title: Low-Level Laser Therapy at 635 nm for Treatment of Chronic Plantar Fasciitis: A Placebo-Controlled, Randomized Study.
abstract: Plantar fasciitis affects nearly 1 million persons in the United States at any one time. Conservative therapies have been reported to successfully treat 90% of plantar fasciitis cases; however, for the remaining cases, only invasive therapeutic solutions remain. This investigation studied newly emerging technology, low-level laser therapy. From September 2011 to June 2013, 69 subjects were enrolled in a placebo-controlled, randomized, double-blind, multicenter study that evaluated the clinical utility of low-level laser therapy for the treatment of unilateral chronic fasciitis. The volunteer participants were treated twice a week for 3 weeks for a total of 6 treatments and were evaluated at 5 separate time points: before the procedure and at weeks 1, 2, 3, 6, and 8. The pain rating was recorded using a visual analog scale, with 0 representing "no pain" and 100 representing "worst pain." Additionally, Doppler ultrasonography was performed on the plantar fascia to measure the fascial thickness before and after treatment. Study participants also completed the Foot Function Index. At the final follow-up visit, the group participants demonstrated a mean improvement in heel pain with a visual analog scale score of 29.6 ± 24.9 compared with the placebo subjects, who reported a mean improvement of 5.4 ± 16.0, a statistically significant difference (p < .001). Although additional studies are warranted, these data have demonstrated that low-level laser therapy is a promising treatment of plantar fasciitis.
authors.affiliation: Orthopaedic Surgeon, Saint Alphonsus Coughlin Clinic, Boise, ID. Electronic address: david.macias@sarmc.org.
authors.forename: David M
authors.initials: DM
authors.lastname: Macias
authors.affiliation: Orthopaedic Surgeon, Saint Alphonsus Coughlin Clinic, Boise, ID.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Coughlin
authors.affiliation: Podiatrist, Arizona Institute of Foot Care Physicians, Mesa, AZ.
authors.forename: Kerry
authors.initials: K
authors.lastname: Zang
authors.affiliation: Orthopaedic Surgeon, Tri-City Orthopaedics, Kennewick, WA.
authors.forename: Faustin R
authors.initials: FR
authors.lastname: Stevens
authors.affiliation: Orthopaedic Surgeon, Borgess Orthopedics, Kalamazoo, MI.
authors.forename: James R
authors.initials: JR
authors.lastname: Jastifer
authors.affiliation: Orthopaedic Surgeon, University of Tennesse Erlanger, Chattanooga, TN.
authors.forename: Jesse F
authors.initials: JF
authors.lastname: Doty
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004311:Double-Blind Method; D036981:Fasciitis, Plantar / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000532:radiotherapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D028022:Low-Level Light Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D012016:Reference Values; D012720:Severity of Illness Index; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler
keywords: heel pain; photochemistry; photomedicine; plantar fasciosis