Comparative retrospective analysis of magnetic field therapy and extracorporeal shock wave therapy in pain management for heel spur.

IF 1.4 4区医学 Q3 ORTHOPEDICS Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-01-01 Epub Date: 2025-01-09 DOI:10.1177/10538127241296347

Ozlem Akkoyun Sert, Kamil Yilmaz

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Abstract

Background: Heel spurs, caused by inflammation and overstretching of the plantar fascia, are a common source of heel pain. Although various conservative and invasive treatments are used, evidence on their effectiveness remains limited.

Objective: This study aims to evaluate the effect of extracorporeal shock wave therapy (ESWT) and magnetic field application on pain levels in heel spur patients.

Methods: The files of 80 patients diagnosed with heel spurs were accessed. Patients with missing demographic information in the files, incomplete Visual Analogue Scale (VAS) values, and patients with heel pain complaints for less than 5 months were excluded from the study. A total of 39 patients who met the study criteria were included in the study. While ESWT was applied to 21 of these patients (ESWT group), magnetic field was applied to 18 patients (MA group). All patients were given plantar fascia stretching exercises as a home program. Pain scores before and after treatment were evaluated with VAS.

Results: A significant decrease was found in VAS values after the 5th session and 2 months later in both the ESWT group and the magnetic field group (p < 0.001). On the other hand, neither treatment method was found to be superior to each other (p > 0.05).

Conclusion: It was observed that the pain of the patients decreased in both the early and late periods in both applications.

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磁场治疗与体外冲击波治疗足跟骨刺疼痛的回顾性比较分析。

背景：由足底筋膜的炎症和过度拉伸引起的脚跟刺痛是脚跟疼痛的常见原因。尽管使用了各种保守和侵入性治疗，但其有效性的证据仍然有限。目的：探讨体外冲击波治疗（ESWT）和磁场应用对足跟骨刺患者疼痛程度的影响。方法：对80例诊断为足跟骨刺的患者资料进行分析。档案中人口统计信息缺失、视觉模拟量表（VAS）值不完整以及足跟疼痛主诊少于5个月的患者被排除在研究之外。符合研究标准的39例患者被纳入研究。其中21例采用ESWT （ESWT组），18例采用磁场（MA组）。所有患者均给予足底筋膜拉伸运动作为家庭计划。采用VAS评估治疗前后疼痛评分。结果：ESWT组和磁场组在第5次治疗和2个月后VAS评分均有显著降低（p < 0.05）。结论：两种应用方法均能减轻患者的疼痛感，且疼痛感在早期和晚期均有所减轻。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.