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Heel Pain

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1. Extracorporeal shock wave therapy (ESWT) for heel pain

Extracorporeal shock wave therapy (ESWT) for heel pain 1 Translation of the key statement of the final report N15-06 Extrakorporale Stoßwellentherapie beim Fersenschmerz (Version 1.0; Status: 29 March 2017). Please note: This document was translated by an external translator and is provided as a service by IQWiG to English-language readers. However, solely the German original text is absolutely authoritative and legally binding. Extract IQWiG Reports – Commission No. N15-06 Extracorporeal shock (...) wave therapy (ESWT) for heel pain 1 Extract of final report N15-06 Version 1.0 ESWT for heel pain 29 March 2017 Institute for Quality and Efficiency in Health Care (IQWiG) - i - Publishing details Publisher: Institute for Quality and Efficiency in Health Care Topic: Extracorporeal shock wave therapy (ESWT) for heel pain Commissioning agency: Federal Joint Committee Commission awarded on: 30 July 2015 Internal Commission No.: N15-06 Address of publisher: Institut für Qualität und Wirtschaftlichkeit

2019 Institute for Quality and Efficiency in Healthcare (IQWiG)

2. Injected corticosteroids for treating plantar heel pain in adults. Full Text available with Trip Pro

Injected corticosteroids for treating plantar heel pain in adults. Plantar heel pain, commonly resulting from plantar fasciitis, often results in significant morbidity. Treatment options include nonsteroidal anti-inflammatory drugs (NSAIDs), orthoses, physical therapy, physical agents (e.g. extracorporeal shock wave therapy (ESWT), laser) and invasive procedures including steroid injections.To assess the effects (benefits and harms) of injected corticosteroids for treating plantar heel pain (...) in adults.We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (the Cochrane Library), MEDLINE, Embase, CINAHL, clinical trials registries and conference proceedings. Latest search: 27 March 2017.Randomised and quasi-randomised trials of corticosteroid injections in the treatment of plantar heel pain in adults were eligible for inclusion.At least two review authors independently selected studies, assessed risk of bias

2017 Cochrane

3. Child health: Combining facilitated tucking and non-nutritive sucking appears to promote greater regulation for preterm neonates following heel lance, but does not provide effective pain relief

Child health: Combining facilitated tucking and non-nutritive sucking appears to promote greater regulation for preterm neonates following heel lance, but does not provide effective pain relief Combining facilitated tucking and non-nutritive sucking appears to promote greater regulation for preterm neonates following heel lance, but does not provide effective pain relief | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can (...) facilitated tucking and non-nutritive sucking appears to promote greater regulation for preterm neonates following heel lance, but does not provide effective pain relief Article Text Commentary Child health Combining facilitated tucking and non-nutritive sucking appears to promote greater regulation for preterm neonates following heel lance, but does not provide effective pain relief Marsha Campbell-Yeo Correspondence to Professor Marsha Campbell-Yeo, School of Nursing, Dalhousie University, Halifax B3H

2019 Evidence-Based Nursing

4. Randomised controlled trial: Heel stick test for obtaining blood samples in neonates: both swaddling and heel warming may help, but heel warming appears to provide greater pain reduction

Randomised controlled trial: Heel stick test for obtaining blood samples in neonates: both swaddling and heel warming may help, but heel warming appears to provide greater pain reduction Heel stick test for obtaining blood samples in neonates: both swaddling and heel warming may help, but heel warming appears to provide greater pain reduction | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via (...) in neonates: both swaddling and heel warming may help, but heel warming appears to provide greater pain reduction Article Text Child health Randomised controlled trial Heel stick test for obtaining blood samples in neonates: both swaddling and heel warming may help, but heel warming appears to provide greater pain reduction Xiaomei Cong Statistics from Altmetric.com Commentary on : Shu SH , Lee YL , Hayter M , et al . Efficacy of swaddling and heel warming on pain response to heel stick in neonates

2015 Evidence-Based Nursing

5. [Extracorporeal shock wave therapy (ESWT) for heel pain]

[Extracorporeal shock wave therapy (ESWT) for heel pain] Extrakorporale stoßwellentherapie beim fersenschmerz: abschlussbericht; auftrag N15-06 [Extracorporeal shock wave therapy (ESWT) for heel pain] Extrakorporale stoßwellentherapie beim fersenschmerz: abschlussbericht; auftrag N15-06 [Extracorporeal shock wave therapy (ESWT) for heel pain] Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen Record Status This is a bibliographic record of a published health technology assessment (...) from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen. Extrakorporale stoßwellentherapie beim fersenschmerz: abschlussbericht; auftrag N15-06. [Extracorporeal shock wave therapy (ESWT) for heel pain] Cologne: Institut fuer Qualitaet und Wirtschaftlichkeit im Gesundheitswesen (IQWiG). IQWiG-Berichte 499. 2017 Final publication URL Indexing Status Subject indexing assigned

2017 Health Technology Assessment (HTA) Database.

6. Effectiveness of physical therapy treatment in addition to usual podiatry management of plantar heel pain: a randomized clinical trial Full Text available with Trip Pro

Effectiveness of physical therapy treatment in addition to usual podiatry management of plantar heel pain: a randomized clinical trial Effectiveness of Physical Therapy Treatment in Addition to Usual Podiatry Management of Plantar Heel Pain: A Randomized Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History, and several other advanced (...) characters Choose a collection: Unable to load your collection due to an error Add Cancel Add to My Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation BMC Musculoskelet Disord Actions , 20 (1), 630 2019 Dec 28 Effectiveness of Physical Therapy Treatment in Addition to Usual Podiatry Management of Plantar Heel Pain: A Randomized Clinical Trial , , , Affiliations Expand Affiliations 1 Doctor of Physical Therapy Program

2020 EvidenceUpdates

7. An Evaluation of a Customized Insole to Provide Relief From Heel Pain Due to Plantar Fasciitis or General Heel Pain When Used in Footwear Over a Period of Four Weeks

An Evaluation of a Customized Insole to Provide Relief From Heel Pain Due to Plantar Fasciitis or General Heel Pain When Used in Footwear Over a Period of Four Weeks An Evaluation of a Customized Insole to Provide Relief From Heel Pain Due to Plantar Fasciitis or General Heel Pain When Used in Footwear Over a Period of Four Weeks - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x (...) × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. An Evaluation of a Customized Insole to Provide Relief From Heel Pain Due to Plantar Fasciitis or General Heel Pain When Used in Footwear Over a Period of Four Weeks The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated

2018 Clinical Trials

8. Effects of breastfeeding and heel warming on pain levels during heel stick in neonates. (Abstract)

Effects of breastfeeding and heel warming on pain levels during heel stick in neonates. To determine the effects of two different methods, breastfeeding and heel warming, during heel stick procedures on pain levels in healthy term neonates.This study was a prospective, randomized controlled trial. The sample of the study consisted of 150 healthy newborns who matched the case selection criteria and were brought to the nursery for the heel stick procedure. Fifty neonates were randomly assigned (...) to each group: breastfeeding (n = 50), heel warming (n = 50), and control (n = 50), using computer-based randomization. The study data were obtained using an Information Form and the Neonatal Infant Pain Scale (NIPS).The pre-procedural pain scores of the breastfeeding group (mean 4.44 SD 1.21 seconds) were lower than in the heel warming (mean 6.10 SD 1.07 seconds) and the control group (mean 6.42 SD 0.91 seconds) (P < 0.01). Both the total crying time and the first calming time of the breastfeeding

2019 International journal of nursing practice Controlled trial quality: uncertain

9. Effectiveness of Foot Orthoses Versus Corticosteroid Injection for Plantar Heel Pain: The SOOTHE Randomized Clinical Trial (Abstract)

Effectiveness of Foot Orthoses Versus Corticosteroid Injection for Plantar Heel Pain: The SOOTHE Randomized Clinical Trial Plantar heel pain is a common foot complaint that causes significant disability and poorer health-related quality of life. Foot orthoses and corticosteroid injection are effective treatments for plantar heel pain; however, it is unclear whether one is more effective than the other.The aim of this trial was to compare the effectiveness of foot orthoses and corticosteroid (...) injection for plantar heel pain.In this parallel-group, assessor-blinded, randomized clinical trial, participants received prefabricated, arch-contouring foot orthoses or a single ultrasound-guided corticosteroid injection. The primary outcome measure was the foot pain subscale of the Foot Health Status Questionnaire at 4 and 12 weeks.One hundred three participants aged 21 to 72 years (63 female) with plantar heel pain were recruited from the community and received an intervention. For the primary

2019 EvidenceUpdates

10. Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis Full Text available with Trip Pro

Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis Corticosteroid injection is frequently used for plantar heel pain (plantar fasciitis), although there is limited high-quality evidence to support this treatment. Therefore, this study reviewed randomised trials to estimate the effectiveness of corticosteroid injection for plantar heel pain.A systematic review and meta-analysis of randomised trials that compared corticosteroid injection to any comparator (...) considered to have high risk of bias were excluded, there were no significant findings.Based on the findings of this review, corticosteroid injection is more effective than some comparators for the reduction of pain and the improvement of function in people with plantar heel pain. However, corticosteroid injection is not more effective than placebo injection for reducing pain or improving function. Further trials that are of low risk of bias will strengthen this evidence.PROSPERO registration number

2019 EvidenceUpdates

11. Heel casts do not improve heel ulcers in diabetes

are a common complication of diabetes, and heel ulcers are particularly difficult to treat. Based on the success of casts for treating ulcers elsewhere on the foot this trial was designed to test the effect and cost-effectiveness of using a similar approach for heel ulcers. This NIHR-funded trial indicates that specially-moulded heel casts do not improve healing rates or pain, and were not a good use of NHS resources compared with usual care. Uncertainty remains over the optimal approach for managing heel (...) ulcers in people with diabetes. Share your views on the research. Why was this study needed? Diabetes affects the blood circulation and nerves in the lower limbs which can lead to vascular or neuropathic ulcers. Around 15% of people with diabetes develop foot ulcers. Foot ulcers have a huge impact on people with diabetes and are expensive to treat, accounting for 0.7 to 0.8% of the UK NHS budget and about half die within five years. Ulcers on the heel are particularly painful and difficult to treat

2019 NIHR Dissemination Centre

12. Developmental rheumatology in children. Scenario: Heel pain in children

Developmental rheumatology in children. Scenario: Heel pain in children Developmental rheumatology in children - NICE CKS Share Developmental rheumatology in children: Summary Musculoskeletal complaints are a common cause of visits to primary care, but a large proportion of these are for children and adolescents who are entirely healthy or who are developmentally within a normal physiological range. Presentations in children include: Back pain — in school-age children and adolescents, most back (...) foot — flat foot (pes planus) is common in infants and children and has often resolved by adolescence. It is usually physiologic and of no functional consequence. Heel painheel pain is commonly reported in young children and adolescents and most causes are benign. Hypermobility — hypermobile joints are common. Many children do not have symptoms or associated problems. In-toeing — describes medial or internal rotation of the foot relative to the direction the child is moving in; most in-toeing

2019 NICE Clinical Knowledge Summaries

13. Active Muscle Trigger Points Are Associated with Pain and Related Disability in Patients with Plantar Heel Pain: A Case-Control Study. (Abstract)

Active Muscle Trigger Points Are Associated with Pain and Related Disability in Patients with Plantar Heel Pain: A Case-Control Study. Pain experienced by patients with plantar heel pain has been associated with fascia thickness. It is possible that referred muscle pain may also be related to symptoms experienced by these patients. Our aim was to systematically investigate if the referred pain elicited by trigger points in the leg and foot musculature reproduces the symptoms in individuals (...) with plantar heel pain and to determine the association of trigger points (TrPs) with pain and related disability.A case-control study was conducted. Thirty-five individuals with unilateral chronic plantar heel pain and 35 matched comparable healthy controls participated. An assessor blinded to the subject's condition explored TrPs in the flexor hallucis brevis, adductor hallucis, quadratus plantae, and internal gastrocnemius. Pain and related disability were assessed with a numerical pain rating scale (0

2019 Pain Medicine

14. Efficacy of facilitated tucking combined with non-nutritive sucking on very preterm infants` pain during the heel-stick procedure: A randomized controlled trial (Abstract)

Efficacy of facilitated tucking combined with non-nutritive sucking on very preterm infants` pain during the heel-stick procedure: A randomized controlled trial Reducing acute pain in premature infants during neonatal care improves their neurophysiological development. The use of pharmacological and non-pharmacological analgesia, such as sucrose, is limited per day, particularly for very preterm infants. Thus, the usual practice of non-nutritive sucking is often used alone. Facilitated tucking (...) could be an additional strategy to non-nutritive sucking for reducing pain. To the best of our knowledge, no randomized trial has compared the combination of facilitated tucking and non-nutritive sucking to non-nutritive sucking alone.To compare the efficacy of facilitated tucking in combination with non-nutritive sucking (intervention group) to non-nutritive sucking alone (control group) in reducing pain during the heel-stick procedure in very preterm infants.Prospective, randomized controlled

2018 EvidenceUpdates

15. Proximal Medial Gastrocnemius Recession and Stretching Versus Stretching as Treatment of Chronic Plantar Heel Pain (Abstract)

Proximal Medial Gastrocnemius Recession and Stretching Versus Stretching as Treatment of Chronic Plantar Heel Pain Plantar heel pain is a common disorder that can lead to substantial pain and disability. Gastrocnemius recession has been described as an operative treatment option, but there is a lack of prospective clinical and biomechanical outcome data. The aim of this study was to evaluate the clinical and biomechanical outcomes of gastrocnemius recession and stretching compared (...) with a stretching exercise protocol for patients with plantar heel pain lasting more than 12 months.Forty patients with plantar heel pain lasting more than 1 year were randomized to a home stretching exercise program only or to surgery consisting of a proximal medial gastrocnemius recession in addition to stretching exercises. The main outcome was the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score at 12 months. Secondary clinical outcomes were the Short Form-36 (SF-36) and visual

2018 EvidenceUpdates

16. Trial of Music, Sucrose, and Combination Therapy for Pain Relief during Heel Prick Procedures in Neonates (Abstract)

Trial of Music, Sucrose, and Combination Therapy for Pain Relief during Heel Prick Procedures in Neonates To compare the effectiveness of music, oral sucrose, and combination therapy for pain relief in neonates undergoing a heel prick procedure.This randomized, controlled, blinded crossover clinical trial included stable neonates >32 weeks of postmenstrual age. Each neonate crossed over to all 3 interventions in random order during consecutive heel pricks. A video camera on mute mode recorded (...) facial expressions, starting 2 minutes before until 7 minutes after the heel prick. The videos were later analyzed using the Premature Infant Pain Profile-Revised (PIPP-R) scale once per minute by 2 independent assessors, blinded to the intervention. The PIPP-R scores were compared between treatment groups using Friedman test.For the 35 participants, the postmenstrual age was 35 weeks (SD, 2.3) with an average weight of 2210 g (SD, 710). The overall median PIPP-R scores following heel prick over 6

2018 EvidenceUpdates

17. Prospective Randomized Trial of Electrolysis for Chronic Plantar Heel Pain (Abstract)

Prospective Randomized Trial of Electrolysis for Chronic Plantar Heel Pain Chronic plantar heel pain (CPHP) is a common condition with high prevalence rates and a projected cost of treatment of US$192 to US$376 million. There are several therapeutic approaches and there is increased interest in treatments aimed at the regeneration of tissues with poor healing potential. Our purpose was to investigate the effectiveness of ultrasound-guided percutaneous needle electrolysis in chronic plantar heel (...) pain.A total of 73 patients with a clinical and ultrasonographic diagnosis of plantar heel pain unrelated to systemic inflammatory disease who had not received any other treatment in the previous 6 months on the affected foot were randomly allocated to receive either ultrasound-guided percutaneous needle electrolysis of the fascia (experimental group, n = 39) or placebo puncture (control group, n = 34). The primary outcome was pain scored with an 11-point numeric pain rating scale (0 = no pain, 10

2018 EvidenceUpdates

18. The effectiveness of raising the heel height of shoes to reduce heel pain in patients with calcaneal spurs Full Text available with Trip Pro

The effectiveness of raising the heel height of shoes to reduce heel pain in patients with calcaneal spurs [Purpose] To investigate the effect of heel height on the distribution of plantar foot force and heel pain in patients with a heel spur. [Subjects and Methods] Plantar force was measured using 8 force sensors in 16 patients (3 men, 13 women), with symptomatic heel spur for 4 heel heights (0-4 cm). Sensors were located at the hallux (T1); medial to lateral metatarsals (M1 through M3), mid (...) -foot (MF); and at the central, lateral, and medial heel (CH, LH, and MH). Pain was evaluated using the minimum compression force that caused pain and was measured using an algometer. [Results] Load bearing shifted from the heel (CH) to the mid-foot (MF) and hallux (T1) with increasing heel height. Raising the heel from 2 to 3 cm reduced the magnitude of load bearing, relative to the minimum compression force for pain, by 3.70% at the LH and 2.35% at the MH. Excellent clinical outcomes, defined

2017 Journal of physical therapy science

19. Efficacy and safety of electroacupuncture plus warm needling therapy for heel pain: study protocol for a randomized controlled trial. Full Text available with Trip Pro

Efficacy and safety of electroacupuncture plus warm needling therapy for heel pain: study protocol for a randomized controlled trial. Heel pain is a common foot disorder that causes pain and functional limitations. The prevalence of disabling foot pain will increase as the population ages. Previous studies have reported the positive therapeutic effects of electroacupuncture, warm needling, or the combination of both for heel pain but with limitations in the study methodologies. The current (...) study is a rigorously designed randomized controlled trial that aims to evaluate the clinical efficacy and safety of electroacupuncture plus warm needling therapy in patients with heel pain.The study protocol describes a prospective, open-label, parallel-group, randomized controlled trial to be conducted in Hong Kong. Eighty patients aged 50-80 years who have reported heel pain and first-step pain equal to or exceeding 50 mm on the 100-mm visual analog scale (VAS) will be recruited

2019 Trials Controlled trial quality: predicted high

20. Can short-term effectiveness of anti-pronation taping predict the long-term outcomes of customized foot orthoses: developing predictors to identify characteristics of patients with plantar heel pain likely to benefit from customized foot orthoses. Full Text available with Trip Pro

Can short-term effectiveness of anti-pronation taping predict the long-term outcomes of customized foot orthoses: developing predictors to identify characteristics of patients with plantar heel pain likely to benefit from customized foot orthoses. Foot orthoses are widely used to manage plantar heel pain (PHP). However, the evidence concerning the effect of foot orthoses on PHP is not conclusive. The study aims to identify the characteristics of patients with PHP likely to achieve a positive (...) outcome after customized foot orthoses and to verify the concept that patients who respond positively to anti-pronation taping would achieve a positive prognosis after wearing foot orthoses for six months.This is a prospective observational cohort study. Seventy-four patients with PHP underwent a baseline examination and received anti-pronation taping to their painful feet. The taping effects on pain and function were assessed at the 7-day follow-up visit. Then, all patients received an intervention

2019 BMC Musculoskeletal Disorders

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