Preprint Article Version 1 This version is not peer-reviewed

Does the Presence of Bone Edema Have Any Significance in Terms of Outcomes for Plantar Fasciitis Treated with Temperature Controlled High Energy Adjustable Multi-Mode Emission Laser and Exercise?

Version 1 : Received: 23 July 2024 / Approved: 23 July 2024 / Online: 24 July 2024 (02:33:05 CEST)

How to cite: Covelli, I.; De Giorgi, S.; Di Lorenzo, A.; Moretti, B.; Solarino, G.; Notarnicola, A. Does the Presence of Bone Edema Have Any Significance in Terms of Outcomes for Plantar Fasciitis Treated with Temperature Controlled High Energy Adjustable Multi-Mode Emission Laser and Exercise?. Preprints 2024, 2024071806. https://doi.org/10.20944/preprints202407.1806.v1 Covelli, I.; De Giorgi, S.; Di Lorenzo, A.; Moretti, B.; Solarino, G.; Notarnicola, A. Does the Presence of Bone Edema Have Any Significance in Terms of Outcomes for Plantar Fasciitis Treated with Temperature Controlled High Energy Adjustable Multi-Mode Emission Laser and Exercise?. Preprints 2024, 2024071806. https://doi.org/10.20944/preprints202407.1806.v1

Abstract

Plantar fasciitis is one of the most common causes of foot pain; in a significant percentage it is also associated with bone edema of the heel. A prospective randomized clinical trial was designed, in which 48 patients suffering from plantar fasciitis, with or without bone edema, were treated with temperature controlled high energy adjustable multi-mode emission laser and exercises (laser group) or with exercises only (control group). Patients were evaluated at recruitment (T0), at 2 (T1) and 6 months (T2), monitoring pain (with Visual Analogue Scale), functionality (with Foot Function Index) and perception of improvement (with Roles and Maudsley Score) and fascia thickness (with ultrasound examination). In both groups there was a significant improvement in pain, functional recovery, perception of remission and a reduction in plantar fascia thickness at T1 and T2. The laser group presented statistically better values at T2 for the Roles and Maudsley Score (z: 2.21; 0.027). Regression analysis showed that a greater reduction in fascia thickness occurred in the laser group (p-value: 0.047). In conclusion, the two conservative treatments were effective in patients suffering from plantar fasciitis, even in the presence of bone edema, but with lesser results.

Keywords

high-intensity laser therapy; exercise; plantar fasciitis; bone edema

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

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