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[PMID]: | 28209507 |
[Au] Autor: | Wu YT; Chang CY; Chou YC; Yeh CC; Li TY; Chu HY; Chen LC |
[Ad] Endereço: | Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan, Republic of China; Integrated Pain Management Center, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiw |
[Ti] Título: | Ultrasound-Guided Pulsed Radiofrequency Stimulation of Posterior Tibial Nerve: A Potential Novel Intervention for Recalcitrant Plantar Fasciitis. |
[So] Source: | Arch Phys Med Rehabil;98(5):964-970, 2017 May. | [Is] ISSN: | 1532-821X |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | OBJECTIVE: To evaluate the therapeutic benefit of ultrasound-guided pulsed radiofrequency (PRF) stimulation at the posterior tibial nerve (PTN) in patients with recalcitrant plantar fasciitis (PF). DESIGN: A prospective, randomized, double-blinded, placebo-controlled trial (12-wk follow-up). SETTING: Outpatient local medical center settings. PARTICIPANTS: Patients (N=36) with recalcitrant PF underwent randomization, and all were included in the final data analysis. INTERVENTIONS: Patients in the PRF group were treated with 1 dose of ultrasound-guided PRF stimulation at the PTN, and those in the control group received 1 dose of 2% lidocaine, 0.5mL, injected at the PTN under ultrasound guidance. MAIN OUTCOME MEASURES: The visual analog scale (first-step and overall pain), American Orthopedic Foot-Ankle Society (AOFAS) ankle-hindfoot scale, and ultrasonographic thickness of the plantar fascia were evaluated at 1, 4, 8, and 12 weeks after treatment. RESULTS: Thirty-six patients (20 feet per group) completed the study. The PRF group had a significantly larger improvement in first-step pain, overall pain, and AOFAS score (all P<.001), as well as plantar fascia thickness (P<.05), compared with those of the control group at all observed time points. CONCLUSIONS: This study shows that ultrasound-guided PRF stimulation at the PTN is effective for treating recalcitrant PF. This simple, reproducible method could be a novel strategy for managing recalcitrant PF. |
[Mh] Termos MeSH primário: |
Fasciíte Plantar/reabilitação Tratamento por Radiofrequência Pulsada/métodos Nervo Tibial
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[Mh] Termos MeSH secundário: |
Adulto Anestésicos Locais/uso terapêutico Método Duplo-Cego Feminino Seres Humanos Lidocaína/uso terapêutico Masculino Meia-Idade Medição da Dor Estudos Prospectivos Ultrassonografia de Intervenção/métodos
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Nm] Nome de substância:
| 0 (Anesthetics, Local); 98PI200987 (Lidocaine) |
[Em] Mês de entrada: | 1707 |
[Cu] Atualização por classe: | 170724 |
[Lr] Data última revisão:
| 170724 |
[Sb] Subgrupo de revista: | AIM; IM |
[Da] Data de entrada para processamento: | 170218 |
[St] Status: | MEDLINE |
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