A comparison of the effectiveness of extracorporeal shock wave and ultrasound therapy in the management of heel pain

G. L. Y. CHEING, H. CHANG, Sing Kai LO

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The aim of this study was to compare the effectiveness of extracorporeal shock wave therapy (ESWT) and ultrasound therapy (US) for managing heel pain. Thirty-seven subjects received either: ESWT (once a week), US (three times a week), or CONTROL (no treatment) for 3 consecutive weeks and were followed-up for 3 more weeks. A visual analogue scale (VAS), the maximum tolerable duration for prolonged walking or standing, and the Mayo clinical scoring system (MCSS) were evaluated. Mixed models treating baseline measures as covariates were adopted for statistical analysis. By week 3, intensity of heel pain on palpation was reduced by 37% (VAS score from 7.5 to 4.6) in the ESWT group, 24% (from 5.3 to 4.2) in the US group, and increased by 3% (5.6-5.7) in the control group; this difference was significant after adjusting for baseline VAS scores (p = 0.022). The improvements in the maximum tolerable duration of prolonged walking or standing was only significant in the ESWT group (157% increase, p = 0.043) but not the other two groups. Both active treatment groups maintained the treatment effect at the three-week follow-up. We conclude that ESWT is potentially more effective in reducing heel pain than ultrasound therapy but additional evidence is needed due to the various limitations of the study. Copyright © 2007 Springer-Verlag.
Original languageEnglish
Pages (from-to)195-201
JournalShock Waves
Volume17
Issue number3
DOIs
Publication statusPublished - 2007

Fingerprint

pain
Shock waves
shock waves
therapy
Ultrasonics
walking
analogs
Statistical methods
scoring
statistical analysis
adjusting

Citation

Cheing, G. L. Y., Chang, H., & Lo, S. K. (2007). A comparison of the effectiveness of extracorporeal shock wave and ultrasound therapy in the management of heel pain. Shock Waves, 17(3), 195-201. doi: 10.1007/s00193-007-0102-1

Keywords

  • ESWT
  • Ultrasound therapy
  • Plantar fasciitis
  • Heel pain