[Symptomatic low-energy shockwave therapy in heel pain and radiologically detected plantar heel spur].
OBJECTIVE
The long-term analgetic effect of low-energetic shock-wave therapy in heel spur for two different numbers of applicated impulses is investigated.


METHODS
50 patients with recalcitrant heel pain and a plantar calcaneal spur on the X-ray received in a controlled, prospective and randomized study low-energetic extracorporal shock-wave-therapy. The first group received 3 x 500 impulses and the second group 3 x 100 impulses of 0.08 mJ/mm2 with an experimental device. The follow-up was 1 1/2, 3 and by telephone after 12 months.


RESULTS
There was clear improvement and relief of pain in both groups on manual pressure and while walking and an increase of the pain-free walking ability from 10 minutes before the treatment to 2 and 3 hours respectively after 12 months. We saw a significantly better results after the treatment with 3 x 500 impulses.


CONCLUSIONS
The extracorporal shock-wave therapy is an effective treatment in refractory heel pain. An amount of at least 3 x 500 impulses in the low energetic treatment is useful.
Krischek
O
O
Orthopädische Universitätsklinik Mainz.
Rompe
J D
JD
Herbsthofer
B
B
Nafe
B
B
D000328:Adult; D000368:Aged; D002111:Calcaneus / Q000000981:diagnostic imaging; D004867:Equipment Design; D005208:Fasciitis / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000000981:diagnostic imaging / Q000628:therapy*; D010146:Pain / Q000000981:diagnostic imaging; D059408:Pain Management; D011446:Prospective Studies; D011859:Radiography; D016896:Treatment Outcome
Symptomatische niedrig-energetische Stosswellentherapie bei Fersenschmerzen und radiologisch nachweisbarem plantaren Fersensporn.