Outcome_Physical
comfortable walking time
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Outcome_Pain
pain during activities of daily living
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Outcome_Physical
comfortable walking time
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Participant_Condition
patients with chronic proximal plantar fasciitis :
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Participant_Condition
chronically painful proximal plantar fasciitis
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Participant_Condition
Forty-seven patients ( 49 feet ) with a previously unsuccessful nonsurgical treatment of at least 6 months were randomized to two groups .