title: The effectiveness of acupuncture for plantar heel pain: a systematic review.
abstract: BACKGROUND
  Plantar heel pain (PHP) is a common complaint, yet there are no definitive guidelines for its treatment. Acupuncture is increasingly used by podiatrists, and there is a need for evidence to validate this practice. It is acknowledged that PHP and acupuncture are both complex phenomena.
  
  
  METHODS
  A systematic review (PROSPERO no. CRD42012001881) of the effectiveness of acupuncture for PHP is presented. Quality of the studies was assessed by independent assessors with reference to Quality Index (QI), 'STandards for Reporting Interventions in Controlled Trials of Acupuncture' (STRICTA) and 'CONsolidated Standards Of Reporting Trials' (CONSORT) criteria. Pooling of data, or even close comparison of studies, was not performed.
  
  
  RESULTS
  Five randomised controlled trials and three non-randomised comparative studies were included. High quality studies report significant benefits. In one, acupuncture was associated with significant improvement in pain and function when combined with standard treatment (including non-steroidal anti-inflammatory drugs). In another, acupuncture point PC7 improved pain and pressure pain threshold significantly more than LI4. Other papers were of lower quality but suggest benefits from other acupuncture approaches.
  
  
  CONCLUSIONS
  There is evidence supporting the effectiveness of acupuncture for PHP. This is comparable to the evidence available for conventionally used interventions, such as stretching, night splints or dexamethasone. Therefore acupuncture should be considered in recommendations for the management of patients with PHP. Future research should recognise the complexity of PHP, of acupuncture and of the relationship between them, to explore the optimum use and integration of this approach. There is a need for more uniformity in carrying out and reporting such work and the use of STRICTA is recommended.
authors.affiliation: Peninsula College of Medicine and Dentistry, C206 Portland Square, Drake Circus, Plymouth PL4 8AA, UK. Richard@IntegrativeHealthcare.co.uk
authors.forename: Richard James
authors.initials: RJ
authors.lastname: Clark
authors.forename: Maria
authors.initials: M
authors.lastname: Tighe
mesh_terms: D015670:Acupuncture Therapy; D002986:Clinical Trials as Topic; D036981:Fasciitis, Plantar / Q000628:therapy*; D005534:Foot Diseases / Q000628:therapy*; D006365:Heel / Q000002:abnormalities; D006801:Humans; D059408:Pain Management; D016896:Treatment Outcome