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KMID : 1130920210250040171
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Journal of Korean Foot and Ankle Society
2021 Volume.25 No. 4 p.171 ~ p.176
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A Prospective Study Comparing Steroid Injection and Needle Fenestration for the Treatment of Chronic Plantar Fasciitis
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Lee Ji-Won
Chung Jin-Wha
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Abstract
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Purpose: This study sought to compare needle fenestration with a corticosteroid injection for the treatment of chronic plantar fasciitis. We hypothesized that needle fenestration would be as effective as a corticosteroid injection while avoiding the potential adverse effects of the corticosteroid.
Materials and Methods: Forty female patients with unilateral chronic plantar fasciitis who did not respond to a minimum of
6 months of various conservative treatments were prospectively randomized to receive either a corticosteroid injection or needle fenestration. Vi- sual analogue scale and American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score were used for all patients before treatment and at 3-, 6-, and 12-month following treatment.
Results: The corticosteroid injection group had a before-treatment average AOFAS Ankle-Hindfoot score of 56.4, which increased to 87.3 at 3 months and 78.2 at 6 months after treatment but decreased to 62.4 at 12 months. The needle fenestration group had a before treatment average AOFAS ankle-hindfoot score of 49.5, which increased to 77.8 at 3 months and 92.1 at 6 months after treatment and remained at a high score of 89.4 at 12 months. There were no complications in either group.
Conclusion: In the treatment of chronic plantar fasciitis, needle fenestration is as effective at 3- and 6-month post-treatment as a corti- costeroid injection. Also, unlike a corticosteroid, its effect remains until 12 months post-treatment.
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KEYWORD
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Corticosteroid, Dry needling, Injections, Plantar fasciitis
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