Status:

COMPLETED

Shock Wave Therapy for Sural Myofascial Pain Associated to Chronic Heel Pain

Lead Sponsor:

Fondazione IRCCS Policlinico San Matteo di Pavia

Conditions:

Tendinopathy

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

The aim of this randomized controlled study in to investigate if a shock wave treatment extended to the gastrocnemius-soleus trigger points (TrP) is more effective than a standard treatment exclusivel...

Eligibility Criteria

Inclusion

  • Adult age (18 to 75 years) and written informed consent;
  • Unilateral heel pain of four weeks or longer duration;
  • Pain to digital pressure in the insertional area of the plantar fascia at the calcaneum;
  • Sonographic examination showing a plantar fascia thickness greater than 3.8mm (see procedures for details);
  • Concomitant presence of a sural myofascial pain syndrome (SMPS), diagnosed on the basis of the finding, at the physical examination, of trigger points of the gastrocnemius-soleus muscle complex, according to Travel and Simons' original description.

Exclusion

  • No corticosteroid injections or other physical therapies since the onset of the current pain episode (except pharmacological pain treatments and foot orthoses);
  • No general contraindication to shock wave therapy (pregnancy, bleeding disorders or anticoagulant drug usage, cancer in the focal area);
  • No clinical signs of lumbar radiculopathy at physical examination;
  • No ankle osteoarthritis, diagnosed on the basis of clinical and radiographic findings;
  • No previous fractures or surgery in the affected ankle and foot;
  • No rheumatologic diseases, no plantar fibromatosis

Key Trial Info

Start Date :

July 4 2016

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 3 2018

Estimated Enrollment :

55 Patients enrolled

Trial Details

Trial ID

NCT04385329

Start Date

July 4 2016

End Date

November 3 2018

Last Update

May 12 2020

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