Tag: calcaneal spur

Efficacy of two different physiotherapeutic procedures in comprehensive therapy of plantar calcaneal spur

Bożena Jasiak-Tyrkalska, Jolanta Jaworek, Bogusław Frańczuk

Bożena Jasiak-Tyrkalska, Jolanta Jaworek, Bogusław Frańczuk – Efficacy of two different physiotherapeutic procedures in comprehensive therapy of plantar calcaneal spur. Fizjoterapia Polska 2007; 7(2), 145-154

Abstract

Background. A plantar calcaneal spur causes pain in the area of the medial process of the calcaneal tuber. The pain is caused by localised pressure in the region of the plantar aponeurosis attachment to the calcaneal bone. Plantar calcaneal spurs are principally treated by physiotherapy techniques, with ultrasound as the most popular procedure. At present, phonophoresis is more and more frequently used. Phonophoresis is an ultrasound treatment in which the substance between the transducer and the skin is replaced with a medicine in gel form. The aim of this paper is to assess the efficacy of and compare ultrasound- and phonophoresis-based therapeutic procedures for calcaneal spur. Materials and methods. 40 patients treated for plantar calcaneal spur participated in the study. The patients were randomised into two groups: Group A was treated by phonophoresis and group B received an ultrasound treatment. The patients were between 35 and 80 years of age (mean age 57.3 years). The enrolment criteria for the study were: absence of concomitant systemic disease or generalised inflammatory conditions and no history of recent injuries. The following criteria of physiotherapeutic treatment efficacy were adopted for the study: subjective pain intensity using the VAS scale, the range of plantar flexion and supination as well as the strength of muscle groups of the longitudinal arch of the foot. In order to provide better insight, taking into account the risk factors for the calcaneal spur, the BMl as well as Bogdanov’s ankle bone angle, which determines the length of the longitudinal arch of the foot, were determined in both groups. Results. Plantar calcaneal spur patients are usually overweight and suffer from slight longitudinal flatfootedness. A significant reduction of pain intensity was observed in group A (at p<0.001), and in group B (p<0.01). There was also an improvement in both foot flexion and supinetion at p<0.001. The strength of foot flexors and supinators increased significantly in both groups, at p<0.001 in group A and p<0.05 in group B. Conclusions. The clinical profile of calcaneal spur patients mostly includes overweight and slight longitudinal flatfootedness. Phonophoresis is a significantly more effective physiotherapeutic procedure than ultrasound in the physiotherapeutic management of plantar calcaneal spurs.

Key words:

calcaneal spur, treatment, efficacy

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Evaluation of the effect of ultrasound therapy on pressure ulcer healing

Anna Polak, Marzena Dzikiewicz, Jakub Taradaj, Cezary Kucio, Agnieszka Nawrat-Szołtysik, Lidia Wiercigroch, Piotr Król

Anna Polak, Marzena Dzikiewicz, Jakub Taradaj, Cezary Kucio, Agnieszka Nawrat-Szołtysik, Lidia Wiercigroch, Piotr Król – Evaluation of the effect of ultrasound therapy on pressure ulcer healing. Fizjoterapia Polska 2012; 12(4); 363-378

Abstract
As well as being a long process, the treatment of pressure ulcers involves the application of different therapeutic methods. In treating soft tissue defects, including pressure ulcers, physical modalities are increasingly used.The experiment involved 24 patients (16 women and 8 men) with chronic stage II-IV pressure ulcers, who were distributed between two comparative groups, A and B. Group A consisted of 12 subjects (8 women and 4 men) whose mean age was 75.27 years (±19.24). The mean wound surface area in the group was 4.71 (±3,42 cm2). Group B (control) contained 12 subjects (8 women and 4 men) whose mean age was 77.21 (±10.32) years. The mean wound surface area in group B was 4.51 (±3,73 cm2). In addition to standard treatment for pressure ulcers that both groups received, group A patients were additionally administered ultrasound therapy (1 MHz; 0.5 W/cm2; 20%; 1 min/cm2). Healing processes were observed in both groups for 6 weeks. The wound surface area, diameter and linear measurements were found to decrease statistically significantly. Treatment results in the ultrasound group were somewhat better, but healing rates derived from changes in pressure ulcer surface areas, lengths, widths and diameters did not show the groups to be statistically significantly different (respectively 85.23% (±10.23), 78.21% (±18.16), 74.78% (±22.88), 80.23% (±7.88) in group A and 84.11% (±8.45), 74.98% (±13.12), 73.54% (±21.66), 79.01% (±8.11) in group B).Ultrasound therapy does not make pressure ulcers heal significantly faster, nor does it significantly reduce their surface areas, diameters and linear measurements.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota – Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur. Fizjoterapia Polska 2012; 12(4); 341-354

Abstract
Pain experienced in the plantar part of the heel is the most common cause of its dysfunction in adults. In many cases the underlying reason is a calcaneal spur. This study aimed to assess and compare focused and radial shockwave therapies in terms of their efficacy in treating a symptomatic calcaneal spur. Twenty patients with a symptomatic calcaneal spur were enrolled in the experiment. The pa­tients were divided into 2 comparative groups A and B (each consisting of 10 patients) that received focused shockwave and radial shockwave therapies, respectively. Each patient was given 5 treatments at weekly intervals. Immediately after treatment ended a statistically significant reduction in all types of pain considered in the experiment was noted in both comparative groups. A further reduction in pain was observed after another three weeks. The comparative groups were similar in terms of relative changes in all types of pain. Additionally, focused shockwave therapy was found to have significantly affected patients’ stabilographic parameters. Both focused shockwave therapy and radial shockwave therapy are physical modalities that can be safely and effectively used to treat a symptomatic calcaneal spur. Their main advantage is good analgesic effect directly after treatment. This effect is even more distinct after another 3 weeks.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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