Title
Ultrasound-guided Pulsed Radiofrequency for Plantar Fasciitis
Ultrasound-guided Pulsed Radiofrequency Stimulation of the Tibial Nerve for Plantar Fasciitis
Phase
N/ALead Sponsor
Tri-Service General HospitalStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Plantar FasciitisIntervention/Treatment
lidocaine ...Study Participants
36Although there are many conservative method for plantar fasciitis, patients might spend 2 years to achieve resolution. Recent study have shown that pulsed radiofrequency (PRF) lesioning of peripheral nerve can alleviate kinds of pain condition. However there are no studies of PRF lesioning of the tibial nerve in patients with plantar fascilitis by using ultrasound-guided (UG) techniques.
Patients with unilateral plantar Fasciitis will be enrolled and randomized into intervention and control group. One dose of sono-guided PRF is applied in the intervention group and xylocaine in control group. Outcome measurements included visual analog scale (VAS)、foot health status questionnaire and the thickness of plantar fascile measured by musculoskeletal ultrasonography at different follow-up frame (4th week, 2nd month, 3rd month after treatment).
Pulsed radiofrequency (PRF) treatment, a relative novel pain intervention at recent decade, was found to be able to alleviate pain by delivering an electrical field and heat bursts at a temperature less than 42°C to neural tissue in the absence of neural injury.
Pulsed radiofrequency (PRF) treatment, a relative novel pain intervention at recent decade, was found to be able to alleviate pain by delivering an electrical field and heat bursts at a temperature less than 42°C to neural tissue in the absence of neural injury. One dose of PRF was given in tibial nerve behine the medial ankle in intervention group.
2 c.c xylocaine was given in tibial nerve behind the medial ankle in control group.
Inclusion Criteria: Heel pain more than 3 months Age more than 20 year-old The increased thickness of plantar fascile (>4mm) measured by sonography Must be conscious Not receive steroid or other injection in plantar fascile in past 6 months Exclusion Criteria: Cancer of any site Coagulopathy Pregnancy Inflammation status