7 Radial Shock Wave Therapy For Chronic Heel Pain Authors: J. Rite, L. Guiloff, A. Baar, E. Botello, M. Branes Institution: Occupational Medicine. Facultad de Medicina, Pontificia Universidad Catolica de Chile Purpose of the study: Evaluation of the effect of Unfocused or Radial Shock Wave Therapy (RSWT) on chronic plantar heel pain. Materials and Methods: Since July 2002, a prospective study w...

OBJECTIVES To compare the effectiveness of a steroid injection (25 mg/ml prednisolone acetate) with a local anaesthetic control in the treatment of heel pain and to determine any advantage for patients' comfort of using a posterior tibial nerve block to anesthetize the heel prior to infiltration. METHODS A double-blind randomized controlled trial using a 2 x 2 design in a hospital-based rheum...

UNLABELLED We undertook a retrospective analysis of 75 consecutive patients with recalcitrant plantar heel pain caused by calcaneal neuritis, all who were treated with radiofrequency thermal lesioning (RTL). The median age of the cohort was 55 (range 24 to 83) years, 25 (33.3%) of the patients were male, 50 (66.7%) of the patients were female, and 15 (20%) of the patients were treated for bilat...

Background: This study examined the effects of dry needling on chronic heel pain due to plantar fasciitis.   Methods: During this single-blinded clinical trial, 20 eligible patients were randomized into two groups: A case group treated with dry needling and a control group. Patients’ plantar pain severity, (using modified visual analog scale [VAS] scoring system), range of motion ...

BACKGROUND Plantar heel pain (plantar fasciitis) is a common and disabling condition, which has a detrimental impact on health-related quality of life. Despite the high prevalence of plantar heel pain, the optimal treatment for this disorder remains unclear. Consequently, an alternative therapy such as dry needling is increasingly being used as an adjunctive treatment by health practitioners. O...

High heel footwear may be destructive for the spine because of an increased erector spinae muscle bioelectrical activity and increased ground reaction forces affecting lower limbs and the spine. The aim of this study was to evaluate the changes of bioelectrical activity in cervical paraspinal muscle during gait in low and in high heel shoes in different age groups. In 31 women aged 20-25 years ...

BACKGROUND Heel prick blood sampling is a commonly performed and painful procedure in the newborn infant. Use of a topical local anaesthetic does not relieve this pain. A 4% w/w amethocaine gel (Ametop) reduces the pain of venepuncture in the newborn but has not been tried with heel pricks. AIM To investigate the effect of topical amethocaine gel on the pain of heel prick in the newborn infan...

Proc (Bayl Univ Med Cent) 2012;25(2):161–162 A 54-year-old woman presented with worsening right heel pain and tingling for several weeks. She denied a history of trauma. Physical examination revealed a normal range of motion at the right ankle joint. No pain was elicited on palpation of the heel. Plantar fasciitis or tenosynovitis were considered potential etiologies for the patient’s heel pain...

Ask the patient where the pain is and what it feels like. Patients with plantar fasciitis typically describe a sharp pain under the heel. It may extend along the arch of the foot, from the insertion, along the length of the plantar fascia. Pain is worse when taking their initial steps in the morning and eases after a few minutes of walking, but it may return on weight bearing after periods of i...