Extracorporeal Shockwave Therapy Versus Graston Instrument Assisted Soft-Tissue Mobilization in Chronic Plantar Heel Pain: A Randomized Controlled Trial
https://pubmed.ncbi.nlm.nih.gov/36125974/
Background: Although there are studies showing that extracorporeal shockwave therapy (ESWT) and instrument-assisted soft-tissue mobilization (IASTM) methods are ef
fective in chronic plantar heel pain (CPHP) treatment, there is a need for studies comparing these techniques. Our goal is to compare the effectiveness of ESWT vs IASTM using Graston Technique® (GT®) instruments in addition to stretching exercises (SEs) in CPHP.
Methods: Sixty-nine patients were randomly assigned to 3 groups as ESWT+SEs (Gr I), GT®+SEs (Gr II) and SEs (CG) (ratio 1:1:1). SEs program twice/day, for 8-week was standard for all. Gr I received low intensity ESWT while in Gr II, GT® was the selected method. Visual analog scale (VAS) (for initial step and activity pain); foot function index (FFI); short form-12 (SF-12), and Tampa Scale were used at pretreatment, posttreatment and follow-ups (8-week and 6-month).
Results: VAS and FFI scores improved in the posttreatment and follow-ups in all (p<.00) While effect sizes in Gr I and Gr II were greater than CG in initial step pain at posttreatment and 8-week-follow-up, Gr II had highest effect size at 6-month-follow-up. The mean SF-12 scores in Gr I and Gr II showed improvement on the posttreatment assessment. Furthermore, Gr II showed significant improvements in FFI scores compared to other groups in 6-month-follow-up (F=6.33, p=.003).
Conclusions: Even though ESWT+SEs and GT®+SEs interventions seem to have similar effects on initial step pain at posttreatment and 8-week-follow-up; GT®+SEs was found most effective for improving functional status at 6-month in the management of CPHP.
Our team goes beyond conventional medicine by offering services and techniques which can relieve symptoms while at the same time addressing and resolving the underlying causes of your particular dysfunction.
Sunset Chiropractic and Wellness’s Structural Correction Chiropractic Care rehabilitate the damaged spine/extremities and its damaged structures (muscles, ligaments, fascia, discs, bone, and nerves) improving the structure and functions, reducing and removing the pain, and improving overall quality of life.
For more information on our unique structural correction chiropractic treatment for spinal and extremity conditions please visit our treatment page on our website.
www.sunsetchiropractor.com/corrective-chiropractic-care/
If you have been experiencing spinal symptoms such as neck pain, back pain, headaches, migraines, mid back pain, rib pain, carpal tunnel, sciatica, disc herniations or protrusions, neuropathy, scoliosis, spinal stenosis, pain/numbness/weakness in your arms, hands, legs or feet……..
Call our office Today (305) 275-7474 for a FREE Phone, Whatsapp, or Zoom consultation so we can determine the cause of your symptoms, identify the damage, and design an individualized treatment plan to get back to enjoying the thing you love doing!
We look forward to meeting you and helping you recover your health. You can get better! We can help! There is still hope !
Dr. Rodolfo Alfonso, D.C.
Dr. Mark N. Berry, D.C.
Sunset Chiropractic and Wellness
8585 Sunset Dr.
STE 102
Miami, Florida 33143
305-275-7474
www.sunsetchiropractor.com
Miami, Florida 33143
305-275-7474
www.sunsetchiropractor.com